Pharmacological Treatment of Schizophrenia

Abstract

We present the pharmacological treatment of schizophrenia based on a simple algorithm that starts with the most important decisions starting from the choice of an antipsychotic drug for an acutely ill patient and ends with maintenance treatment. It represents experts opinions, a formal guideline development process was not followed. Concerning acute treatment we present recommendations for the choice of drug in acutely patients, the treatment of agitated patients, persistent depression, negative symptoms and treatment resistance. Concerning maintenance treatment with antipsychotics we discuss indication, choice of drug, continuous versus intermittent treatment, duration of relapse prevention and dose.

Zusammenfassung

In diesem Artikel stellen wir die pharmakologische Schizophreniebehandlung basierend auf einem einfachen Algorithmus dar, der mit den wichtigsten Entscheidungen in der Akutbehandlung beginnt und mit der Erhaltungstherapie endet. Die verwendete Methodik ist ein Expertenkonsensus, ein formaler Leitlinienentwicklungsprozess wurde nicht verwendet. In der Akutbehandlung geben wir Empfehlungen hinsichtlich der Auswahl des Medikaments die Behandlung agitierter Patienten, für persistierende bei Depression, Negativsymptomen und Therapieresistenz. In der Erhaltungstherapie diskutieren wir Indikation, Auswahl des Medikaments, kontinuierliche versus intermittierende Behandlung, Dauer einer Rezidivprophylaxe und Dosis.

Key words

antipsychotic drugs - guideline - schizophrenia

Schlüsselwörter

Antipsychotika - Leitlinie - Schizophrenie

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