Slower clozapine titration is associated with delayed onset of clozapine-induced fever among Japanese patients with schizophrenia

Author:

Kikuchi YukiORCID,Yada Yuji,Otsuka YujiORCID,Ito Fumiaki,Tanifuji Hiroaki,Komatsu Hiroshi,Tomita HiroakiORCID

Abstract

AbstractClozapine-induced fever marks the beginning of its inflammatory and potentially life-threatening adverse effects, such as myocarditis. We retrospectively analyzed the correlation between clozapine titration rate and fever onset date in 254 Japanese patients, including 55 with treatment-resistant schizophrenia who developed clozapine-induced fever. Pearson’s product-moment correlation indicated a significant delay in the fever onset date with slower titration. Most fever onset cases occurred within 4 weeks, even with slow titration. Therefore, clinicians should remain vigilant in monitoring clozapine-induced fever within 4 weeks of clozapine initiation, regardless of the titration rate.

Publisher

Springer Science and Business Media LLC

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