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Choosing an Antipsychotic:<br />
Switch or Stay?<br />
• Past history of efficacy of drug response<br />
• Nature of psychiatric condition, acuity<br />
• Target signs and symptoms<br />
• Patient preference, history of adherence<br />
• Need for special monitoring<br />
• Amenable to other interventions to address tolerability?<br />
– Diet, exercise, and statins for obesity and dyslipidemia<br />
– Beta-blockers for akathisia<br />
– Anticholinergic medications for EPS