Abstract
Dosage requirements and the therapeutic response vary widely between patients treated with neuroleptic drugs. There are large interindividual differences in the elimination kinetics and in the steady state plasma levels achieved during treatment with a fixed dose of a neuroleptic (Dahl 1986). Thus, pharmacokinetic factors contribute to the variability in drug response. One of the major aims in optimizing neuroleptic treatment has been to search for concentration-effect rather than dose-effect relationships as discussed by Baldessarini et al. (1988). Knowledge of the factors contributing to the pharmacokinetic variability is thus of importance for individualization of drug therapy.
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Bertilsson, L., Dahl, M.L., Ekqvist, B., Llerena, A. (1993). Disposition of the Neuroleptics Perphenazine, Zuclopenthixol, and Haloperidol Cosegregates with Polymorphic Debrisoquine Hydroxylation. In: Gram, L.F., Balant, L.P., Meltzer, H.Y., Dahl, S.G. (eds) Clinical Pharmacology in Psychiatry. Psychopharmacology Series, vol 10. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78010-3_21
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