Dr. Andrade replies
نویسنده
چکیده
C. Andrade in his letter published in the Indian Journal of Psychiatry Vol 38, No.2 Page 117, has suggested that non responsiveness to ECT should also be considered an additional pre-requisite for patients who are to receive clozapine. For the reference of the readers of Indian Journal of Psychiatry, I would like to mention the views of some of the foreign authors on this issue. The clinical response to ECT in schizophrenia is inversely proportional to duration of symptoms and treatment resistant patients rarely respond to ECT (Saizman 1980). The use of ECT combined with a standard neuroleptic in treatment resistant cases has been suggested as an alternative regimen (Gujavarty 1987). Meltzer (1990) has suggested for a controlled clinical trial of ECT plus neuroleptic Vs clozapine or perhaps even ECT plus clozapine in treatment resistent schizophrenic patients. My own experience with ECT does not favour it's use in chronic schizophrenia (Pandey 1967). Andrade's suggestion should be taken up and controlled clinical trial with ECT should be initiated to resolve this question. S.K. PANDEY Care Wei Clinic C-20, B.D. Road, JAIPUR
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