Table 5.
Treatment Switch Patterns by Reason for Switching and by Antipsychotic:
Medication Switch To → | Olanzapine | Risperidone | Quetiapine | Ziprasidone | Aripiprazole | Clozapine |
Medication Switched From ↓ by Reason | ||||||
Lack of Efficacy | ||||||
Olanzapine | 0% | 20% | 10% | 20% | 20% | 30% |
Risperidone | 30% | 0% | 20% | 20% | 20% | 10% |
Quetiapine | 20% | 20% | 0% | 20% | 20% | 20% |
Ziprasidone | 30% | 20% | 20% | 0% | 30% | 0% |
Aripiprazole | 20% | 20% | 20% | 30% | 0% | 0% |
Clozapine | 0% | 0% | 0% | 0% | 0% | 0% |
Weight Gain | ||||||
Olanzapine | 0% | 10% | 10% | 35% | 45% | 0% |
Risperidone | 0% | 0% | 10% | 45% | 45% | 0% |
Quetiapine | 0% | 30% | 0% | 35% | 35% | 0% |
Ziprasidone | 0% | 0% | 100% | 0% | 0% | 0% |
Aripiprazole | 0% | 0% | 0% | 5% | 95% | 0% |
Clozapine | 0% | 20% | 0% | 40% | 40% | 0% |
Diabetes | ||||||
Olanzapine | 0% | 10% | 10% | 35% | 45% | 0% |
Risperidone | 0% | 0% | 10% | 45% | 45% | 0% |
Quetiapine | 0% | 30% | 0% | 35% | 35% | 0% |
Ziprasidone | 0% | 0% | 100% | 0% | 0% | 0% |
Aripiprazole | 0% | 0% | 0% | 5% | 95% | 0% |
Clozapine | 0% | 20% | 0% | 40% | 40% | 0% |
EPS | ||||||
Olanzapine | 0% | 0% | 30% | 0% | 30% | 40% |
Risperidone | 40% | 0% | 30% | 0% | 30% | 0% |
Quetiapine | 50% | 0% | 0% | 0% | 40% | 10% |
Ziprasidone | 50% | 0% | 30% | 0% | 20% | 0% |
Aripiprazole | 50% | 0% | 40% | 0% | 0% | 10% |
Clozapine | 0% | 0% | 0% | 0% | 0% | 100% |
Hyperlipidemia | ||||||
Olanzapine | 0% | 10% | 10% | 35% | 45% | 0% |
Risperidone | 0% | 0% | 10% | 45% | 45% | 0% |
Quetiapine | 0% | 30% | 0% | 35% | 35% | 0% |
Ziprasidone | 0% | 0% | 100% | 0% | 0% | 0% |
Aripiprazole | 0% | 0% | 0% | 5% | 95% | 0% |
Clozapine | 0% | 20% | 0% | 40% | 40% | 0% |
Patient Preference | ||||||
Olanzapine | 0% | 50% | 10% | 20% | 20% | 0% |
Risperidone | 30% | 0% | 20% | 20% | 20% | 0% |
Quetiapine | 20% | 50% | 0% | 10% | 10% | 0% |
Ziprasidone | 20% | 50% | 10% | 0% | 10% | 0% |
Aripiprazole | 20% | 50% | 10% | 10% | 0% | 0% |
Clozapine | 0% | 0% | 0% | 0% | 0% | 100% |