Anthony Case Study Essay

Words: 550
Pages: 3

Anthony (fictitious name as per NMC code of data protection) is a 55 years old male patient of Schizophrenia (Ross et al., 2006). He is highly educated, unmarried, and is living with his parents. He was hospitalised the first time ever as a 39-year old, suffering from an acute psychosis which was soon known as paranoid schizophrenia. Since then, he has been admitted to the hospital four times and during that time he was distinctly psychotic, within a challenging clinical image of dominant positive symptoms which were expressed. He was treated ambulatorily during the intervals between these episodes. For a number of years, until his present hospital admission, he was treated with haloperidol, flufenazine, clozapine, promazine and other such conventional antipsychotics (Velligan et al., 2006). He remained unemployed for the past 16 years as his illness did not allow him to work. And then the illness has been re-diagnosed this year.
During this round of hospitalisation, I was involved in his clinical trial and we decided to change the course of his medication and switch to bi-weekly risperidone long-acting ztrack gluteal injection.
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Like when there was this study conducted in at 41 medical centres in the United States; which was a 3-month, 4-arm, randomized, double-blind, placebo-controlled study. All 4 patients with schizophrenia were first given risperidone orally (maximum daily dose, 4 mg) and continued to receive oral risperidone for a total of 4 weeks. 1 of 3 doses of risperidone LAI (from 25 mg to 75 mg) every 2 weeks were received by patients in 3 study arms, whereas the fourth was injected with placebo. All risperidone LAI treatment groups experienced considerably greater developments in their total Positive and Negative Symptom Scale (Pandina et al., 2011) scores than those who received placebo. All doses were generally well