To the Editor: In their 1991 article on clozapine (March 14,1991, issue),1 Drs. Baldessarini and Frankenburg stated, "Othertrends noted with clozapine include somewhat (20 to 30 percent)higher plasma levels in women and smokers and up to twofoldincreases between young and older adults." In the reference2cited for this statement, Haring et al. reported that the plasmalevels of clozapine are lower in smokers than in nonsmokers,and higher in older than in younger patients.
Olga Delgado Sanchez, Pharm.D. M. Carmen Puerta Fernandez, Pharm.D. Servicio de Ordenacion Farmaceutica 28009 Madrid, Spain
References
Baldessarini RJ, Frankenburg FR. Clozapine: a novel antipsychotic agent. N Engl J Med 1991;324:746-754. [Medline]
Haring C, Meise U, Humpel C, Saria A, Fleischhacker WW, Hinterhuber H. Dose-related plasma levels of clozapine: influence of smoking behaviour, sex and age. Psychopharmacology (Berl) 1989;99:Suppl:S38-S40.