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Aripiprazole-Induced Agitation After Clozapine Discontinuation: A Case Report

J Clin Psychiatry 2009;70(1):141-143 [letter]
10.4088/JCP.08104528

Letter to the Editor

Sir: Clozapine continues to be the gold standard for patients with treatment-refractory schizophrenia.1 However, when patients who have responded to clozapine need to have clozapine treatment discontinued due to a serious adverse event, such as glucose abnormalities, clinicians are often confronted with difficult choices regarding a suitable substitute treatment.

We present a patient who developed acute ketoacidosis while on clozapine treatment and who developed severe agitation and psychotic decompensation with subsequent aripiprazole treatment.