Table 1.
Concomitant drugs
Study protocol for concomitant drugs | ||
---|---|---|
Concomitant use of antipsychotics | ||
BNS01 study | Based on the clinical symptoms, physicians determined the concomitant patterns (1) or (2) | |
Pattern (1) No prior antipsychotics, or prior antipsychotics could be switched to BNS monotherapy: BNS monotherapy was started If symptoms could not be controlled by dose adjustment of BNS, concomitant use of antipsychotics was permitted |
Pattern (2) Prior antipsychotics could not be discontinued: BNS was added to the prior antipsychotics Continuous use of prior antipsychotics was permitted, but risperidone, quetiapine fumarate, perospirone hydrochloride and olanzapine were prohibited |
|
Following antipsychotics were prohibited: risperidone, quetiapine fumarate, perospirone hydrochloride, and olanzapine | Depending on the symptom severity, concomitant antipsychotics were reduced and discontinued if possible | |
Concomitant antipsychotics were reduced/discontinued if the symptoms were relieved | If symptoms could not be controlled by dose adjustment of BNS, additional antipsychotic use (including dose increase) was permitted | |
BNS02 study | Basically, BNS was administered as monotherapy. Concomitant antipsychotics were prohibited except for HAL | |
Pattern (1) No prior antipsychotics, or prior antipsychotics could be switched to BNS monotherapy: BNS monotherapy was started If symptoms could not be controlled by dose adjustment of BNS, concomitant use of HAL was permitted Concomitant HAL was reduced/discontinued when the symptoms were relieved |
Pattern (2) Prior antipsychotics could not be discontinued: Regimen was simplified to HAL (up to 12 mg/day) while considering chlorpromazine equivalent dosage If HAL could not be discontinued at the start of BNS, concomitant use of HAL up to 12 mg/day was permitted HAL was discontinued by week 12 while adjusting the dose of BNS If necessary, concomitant use of HAL was allowed after week 12 Concomitant HAL was reduced/discontinued when the symptoms were relieved |
|
Concomitant use of antiparkinsonian drugs | ||
BNS01 study & BNS02 study | If an antiparkinsonian drug was used before the start of BNS, continued use of it was permitted; otherwise its use was prohibited. If extrapyramidal symptoms developed or worsened, antiparkinsonian drugs could be used appropriately. In BNS01 study, antiparkinsonian drugs were tapered off and terminated if possible for patients with a score of < 2 for each of the seven Drug Induced Extra-Pyramidal Symptoms Scale (DIEPSS) items | |
Concomitant use of other psychotropics | ||
BNS01 study & BNS02 study | If a psychotropic drug was used before the start of BNS, the continuous use of it was permitted. If symptoms such as insomnia developed or worsened, the use of psychotropic drugs was permitted as appropriate. In BNS02 study, concomitant use of vegetamin or levomepromazine was prohibited |
BNS blonanserin, HAL haloperidol