Table 3.
Recommendations on the Management of Clozapine-Withdrawal-Induced Cholinergic Rebound
Recommendations | Type | Level of Evidence | Strength of Recommendation |
---|---|---|---|
Avoid abrupt discontinuation of clozapine to minimise risk of cholinergic rebound symptoms | Evidence-based | (III) evidence from non-experimental descriptive study | (C) Directly based on category III evidence |
Consider an anticholinergic agent to treat cholinergic rebound symptoms | Evidence-based | (III) evidence from non-experimental descriptive study | (C) Directly based on category III evidence |
Where feasible, reinitiate clozapine rather than switching to another antipsychotic | Evidence-based | (III) evidence from non-experimental descriptive study | (C) Directly based on category III evidence |