What is it about?

Aripiprazole and paliperidone once-monthly formulations were equally effective in reducing psychosis in patients with comorbid psychosis and substance use disorder, but aripiprazole reduced craving and improved quality of life more than paliperidone.

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Why is it important?

In cases of comorbidity with substance use disorders, patients with psychosis fare better on craving and quality of life on aripiprazole once-monthly; hence, the latter should be preferred in such cases.

Perspectives

Aripiprazole may be compared on the above outcomes with other long-acting formulations to define whether it's a choice treatment in comorbid psychosis (schizophrenia, schizoaffective disorder, and psychotic bipolar disorder) and substance use disorder.

Dr Georgios D. Kotzalidis
Sapienza University, NESMOS Department

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This page is a summary of: Head-to-head comparison of 1-year aripiprazole long-acting injectable (LAI) versus paliperidone LAI in comorbid psychosis and substance use disorder: impact on clinical status, substance craving, and quality of life, June 2018, Dove Medical Press,
DOI: 10.2147/ndt.s171002.
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