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. 2021 Oct 15;48(1):176–189. doi: 10.1093/schbul/sbab103

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