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Effect of clozapine on polypharmacy.

Prescribing patterns for a group of outpatients with schizophrenia were surveyed for changes after the initiation of clozapine. Data were drawn from computerized pharmacy records, direct case record reviews, and interviews with the attending psychiatrists. The number of patients with two or more psychotropic drugs decreased by 31 percent after the initiation of clozapine, and a trend toward the use of clozapine without additional neuroleptics was detected. Decreases occurred in the use of anticholinergic agents, carbamazepine, and benzodiazepines, but selective serotonin reuptake inhibitors and sodium valproate were more likely to be prescribed concomitantly with clozapine.

Adult↗

Polypharmacy and dentistry: I. Introduction and interactions with local anaesthetics and sedative drugs.

This series of two papers considers the effects of drug interactions in dentistry. In this first paper, the principles of drug interactions will be described. In addition, interactions with drugs used in local anaesthesia and sedation will be discussed. The second paper will concentrate on interactions with analgesics and antimicrobials prescribed in dental practice.

Anesthesia, Dental↗

Current pharmacological management of amyotrophic [corrected] lateral sclerosis and a role for rational polypharmacy.

Amyotrophic [corrected] lateral sclerosis (ALS) is a progressive degenerative condition of motor neurons that is ultimately fatal. Even though scientific discovery over the past few decades has led to a greater understanding of the pathogenic mechanisms of ALS, effective pharmacotherapy intended to slow, arrest or reverse the disease progression remains difficult to obtain. Riluzole, a drug that has only modest benefit in extending survival, is still the only medication approved by the FDA for the treatment of ALS. However, a number of pharmacological agents are currently being investigated as potential therapy for ALS. This paper will review the pathophysiology of ALS and current pharmacological management of the disease and recent directions in research and clinical trials. Based on the available data, it is our opinion that combination drug therapies should be considered for future clinical trials.

Amyotrophic Lateral Sclerosis↗