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Table 1 Definitions of treatment-resistance

From: Is treatment-resistant schizophrenia categorically distinct from treatment-responsive schizophrenia? a systematic review

Study

Chlorpromazine dose and trial length

Number of trials necessary

Minimum length of illness

Minimum severity score

Specify symptoms

Clozapine prescription

Responsive to clozapine

Inability to live independently

Prospective confirmation

28

“Therapeutic doses”

6 weeks

2

   

x

   

29

“Adequate”

8 weeks

2

 

CGI ≥ 4

>4 on 1+ specified PANSS item

    

17

400–600

4–6 weeks

2

5 years

BPRS > 45

>4 on 2+ specified BPRS items

  

x

 

18

400–600

4–6 weeks

2

5 years

BPRS > 45

>4 on 2+ specified BPRS items

  

x

 

27

NICE algorithm

  

CGI < 4

 

x

   

30

400 mg

4 weeks

2

 

CGI > 4

One of specified BPRS items

    

33

400 mg

4 weeks

2

 

CGI ≥ 4

One of specified BPRS items

x

   

34

“sufficient duration”

“several”

 

May score 5–7

   

x

 

32

“optimal clinical requirements”

3

Continuous for 2 years

    

x

 

35

400 mg

4 weeks

2

 

CGI ≥ 4

One of specified BPRS items

x

   

36

“sufficient duration”

“several”

     

x

 

31

“sufficient duration”

“several”

     

x

 

37

1000 mg

6 weeks

3

 

BPRS > 45

CGI > 4

>4 on 2+ specified BPRS items

x

x

  

38

1000 mg

8 weeks

3

       

39

750 mg

6 weeks

3

Continuous for 2 years

GAS < 40

   

x

 

40

4–6 weeks

2

      

<30% decrease in PANSS

41

Kane criteria

    

inclusive

inclusive

  

42

Therapeutic doses

6 weeks

2

       

43

750 mg

6 weeks

3

2 years

BPRS > 45

CGI > 4