Medication adherence in schizophrenia: patient perspectives and the clinical utility of paliperidone ER

Michael Birnbaum1, Zafar Sharif21St. Luke’s-Roosevelt Hospital Center, 1111 Amsterdam Ave, New York, NY, USA; 2Columbia University College of Physicians and Surgeons, New York, NY, USAAbstract: Antipsychotic medications provide the foundation for treatment of acute exacerbations as wel...

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Main Authors: Michael Birnbaum, Zafar Sharif
Format: Article
Language:English
Published: Dove Medical Press 2008-12-01
Series:Patient Preference and Adherence
Online Access:http://www.dovepress.com/medication-adherence-in-schizophrenia-patient-perspectives-and-the-cli-a2751
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author Michael Birnbaum
Zafar Sharif
author_facet Michael Birnbaum
Zafar Sharif
author_sort Michael Birnbaum
collection DOAJ
description Michael Birnbaum1, Zafar Sharif21St. Luke’s-Roosevelt Hospital Center, 1111 Amsterdam Ave, New York, NY, USA; 2Columbia University College of Physicians and Surgeons, New York, NY, USAAbstract: Antipsychotic medications provide the foundation for treatment of acute exacerbations as well as relapse prevention in patients with schizophrenia as demonstrated by rigorous placebo-controlled trials. However, despite their proven effectiveness, poor adherence to prescribed antipsychotic regimens remains the most important driver of suboptimal clinical outcomes in this population. This paper reviews the magnitude of the problem of medication non-adherence in patients with schizophrenia and the various factors that contribute to nonadherence, with particular emphasis on factors related to antipsychotic medications. The profile of the latest atypical antipsychotic, paliperidone extended-release (ER) tablets, is then reviewed and the implications of its unique pharmacokinetic profile for adherence in this patient population are discussed.Keywords: schizophrenia, adherence, paliperidone, pharmacokinetics
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spelling doaj.art-f78565fe840d478ba359c8b83eda81e02022-12-21T19:55:32ZengDove Medical PressPatient Preference and Adherence1177-889X2008-12-012008default233240Medication adherence in schizophrenia: patient perspectives and the clinical utility of paliperidone ERMichael BirnbaumZafar SharifMichael Birnbaum1, Zafar Sharif21St. Luke’s-Roosevelt Hospital Center, 1111 Amsterdam Ave, New York, NY, USA; 2Columbia University College of Physicians and Surgeons, New York, NY, USAAbstract: Antipsychotic medications provide the foundation for treatment of acute exacerbations as well as relapse prevention in patients with schizophrenia as demonstrated by rigorous placebo-controlled trials. However, despite their proven effectiveness, poor adherence to prescribed antipsychotic regimens remains the most important driver of suboptimal clinical outcomes in this population. This paper reviews the magnitude of the problem of medication non-adherence in patients with schizophrenia and the various factors that contribute to nonadherence, with particular emphasis on factors related to antipsychotic medications. The profile of the latest atypical antipsychotic, paliperidone extended-release (ER) tablets, is then reviewed and the implications of its unique pharmacokinetic profile for adherence in this patient population are discussed.Keywords: schizophrenia, adherence, paliperidone, pharmacokineticshttp://www.dovepress.com/medication-adherence-in-schizophrenia-patient-perspectives-and-the-cli-a2751
spellingShingle Michael Birnbaum
Zafar Sharif
Medication adherence in schizophrenia: patient perspectives and the clinical utility of paliperidone ER
Patient Preference and Adherence
title Medication adherence in schizophrenia: patient perspectives and the clinical utility of paliperidone ER
title_full Medication adherence in schizophrenia: patient perspectives and the clinical utility of paliperidone ER
title_fullStr Medication adherence in schizophrenia: patient perspectives and the clinical utility of paliperidone ER
title_full_unstemmed Medication adherence in schizophrenia: patient perspectives and the clinical utility of paliperidone ER
title_short Medication adherence in schizophrenia: patient perspectives and the clinical utility of paliperidone ER
title_sort medication adherence in schizophrenia patient perspectives and the clinical utility of paliperidone er
url http://www.dovepress.com/medication-adherence-in-schizophrenia-patient-perspectives-and-the-cli-a2751
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