Clozapine rationing in a state mental hospital: Reviewing a hec's case consultation [Book Review]

HEC Forum 5 (5):302-318 (1993)

Clozapine (Clozaril) is a new, powerful, costly anti-psychotic medicine, with a possible serious side effect (agranulocytosis) that entails weekly blood monitoring. In a three hundred bed state mental hospital that is allotted thirty clozapine slots (high costs effectively rationing this drug), a woman with schizophrenia responds minimally to this medication. Her attending physician wishes to withdraw the medicine and give it to another patient with schizophrenia on the ward who might have a better response. The woman's family threatens to make a public outcry. Both the attending physician and the family ask the HEC for a consult
Keywords clozapine  ethics committee  rationing  schizophrenia  state mental hospital
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DOI 10.1007/BF01560484
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References found in this work BETA

The Silent World of Doctor and Patient.Jay Katz - 1984 - Johns Hopkins University Press.
Second Thoughts on Living Wills.John A. Robertson - 1991 - Hastings Center Report 21 (6):6-9.
Uncertainty and the Shaping of Medical Decisions.Eric B. Beresford - 1991 - Hastings Center Report 21 (4):6-11.

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