Rechallenge after Clozapine-Induced Neutropenic Events: A Case Series.
Sumeet Gupta, Mohamed Ismail, Aysha Zabin et al.
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Case in brief
This case series discusses 13 patients who were rechallenged with clozapine after experiencing neutropenic events. The majority, 61.5%, were successfully maintained on the medication without fatalities. The severity of the initial neutropenic episode did not correlate with the success of the rechallenge, suggesting that careful individualised risk-benefit assessments can guide treatment decisions.
Diagnostic / clinical pearl
Clinicians should consider individualised risk-benefit assessments when rechallenging patients with clozapine after neutropenic events, as many can be successfully maintained.