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The Carlat Psychiatry Podcast

TIMING: Clozapine’s Sweet Spot

The Carlat Psychiatry Podcast

Pocket Psychiatry: A Carlat Podcast

Health & Fitness, Mental Health, Medicine, Alternative Health

4.8440 Ratings

🗓️ 24 February 2025

⏱️ 12 minutes

🧾️ Download transcript

Summary

Sometimes we have a window of opportunity to make a difference. In this series we discuss time-frames where panic, clozapine, and metformin have the greatest benefits.CME: Take the CME Post-Test for this Episode (https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast/post/5326-timing-clozapines-sweet-spot)Published On: 02/24/2025Duration: 11 minutes, 53 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcript

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0:00.0

Clausopine is the most effective medication we have for schizophrenia.

0:04.1

But how well it works depends on when you start it.

0:10.8

Welcome to the Carlet Psychiatry podcast, keeping psychiatry honest since 2003.

0:16.5

I'm Chris Aiken, the editor-in-chief of the Carlat's Psychiatry Report.

0:20.0

And I'm Kelly Newsom, a psychiatric MP and a dedicated reader of every issue.

0:27.7

Last month, we went to the Rapid Acting Mental Health Treatment Conference in San Francisco

0:32.5

with Owen Muir and Carline McMillan, who run the always fun and often cutting-edge frontier psychiatrist's

0:39.6

blog. The conference featured new technologies that aimed to treat and detect mental illness faster.

0:45.7

There was nightwear, an app that uses the Apple Watch to nudge people out of the dream state if they start

0:50.7

having nightmares, cleared by the FDA in 2020.

0:59.6

TD screen, an app that uses the smart frame camera to detect heart of dyskinesia.

1:04.5

And even one that is making clinicians' lives easier, including my own.

1:06.2

MD Hub.

1:13.2

It uses artificial intelligence to write your clinical notes for you by making a hippocomplying during the session.

1:21.4

And then there was Dr. Aiken, who didn't have a product to pitch, but was there to remind everyone that when it comes to mental health interventions, timing is everything.

1:27.9

Some of our listeners asked for a recording of the talk that I gave there, and we don't have one,

1:33.3

but I've turned it into this podcast series. And today, you're going to learn how timing matters was one of the most powerful treatments in our armamentarium, Clauseapine.

1:49.4

Experts may disagree on which antipsychotic to start with schizophrenia.

1:54.0

Some like Resperidol, or outside the US, a mazelpride.

1:56.7

Both of which have a large effect size.

2:00.7

Some choose chrypresine for its possible benefits in negative symptoms,

2:03.9

some like Alanzapine, which shines for its efficacy,

...

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