Research Topics
| Takefumi SuzukiSummaryCountry: Japan Publications
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Detail Information
Publications
Novel rating scales for schizophrenia - Targeted Inventory on Problems in Schizophrenia (TIP-Sz) and Functional Assessment for Comprehensive Treatment of Schizophrenia (FACT-Sz)Takefumi Suzuki
Keio University, School of Medicine, Department of Neuropsychiatry, Tokyo, Japan
Schizophr Res 106:328-36. 2008..Relevant, quick, and user-friendly assessment scales are needed to facilitate measurement-based treatment of schizophrenia...
Defining treatment-resistant schizophrenia and response to antipsychotics: a review and recommendationTakefumi Suzuki
Department of Neuropsychiatry, Keio University, School of Medicine, Tokyo, Japan
Psychiatry Res 197:1-6. 2012..While these suggestions provide a pragmatic framework for TRS classification, they need to be tested in future trials...
Factors associated with response to clozapine in schizophrenia: a reviewTakefumi Suzuki
Keio University, School of Medicine, Department of Neuropsychiatry, 35, Shinanomachi, Shinjuku ku, Tokyo 160 8582, Japan
Psychopharmacol Bull 44:32-60. 2011..However, factors affecting response to this medication have not been comprehensively reviewed recently...
Which rating scales are regarded as 'the standard' in clinical trials for schizophrenia? A critical reviewTakefumi Suzuki
Keio University, School of Medicine, Department of Neuropsychiatry, 35, Shinanomachi, Shinjuku ku, Tokyo, Japan
Psychopharmacol Bull 44:18-31. 2011..This paper reviewed which rating scales past studies adopted as an outcome measure in clinical trials for schizophrenia, for which a consensus has been lacking...
Treatment resistant schizophrenia and response to antipsychotics: a reviewTakefumi Suzuki
Centre for Addiction and Mental Health, Geriatric Mental Health Program, Toronto, Ontario, Canada
Schizophr Res 133:54-62. 2011..There remains a lack of agreement regarding criteria for treatment-resistant schizophrenia (TRS) and definition of response...
Treatment target in schizophrenia: a critical review and a clinical suggestionTakefumi Suzuki
Keio University, School of Medicine, Department of Neuropsychiatry, Shinjuku ku, Tokyo, Japan
Psychopharmacol Bull 41:80-102. 2008..Patients with schizophrenia have many problems as well as symptoms, and various rating scales have been in use to address them...
A potentially aborted neuroleptic malignant syndrome following seclusion against uncontrollable water intoxicationTakefumi Suzuki
Department of Neuro Psychiatry, Keio University, School of Medicine, Shinjuku ku, Tokyo, Japan
Psychopharmacol Bull 41:164-70. 2008..He is now treated with olanzapine, valproate, and lorazepam, with some success. Caution is required for secluding extreme cases of uncontrollable water intoxication...
Effectiveness of antipsychotic polypharmacy for patients with treatment refractory schizophrenia: an open-label trial of olanzapine plus risperidone for those who failed to respond to a sequential treatment with olanzapine, quetiapine and risperidoneTakefumi Suzuki
Department of Neuro Psychiatry, School of Medicine, Keio University, Shinanomachi, Shinjuku ku, Tokyo, Japan
Hum Psychopharmacol 23:455-63. 2008..To evaluate the effectiveness of antipsychotic polypharmacy in a methodologically sound manner...
Minimizing antipsychotic medication obviated the need for enema against severe constipation leading to paralytic ileus: a case reportT Suzuki
Department of Neuro Psychiatry, School of Medicine, Keio University, Tokyo, Japan
J Clin Pharm Ther 32:525-7. 2007..To report the usefulness of antipsychotic dose-reduction for avoiding paralytic ileus in a patient with chronic schizophrenia and comorbid dementia...
Augmentation of atypical antipsychotics with valproic acid. An open-label study for most difficult patients with schizophreniaTakefumi Suzuki
Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku ku, Tokyo, Japan
Hum Psychopharmacol 24:628-38. 2009..Most difficult inpatients with schizophrenia are in serious needs but obviously underrepresented in clinical trials...
How effective is it to sequentially switch among Olanzapine, Quetiapine and Risperidone?--A randomized, open-label study of algorithm-based antipsychotic treatment to patients with symptomatic schizophrenia in the real-world clinical settingTakefumi Suzuki
Department of Neuro Psychiatry, School of Medicine, Keio University, 35, Shinanomachi, Shinjuku ku, Tokyo 160 8582, Japan
Psychopharmacology (Berl) 195:285-95. 2007..Evidence on sequential trial with atypical antipsychotics has been scarce...
