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Table 2 Reduction protocol for high-potency drugs

From: Study protocol: safety correction of high dose antipsychotic polypharmacy in Japan

Generic name

Product name

Maximum reduction rate(mg/week)

Maximum reduction(mg)

Perphenazine

PZC, others

5

10

Perospirone

Lullan

4

8

Trifluoperazine

Trifluoperazine

2.5

5

Nemonapride

Emilace

2.25

4.5

Aripiprazole

Abilify

2

4

Blonanserin

Lonasen

2

4

Pimozide

OLAP

2

4

Olanzapine

Zyprexa

1.25

2.5

Bromperidol

Impromen

1

2

Haloperidol

Serenace, others

1

2

Fluphenazine

Flumezin

1

2

Timiperone

Tolopelone

0.65

1.3

Spiperone

Spiropitan

0.5

1

Risperidone

Risperdal, others

0.5

1

  1. Maximum reduction rate represents the maximum acceptable reduction per week.
  2. Maximum reduction represents the maximum amount of reduction at a time. After maximum reduction, subsequent reduction is performed after a minimum 2-week observation period.
  3. (Cited and partially modified from Sukegawa [11]).