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Clozapine Information

Clozapine is the only medication approved by the U.S. Food and Drug Administration (FDA) for managing treatment-resistant schizophrenia and for reducing the risk of recurrent suicidal behavior in patients with schizophrenia or schizoffective disorder.

Despite its known benefits, prescribers are opting to trial non–evidence-based treatments before clozapine. These delays reduce the likelihood of a superior response to clozapine. 

Unfortunately, clinicians’ perceptions of clozapine and lack of familiarity with initiation and management limit the use of this life-changing treatment. (Leung, 2025)​

​More recently a Finnish study published in the Lancet showed reduced second-episode psychosis, reduced rehospitalization and overall improved 10 year outcomes in people experiencing first-episode psychosis  who were started on clozapine earlier. 

"This marks an important time to bring forth a call to action for increased use of clozapine." (Leung, 2025)

Check out the resources below for more information. 

Clozapine References

Clozapine Superior Yet Underused

Bschor, Tom

The Lancet Psychiatry, Vol 12, Issue 12 873-874

https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00326-8/abstract?utm_source=chatgpt.com

 

A Call to Action for Starting Clozapine: Increasing Clozapine Use and Safety in a Post-REMS Era.

Leung, Jonathan G and Cotes, Robert O,Focus, 10/15/2025,

https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00326-8/abstract?utm_source=chatgpt.com

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Leung, Jonathan G and Cotes, Robert O. "A Call to Action for Starting Clozapine: Increasing Clozapine Use and Safety in a Post-REMS Era." Focus, 10/15/2025, https://https://psychiatryonline.org/doi/10.1176/appi.focus.20250023

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Transdiagnostic effectiveness and safety of clozapine in individuals with psychotic, affective, and personality disorders: nationwide and meta-analytic comparisons with other antipsychotics

Jurjen   J Luykx, Mark Colgan, Eduard Vieta, Aleksi Hamina,  Peter F J Schulte Christoph U Correll, MDi,j,k,l ∙ et al. "

https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00297-4/abstract?utm_source=chatgpt.com

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Effects of Early Clozapine Treatment on Remission Rates in Acute Schizophrenia (The EARLY Trial): Protocol of a Randomized-Controlled Multicentric Trial

https://pmc.ncbi.nlm.nih.gov/articles/PMC10484642/

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NAMI Rise of Clozapine: Breaking Barriers and improving outcomes

https://www.nami.org/namis-ask-the-expert/nami-ask-the-expert-the-rise-of-clozapine-breaking-barriers-and-improving-outcomes/

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