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Psychiatry Investig. 2010 Jun;7(2):128-34. doi: 10.4306/pi.2010.7.2.128. Epub 2010 May 04.

Antipsychotic effects of quetiapine in naturalistic long term follow up study.

Psychiatry investigation

Jung-Sun Lee, Joon Ho Ahn, Do-Hoon Kim, Jong-Jin Kim, Tae-Young Kim, So-Young Yoo, Dong-Geun Lee, Sang-Hyuk Lee, Se-Won Lim, Weon-Jeong Lim, Il-Kyung Jung, Hae-Kyung Jung, Dong-Hwan Cho, In-Hee Cho, Chang-Yoon Kim

Affiliations

  1. Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

PMID: 20577622 PMCID: PMC2890867 DOI: 10.4306/pi.2010.7.2.128

Abstract

OBJECTIVE: This study aimed to examine the effectiveness of quetiapine and the effects of dosage relates to its effectiveness on schizophrenia and schizoaffective disorder in a naturalistic setting in Korean people.

METHODS: This study was a 24-week, open-label, non-comparative, naturalistic study of quetiapine in patients diagnosed with schizophrenia and schizoaffective disorder according to DSM-IV. We stratified the patients into mild [(clinical global impression severity (CGI-S) <4 at baseline)] and severe groups (CGI-S >/=4 at baseline). We investigated the response rate, defined as clinical global impression improvement (CGI-I)

RESULTS: During the 24 weeks, 151 (18.4%) of the participants dropped out of the study. There was a significant decrease in the mean CGI-S score, from 4.5+/-1.1 at baseline to 2.8+/-1.1 at 24 weeks. The response rate of severe group was 54.5% (estimated by LOCF) and 73.3% (K-M estimated) at 24 weeks. All patients who completed the study had taken a mean quetiapine dosage of 507.9+/-245.9 mg daily. The decrease of CGI-S score in high-dose group (the maximum dose was 750 mg/d or above) was statistically significant than that in recommended-dose group (the maximum dose was less than 750 mg/d).

CONCLUSION: This study demonstrated the long-term effectiveness of quetiapine in the treatment of schizophrenia and schizoaffective disorder in a naturalistic setting in Korean people. This study suggests that higher than recommended quetiapine dosages could be more effective in some patients.

Keywords: High-dose; Naturalistic study; Quetiapine; Schizophrenia

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