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World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for biological treatment of schizophrenia, part 2: Long-term treatment of schizophrenia

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TLDR
These guidelines for the biological treatment of schizophrenia were developed by an international Task Force of the World Federation of Societies of Biological Psychiatry to reach a consensus on a series of practice recommendations that are clinically and scientifically meaningful based on the available evidence.
Abstract
These guide lines for the biological treatment of schizophrenia were developed by an international Task Force of the World Federation of Societies of Biological Psychiatry (WFSBO). The goal during the development of these guidelines was to review systematically all available evidence pertaining to the treatment of schizophrenia, and to reach a consensus on a series of practice recommendations that are clinically and scientifically meaningful based on the available evidence. These guidelines are intended for use by all physicians seeing and treating people with schizophrenia. The data used for developing these guidelines have been extracted primarily from various national treatment guidelines and panels for schizophrenia, as well as from meta-analyses, reviews and randomised clinical trials on the efficacy of pharmacological and other biological treatment interventions identified by a search of the MEDLINE database and Cochrane Library. The identified literature was evaluated with respect to the strength of evidence for its efficacy and then categorised into four levels of evidence (A-D). This first part of the guidelines covers disease definition, classification, epidemiology and course of schizophrenia, as well as the management of the acute phase treatment. These guidelines are primarily concerned with the biological treatment (including antipsychotic medication, other pharmacological treatment options, electroconvulsive therapy, adjunctive and novel therapeutic strategies) of adults suffering from schizophrenia.

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AGNP Consensus Guidelines for Therapeutic Drug Monitoring in Psychiatry: Update 2011

TL;DR: Following guidelines for TDM in psychiatry will help to improve the outcomes of psychopharmacotherapy of many patients especially in case of pharmacokinetic problems, and one should never forget that TDM is an interdisciplinary task that sometimes requires the respectful discussion of apparently discrepant data.
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A Meta-Analysis of Head-to-Head Comparisons of Second-Generation Antipsychotics in the Treatment of Schizophrenia

TL;DR: The findings suggest that some second-generation antipsychotics may be somewhat more efficacious than others, but the limitations of meta-analysis must be considered in tailoring drug treatment to the individual patient.
References
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Journal ArticleDOI

Antipsychotic and anxiolytic properties of risperidone, haloperidol, and methotrimeprazine in schizophrenic patients.

TL;DR: R risperidone is an effective antipsychotic and anxiolytic agent in schizophrenic patients and clinical improvement, defined a priori as a 20% reduction in total Positive and Negative Syndrome Scale scores at end point, was attained.
Journal Article

Family interventions for mental disorders: efficacy and effectiveness.

TL;DR: This study established family factors as a key variable in achieving stable recovery from severe mental disorders and recommended alternatives to family care for people with serious mental disorders.
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High frequency repetitive transcranial magnetic stimulation (rTMS) of the dorsolateral prefrontal cortex in schizophrenic patients

TL;DR: The Brief Psychiatric Rating Scale decreased under active rTMS (p < 0.05), whereas depressive symptoms (BDI) and anxiety (STAI) did not change significantly, suggesting prefrontal rT MS might be effective in the non-pharmacological treatment of psychotic patients.
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Randomized, double-blind, controlled trial of risperidone Versus clozapine in patients with chronic schizophrenia

TL;DR: Risperidone is at least as effective as an antipsychotic as clozapine, providing a valuable new approach for the treatment of schizophrenia.
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Amisulpride vs. Risperidone in Chronic Schizophrenia: Results of a 6-month Double-blind Study☆

TL;DR: Amisulpride was significantly superior to risperidone in terms of response and also demonstrated better functional effects and subjective response and both treatments were well tolerated and had a similar low incidence of extrapyramidal symptoms.
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