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Adjunctive Medication in the Maintenance Treatment of Schizophrenia and its Conceptual Implications

Published online by Cambridge University Press:  06 August 2018

Samuel G. Siris
Samuel G. Siris*
Affiliation:
Adult Psychiatric Day Programs, Hillside Hospital Division of the Long Island Jewish Medical Center, and Professor of Psychiatry, Albert Einstein College of Medicine, 75–59 263rd Street, Glen Oaks, NY 11004, USA
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Abstract

Beyond the continuing use of neuroleptic medication, psychopharmacological treatment approaches during the maintenance phase of schizophrenia often involve adjunctive medication. Appropriate use of such ‘polypharmacy’ can be crucial to patients in achieving their optimal levels of symptom management and functional capacity, although the risks of side-effects and medication interactions must be weighed. This paper reviews the use of adjunctive anti-Parkinsonian medication, benzodiazepines, propranolol, antidepressants, lithium, and carbamazepine in this context. It also explores a strategy of identifying secondary syndromes in the longitudinal course of schizophrenia which can be approached psychopharmacologically.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 163 , Issue S22: The Psychopharmacology of Schizophrenia , December 1993 , pp. 66 - 78
Copyright
Copyright © 1993 The Royal College of Psychiatrists 

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