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BMJ Case Rep ; 20172017 Jul 27.
Artículo en Inglés | MEDLINE | ID: mdl-28754761

RESUMEN

A young male presented with many years of delusions and hallucinations, with concurrent heroin use and subsequent amphetamine uses. There were no depressive or manic symptoms and psychotic symptoms prior to the amphetamine use. After the trials of two atypical antipsychotics and later clozapine due to treatment resistance, adherence and functionality were poor and there was still persistent drug use. As a result, a long acting injectable adjunct was commenced, but only minimal effects were observed. However after initiation of directly observed treatment of clozapine with methadone, there has been functional and clinical response and drug use has ceased.


Asunto(s)
Antipsicóticos/uso terapéutico , Clozapina/uso terapéutico , Terapia por Observación Directa , Dependencia de Heroína/psicología , Cumplimiento de la Medicación/psicología , Metadona/uso terapéutico , Tratamiento de Sustitución de Opiáceos/métodos , Esquizofrenia/tratamiento farmacológico , Adulto , Esquema de Medicación , Dependencia de Heroína/tratamiento farmacológico , Humanos , Masculino , Esquizofrenia/fisiopatología , Medio Social , Resultado del Tratamiento
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