After remission from a first episode of psychosis how long do you continue antipsychotic treatment before attempting taper or discontinuation?
How do you define “remission” before considering a taper? What minimum duration of stability do you typically require? What patient-specific factors influence your decision-making? How do you counsel patients about relapse risk?
2 Answers
Mednet MemberInvited Expert
Psychiatry · University of Pittsburgh Medical Center
Answered on
I don't think this is a one-size-fits-all question. This will depend on a number of factors. Probably most important is the client's attitude toward medication and their experience with it. Those who have done well with medication and have had no problems with side effects may be more comfortable co...
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Mednet Member
Psychiatry · Kaiser Permanente
Answered on
In general, at least 6 months, ensuring full stability, and if the stressors that led to psychosis are resolved (family conflicts, work stressors, relationship stressors, etc.), or if they are fully sober from an agent that may have caused psychosis (cannabis, meth, etc.), so at least 6 months of so...
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