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Clozapine; Uses, Dosage, Side Effects, Interactions

Clozapine is an atypical antipsychotic medication.It is mainly used for schizophrenia that does not improve following the use of other antipsychotic medications. In those with schizophrenia and schizoaffective disorder it may decrease the rate of suicidal behavior.It is more effective than typical antipsychotics and effective for those who are treatment resistant.It is taken by mouth.

Mechanism of action of Clozapine

Clozapine’s antipsychotic action is likely mediated through a combination of antogistic effects at D2 receptors in the mesolimbic pathway and 5-HT2A receptors in the frontal cortex. D2 antagonism relieves positive symptoms while 5-HT2A antagonism alleviates negative symptoms. Clozapine is a selective monoaminergic antagonist with high affinity for the serotonin Type 2 (5HT2), dopamine Type 2 (D2), 1 and 2 adrenergic, and H1 histaminergic receptors. Clozapine acts as an antagonist at other receptors, but with lower potency. Antagonism at receptors other than dopamine and 5HT2 with similar receptor affinities may explain some of the other therapeutic and side effects of Clozapine. Clozapine’s antagonism of muscarinic M1-5 receptors may explain its anticholinergic effects. Clozapine’s antagonism of histamine H1 receptors may explain the somnolence observed with this drug. Clozapine’s antagonism of adrenergic a1 receptors may explain the orthostatic hypotension observed with this drug.

Indications of Clozapine

  • Suicidal Behaviour
  • Treatment-resistant schizophrenia
  • Advanced dopaminomimetic psychosis
  • Schizophrenia
  • Paranoid disorder
  • Borderline personality disorder

Contra-Indications of Clozapine

Dosages of Clozapine

Strengths: 25 mg; 100 mg; 12.5 mg; 150 mg; 200 mg; 50 mg; 50 mg/mL

 Schizophrenia

  • Initial dose – 12.5 mg orally once or twice a day
  • Titration and Maintenance dose – May increase total daily dose in increments of 25 mg to 50 mg per day to a target dose of 300 mg to 450 mg per day (administered in divided doses) by the end of week 2. Subsequent dose increases can be in increments of up to 100 mg once or twice weekly.
  • Maximum dose – 900 mg per day

Side Effects of Clozapine

The most common

More common

Less common

Drug Interaction of Clozapine

  • antacids (e.g., aluminum hydroxide, calcium carbonate, magnesium hydroxide)
  • antihistamines (e.g, cetirizine, doxylamine, diphenhydramine, hydroxyzine, loratadine)
  • anti-Parkinson’s agents (e.g., amantadine, bromocriptine, levodopa)
  • antipsychotics (e.g., chlorpromazine, haloperidol, olanzapine, quetiapine, risperidone)
  • “azole” antifungals (e.g., fluconazole, ketoconazole, voriconazole)
  • barbiturates (e.g., butalbital, pentobarbital, phenobarbital)
  • benzodiazepines (e.g., clonazepam, diazepam, lorazepam)
  • buprenorphine
  • captopril
  • corticosteroids (e.g., budesonide, dexamethasone, hydrocortisone, fluticasone, prednisone)
  • diabetes medications (e.g., chlorpropamide, glipizide, glyburide, insulin, metformin, nateglinide, rosiglitazone)
  • dronedarone
  • ergot alkaloids (e.g., ergotamine, dihydroergotamine)
  • general anesthetics (medications used to put people to sleep before surgery)
  • HIV non-nucleoside reverse transcriptase inhibitors (NNRTIs; e.g., delavirdine, efavirenz, etravirine, nevirapine)
  • ipratropium
  • macrolide antibiotics (e.g., clarithromycin, erythromycin)
  • medications that can suppress the immune system (e.g., azathioprine, biologics, cancer medications, cyclosporine, hydroxyurea, mycophenolate, tacrolimus)
  • metronidazole
  • metyrosine
  • mirabegron
  • mirtazapine
  • monoamine oxidase inhibitors (MAOIs; moclobemide, phenelzine, rasagiline, selegiline, tranylcypromine)
  • muscle relaxants (e.g., cyclobenzaprine, methocarbamol, orphenadrine)
  • narcotics (e.g., codeine, fentanyl, morphine, oxycodone)
  • omeprazole
  • propafenone
  • quinolone antibiotics (e.g., ciprofloxacin, norfloxacin, ofloxacin)
  • serotonin antagonists (anti-emetic medications; e.g., granisetron, ondansetron)
  • serotonin/norepinephrine reuptake inhibitors (SNRIs; e.g., desvenlafaxine, duloxetine, venlafaxine)
  • seizure medications (e.g., carbamazepine, clobazam, felbamate, levetiracetam, phenobarbital, phenytoin, primidone, topiramate, valproic acid, zonisamide)
  • selective serotonin reuptake inhibitors (SSRIs; e.g., citalopram, duloxetine, fluoxetine, paroxetine)

Pregnancy & Lactation

FDA Pregnancy Category B 

Pregnancy

Clozapine should be used only if the benefits clearly outweigh the risks. If you become pregnant or intend to become pregnant while taking this medication, contact your doctor immediately.

Lactation

This medication may pass into breast milk. If you are a breastfeeding mother and are taking clozapine, it may affect your baby. Talk to your doctor about whether you should continue breastfeeding. The safety and efficacy of this medication for use by children and adolescents below age 18 have not been established.

References

Clozapine

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