A clinical case series of switching from antipsychotic polypharmacy to monotherapy with a second-generation agent on patients with chronic schizophreniaTakefumi Suzuki
Department of Neuropsychiatry, Keio University, School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, 160 8582, Japan
Prog Neuropsychopharmacol Biol Psychiatry 28:361-9. 2004..By showing successful cases, the authors suggest a possibility of antipsychotic monotherapy with a second-generation agent even for those patients who had been treated with high-dose antipsychotic polypharmacy in vain...
Reducing the dose of antipsychotic medications for those who had been treated with high-dose antipsychotic polypharmacy: an open study of dose reduction for chronic schizophreniaTakefumi Suzuki
Department of Neuropsychiatry, Keio University, School of Medicine, Tokyo, Japan
Int Clin Psychopharmacol 18:323-9. 2003..01). Dose reduction is an encouraging strategy to consider for those patients with schizophrenia who have chronically been treated with high-dose antipsychotic polypharmacy, even if judged unavoidable in the past...
Magnitude of rater differences in assessment scales for schizophreniaTakefumi Suzuki
Department of Neuropsychiatry, School of Medicine, Keio University, Shinjuku ku, Tokyo, Japan
J Clin Psychopharmacol 30:607-11. 2010..The magnitude of differences described herein seems to be an underestimation, and the baseline scores by the independent new raters might need to be corrected for those by the PICs...
[Is it valid to concurrently use multiple antipsychotics for patients with schizophrenia?]Takefumi Suzuki
Keio University, School of Medicine, Department of Neuropsychiatry, Japan
Nihon Shinkei Seishin Yakurigaku Zasshi 25:159-68. 2005..Adding medications upon the emergence of symptoms might be an easy way to treat patients. Such an action should be validated in every case, however, and polypharmacy should be tested against prolonged, tenacious monotherapy...
Simplifying psychotropic medication regimen into a single night dosage and reducing the dose for patients with chronic schizophreniaTakefumi Suzuki
Department of Neuropsychiatry, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku, Tokyo, 160 8582, Japan
Psychopharmacology (Berl) 181:566-75. 2005..Taking psychotropic medications is frequently problematic from both consumers' and caregivers' perspective. Occasionally missed doses may lead to pervasive non-adherence with relapse a likely outcome...
Revising polypharmacy to a single antipsychotic regimen for patients with chronic schizophreniaTakefumi Suzuki
Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku ku, Tokyo, 160 8582, Japan
Int J Neuropsychopharmacol 7:133-42. 2004..It is suggested that many instances of antipsychotic polypharmacy is avoidable. The result is compatible with the current treatment recommendations, which dictate the use of a single antipsychotic agent...
A cross-sectional study of plasma risperidone levels with risperidone long-acting injectable: implications for dopamine D2 receptor occupancy during maintenance treatment in schizophreniaSaeko Ikai
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
J Clin Psychiatry 73:1147-52. 2012..The data are especially scarce for long-acting antipsychotic formulations...
Survey of benzodiazepine and antidepressant use in outpatients with mood disorders in JapanHiroyuki Uchida
Keio University, School of Medicine, Department of Neuropsychiatry, Tokyo, Japan
Psychiatry Clin Neurosci 63:244-6. 2009..The frequent use of benzodiazepines is a cause for concern because they are not preferred treatment, given their well-known adverse effects especially in the elderly...
Dental conditions in inpatients with schizophrenia: a large-scale multi-site surveyHideaki Tani
Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku ku, Tokyo 160 8582, Japan
BMC Oral Health 12:32. 2012..The objective of this study was to examine dental caries and to identify clinical and demographic variables associated with poor dental condition in patients with schizophrenia...
Predicting plasma concentration of risperidone associated with dosage change: a population pharmacokinetic studyHiroyuki Uchida
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
Ther Drug Monit 34:182-7. 2012..Using population pharmacokinetic methods, the authors therefore sought to predict plasma concentrations of risperidone (RIS) plus 9-hydroxyrisperidone (9-OH-RIS) before a dosage change...
Time course of improvement with antipsychotic medication in treatment-resistant schizophreniaTakefumi Suzuki
Centre for Addiction and Mental Health, Geriatric Mental Health Program and Multimodal Imaging Group, and Department of Psychiatry, University of Toronto, Ontario, Canada, and Keio University School of Medicine, Department of Neuropsychiatry, Tokyo, Japan
Br J Psychiatry 199:275-80. 2011..Improvements are greatest in the earlier weeks of antipsychotic treatment of patients with non-resistant schizophrenia...
