Hy. Meltzer et al., MEASURING OUTCOME IN SCHIZOPHRENIA - DIFFERENCES AMONG THE ATYPICAL ANTIPSYCHOTICS, The Journal of clinical psychiatry, 59, 1998, pp. 3-9
The advent of the atypical antipsychotics marked a new era in the hist
ory of the treatment of psychotic disorders. To evaluate the published
literature about the available atypical antipsychotics-clozapine, ris
peridone, olanzapine, and quetiapine-and select the most appropriate t
reatment for specific patients, physicians need to understand the outc
ome measures used in clinical studies, the pharmacologic differences t
hat explain varying side effect profiles, and pharmacoeconomic assessm
ents that are used in the decision-making process. While the atypical
antipsychotics have established efficacy in the overall treatment of s
chizophrenia, they may differ in their effects on factors such as cogn
itive function, overall quality of life, adverse events, and hospitali
zation status. Each of these factors should be considered when weighin
g treatment options for an individual patient.