A randomized group sequential adaptive design clinical trial by Naveen Hegde and colleagues in the Asian Journal of Psychiatry investigates augmenting clozapine with dextromethorphan for treatment-resistant schizophrenia, based on the glutamatergic theory of schizophrenia which proposes that dysregulation of glutamate neurotransmission contributes to the condition's pathophysiology.
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Gender Affirming Care in Exile: Targeting the Leader追加:
When patients don't respond to clozapine, there's close to no research to guide us, which makes this study by Naveen Hegde and colleagues in the Asian Journal of Psychiatry is a big step forward. Augmentation of clozapine with dextromethorphan in treatment-resistant schizophrenia, a randomized group sequential adaptive design controlled clinical trial.
Dextromethorphan is familiar as the antidepressant accelerator in Auvelity, but the rationale to use it here comes from a glutamatergic theory of schizophrenia.
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