Benzodiazepine and antidepressant use in elderly patients with anxiety disorders: a survey of 796 outpatients in JapanHiroyuki Uchida
Keio University, School of Medicine, Department of Neuropsychiatry, Tokyo, Japan
J Anxiety Disord 23:477-81. 2009..The very high use of anxiolytics in the elderly, especially in the absence of concomitant antidepressant use, is a cause for concern since they are not a preferred long-term treatment strategy given their adverse effects in the elderly...
Effects of age and age of onset on prescribed antipsychotic dose in schizophrenia spectrum disorders: a survey of 1,418 patients in JapanHiroyuki Uchida
Department of Neuropsychiatry, Keio University, School of Medicine, Tokyo, Japan
Am J Geriatr Psychiatry 16:584-93. 2008..The objective of this study was to better evaluate these age effects on antipsychotic dose prescribed in these patients across a broad age range...
The evolution of antipsychotic switch and polypharmacy in natural practice--a longitudinal perspectiveChisa Tsutsumi
Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku ku, Tokyo, 160 8582, Japan
Schizophr Res 130:40-6. 2011..The objective of this study was to examine the evolution of antipsychotic switch and polypharmacy in the real-world from a longitudinal perspective...
Dopamine D2 receptor occupancy with risperidone or olanzapine during maintenance treatment of schizophrenia: a cross-sectional studyYuya Mizuno
Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku ku, Tokyo, 160 8582, Japan
Prog Neuropsychopharmacol Biol Psychiatry 37:182-7. 2012..The results suggest that sustained D2 receptor occupancy levels of ≥65% may not always be necessary for the maintenance treatment of schizophrenia...
How successful are physicians in eliciting the truth from their patients? A large-scale Internet survey from patients' perspectivesNorifusa Sawada
Department of Psychiatry, Oizumi Hospital, Tokyo, Japan
J Clin Psychiatry 73:311-7. 2012..We therefore conducted a large-scale Internet survey in an effort to discover how successful physicians are in eliciting the truth from their patients and also to examine reasons for patients' truth-concealing behaviors...
Persistence and compliance to antidepressant treatment in patients with depression: a chart reviewNorifusa Sawada
Department of Psychiatry, Saiseikai Central Hospital, Tokyo, Japan
BMC Psychiatry 9:38. 2009..e., whether patients take doses as instructed). However, no study has yet assessed these two clinically relevant components at the same time in adherence to antidepressant treatment in the clinical outpatient setting...
Subjective recognition of adverse events with antidepressant in people with depression: a prospective studyToshiaki Kikuchi
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
J Affect Disord 135:347-53. 2011....
How long to wait before reducing antipsychotic dosage in stabilized patients with schizophrenia? A retrospective chart reviewHiroyoshi Takeuchi
Keio University, School of Medicine, Department of Neuropsychiatry, 35 Shinanomachi, Shinjuku ku, Tokyo 160 8582, Japan
J Psychiatr Res 45:1083-8. 2011..Antipsychotic dose reduction is generally recommended to occur after six months of clinical stabilization despite inadequate evidence. This timing issue was addressed in this study...
Patient's trust in their psychiatrist: a cross-sectional surveyAtsumi Minamisawa
Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku ku, Tokyo, 160 8582, Japan
Eur Arch Psychiatry Clin Neurosci 261:603-8. 2011..Furthermore, this likely holds more true for patients with neurotic disorders...
Low dose vs standard dose of antipsychotics for relapse prevention in schizophrenia: meta-analysisHiroyuki Uchida
Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku ku, Tokyo, Japan
Schizophr Bull 37:788-99. 2011....
Is switching antidepressants following early nonresponse more beneficial in acute-phase treatment of depression?: a randomized open-label trialShinichiro Nakajima
Department of Neuropsychiatry, Keio University, School of Medicine, Tokyo, Japan
Prog Neuropsychopharmacol Biol Psychiatry 35:1983-9. 2011....
Management of schizophrenia in late life with antipsychotic medications: a qualitative reviewTakefumi Suzuki
Centre for Addiction and Mental Health, Geriatric Mental Health Program, Toronto, ON, Canada
Drugs Aging 28:961-80. 2011..However, data on geriatric patients with schizophrenia are generally scarce, particularly for treatment-resistant subpopulations, underscoring the need for more research in this important area...
