(Ivanhoe Newswire) -- Schizophrenics treated with clozapine and olanzapine
may be at an increased risk for developing type 2 diabetes, according to a
recent study. Patients taking these antipsychotic agents resisted insulin and
had impairment of glucose effectiveness compared with patients taking another
drug under study.
Researchers from Massachusetts General Hospital and Harvard Medical School in
Boston evaluated 36 non-obese people with schizophrenia or schizoaffective
disorder who were treated with clozapine (Clozaril), olanzapine (Zyprexa,
Zydis), or risperidone (Risperdal). Participants followed a certain diet to
maintain body weight and fasted before having a glucose tolerance test.
Newer, "atypical," antipsychotic agents such as clozapine and olanzapine have
been recently linked to several forms of morbidity, according to researchers,
including obesity, hyperlipidemia and diabetes. Schizophrenics have a much
shorter life expectancy than the general population attributable to many
factors, including cardiovascular disease.
Researchers conclude, "Psychiatrists and primary care professionals should be
aware that patients treated with clozapine and olanzapine may be at increased
risk for insulin resistance, even if not obese. Patients treated with these
agents should be routinely screened, counseled to reduce risk, and provided
early interventions."
SOURCE: The Archives of General Psychiatry, 2005;62:19-28