Antipsychotic treatment for schizophrenia in the maintenance phase: a systematic review of the guidelines and algorithmsHiroyoshi Takeuchi
Keio University, School of Medicine, Department of Neuropsychiatry, Tokyo, Japan
Schizophr Res 134:219-25. 2012..Antipsychotic treatment strategy for the maintenance phase of schizophrenia has been inconsistent in the literature. The purpose of this systematic review is to overview recommendations in various guidelines and algorithms...
Dopamine D2 receptor occupancy and clinical effects: a systematic review and pooled analysisHiroyuki Uchida
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
J Clin Psychopharmacol 31:497-502. 2011....
Impact of feedback from pharmacists in reducing antipsychotic polypharmacy in schizophreniaMonica Hazra
Centre for Addiction and Mental Health, University of Toronto, Ontario, Canada
Psychiatry Clin Neurosci 65:676-8. 2011..A three-fold decrease in the prevalence of antipsychotic polypharmacy was observed between 2006 (18.3%) and 2008 (6.6%). Thus, active monitoring of prescriptions with educational interventions could reduce antipsychotic polypharmacy...
Plasma substance P level in patients with schizophrenia: a cross-sectional studyTakuto Ishida
Department of Psychiatry, Sakuragaoka Memorial Hospital, Tokyo, Japan
Psychiatry Clin Neurosci 65:526-8. 2011..This finding suggests the need for intensive observation for prevention of aspiration pneumonia in heavy smokers who are receiving a higher antipsychotic dose in this senior population...
Impacts of switching antidepressants after successful electroconvulsive therapy on the maintenance of clinical remission in patients with treatment-resistant depression: a chart reviewShinichiro Nakajima
Oizumi Hospital and daggerDepartment of Neuropsychiatry, School of Medicine, Keio University, Tokyo, Japan
J ECT 25:178-81. 2009..In this study, we conducted a chart review to examine impacts of the antidepressant switch after the successful ECT on 1-year outcome in patients with TRD...
Predicting dopamine D₂ receptor occupancy from plasma levels of antipsychotic drugs: a systematic review and pooled analysisHiroyuki Uchida
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
J Clin Psychopharmacol 31:318-25. 2011..1 (-3.3 to 3.1) and 12.3 (8.8-15.7) for ziprasidone (n = 31), respectively. These findings suggest that D₂ occupancy of antipsychotics could be estimated with a high degree of accuracy using widely available plasma levels...
Reducing the dose of antipsychotic agents ameliorates visual hypersensitivity attack: an ideal treatment option in terms of the adverse effectHiroyuki Uchida
Department of Neuro Psychiatry, School of Medicine, Keio University, Tokyo, Japan
J Clin Psychopharmacol 26:50-5. 2006..There were no changes in the underlying illness as measured by the PANSS in both groups. Reducing the dose of antipsychotic agents ameliorates VHA and represents the ideal treatment option for patients with VHA...
Combined treatment with sulpiride and paroxetine for accelerated response in patients with major depressive disorderHiroyuki Uchida
Department of Neuropsychiatry, Keio University, School of Medicine, Tokyo, Japan
J Clin Psychopharmacol 25:545-51. 2005..The combination treatment may be a safe and effective strategy for accelerating antidepressant response...
Changes in metabolic parameters following a switch to aripiprazole in Japanese patients with schizophrenia: One-year follow-up studyHiroyoshi Takeuchi
Department of Neuropsychiatry, Keio University, School of Medicine, Tokyo, Japan
Psychiatry Clin Neurosci 64:104-6. 2010..Given known detrimental metabolic and hormonal effects of some atypical antipsychotics, a switch to aripiprazole may warrant serious consideration also in Asian patients who suffer those side-effects...
Accelerating response to antidepressant treatment in depression: a review and clinical suggestionsShinichiro Nakajima
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
Prog Neuropsychopharmacol Biol Psychiatry 34:259-64. 2010..Based on these data, we try to propose both an effective and safe antidepressant treatment strategy to alleviate depressive symptoms at the earliest opportunity...
Clinical and demographic characteristics associated with postural instability in patients with schizophreniaAkihiro Koreki
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
J Clin Psychopharmacol 31:16-21. 2011....
Patients' attitudes toward side effects of antidepressants: an Internet surveyToshiaki Kikuchi
Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku ku, Tokyo 160 8582, Japan
Eur Arch Psychiatry Clin Neurosci 261:103-9. 2011....
Sensitivity to antipsychotic drugs in older adultsChloe Leon
Centre for Addiction and Mental Health, Multimodal Imaging Group, PET Centre, 250 College Street, Toronto, ON M5T1R8, Canada
Curr Psychiatry Rep 12:28-33. 2010..Implications of recent research findings for individualized pharmacotherapy are discussed...
Recurrent episodes of perceptual alteration in patients treated with antipsychotic agentsHiroyuki Uchida
Department of Neuro Psychiatry, School of Medicine, Keio University, Tokyo, Japan
J Clin Psychopharmacol 23:496-9. 2003..We suggest that PPA could manifest itself as an undesirable effect of antipsychotics, especially those of high potency. PPA and OGC may a share common underlying mechanism...
A tipping point in drug dosing in late-life schizophreniaTakashi Tsuboi
Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku ku, Tokyo, Japan
Curr Psychiatry Rep 13:225-33. 2011..The age-related antipsychotic sensitivity highlights the importance of finding the lowest possible effective dose of antipsychotic drugs as patients with schizophrenia age to maximize therapeutic effects and minimize side effects...
Two case reports of successful prevention of overdosing in borderline patientsHiroyuki Uchida
Department of Neuro Psychiatry, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku ku, Tokyo 160 8582, Japan
Psychiatry 68:179-82. 2005..Although no perfect method of preventing overdosing is currently available, our method provides an option when psychotropic agents are prescribed for BPD patients in clinical practice...
Effects of zonisamide on tardive dyskinesia: a preliminary open-label trialYusuke Iwata
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
J Neurol Sci 315:137-40. 2012..In conclusion, zonisamide may be safe and effective for the treatment of TD associated with antipsychotic treatment. These preliminary findings need to be further explored by larger well-designed trials...
Coping strategies for antidepressant side effects: An Internet surveyToshiaki Kikuchi
Keio University School of Medicine, Department of Neuropsychiatry, Tokyo, Japan Columbia University, Department of Psychiatry, NY, United States Electronic address
J Affect Disord 143:89-94. 2012..Patients' coping methods to palliate side effects of antidepressants have not been reported in the literature...
Deficit status in bipolar disorder: Investigation on prevalence rate and description of seven casesShintaro Nio
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan Department of Psychiatry, Tokyo Musashino Hospital, Tokyo, Japan Electronic address
J Affect Disord 143:248-52. 2012..While the Kraepelinian dichotomy explicitly distinguishes between schizophrenia and bipolar disorder, it remains unclear as to whether a deficit form of bipolar disorder exists...
Asymptomatic deep vein thrombosis in a patient with major depressive disorderTakuto Ishida
Department of Psychiatry, Sakuragaoka Memorial Hospital, 1 1 1 Renkouji, Tama shi, Tokyo 206 0021, Japan Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku ku, Tokyo 160 8582, Japan
Case Rep Psychiatry 2012:261251. 2012..In light of the reported causal relationship between DVT and pulmonary embolism, screening for DVT can be of high clinical value in patients with psychiatric disorders, especially when their physical activity is highly compromised...
Interventions to reduce antipsychotic polypharmacy: a systematic reviewHideaki Tani
Department of Psychiatry, Yamanashi Prefectural Kita Hospital, Yamanashi, Japan
Schizophr Res 143:215-20. 2013..The objective of this study was to synthesize the clinical evidence to reduce antipsychotic polypharmacy (i.e. use of multiple antipsychotics) in schizophrenia...
An open-label trial of discontinuing benzodiazepines in patients with chronic schizophreniaShinichiro Nakajima
J Clin Psychopharmacol 27:401-3. 2007
Antipsychotic-induced paroxysmal perceptual alterationHiroyuki Uchida
Am J Psychiatry 160:2243-4. 2003
The role of trophinin, an adhesion molecule unique to human trophoblasts, in progression of colorectal cancerOi Harada
Department of Pathology, Shinshu University School of Medicine, Matsumoto, Japan
Int J Cancer 121:1072-8. 2007..6% of trophinin-positive patients (n = 32). These results suggest that trophinin promotes invasion through a mechanism involving HMGB1/RAGE...
Antipsychotics-induced hypersensitivity of visual perceptionHiroyuki Uchida
Eur Psychiatry 21:343-4. 2006
Treating a schizophrenic patient with severe tardive dystonia without antipsychoticsTakefumi Suzuki
Prog Neuropsychopharmacol Biol Psychiatry 31:1141-2. 2007
