Clozapine rationing in a state mental hospital: Reviewing a HEC's case consultation - (some demographics have been altered in order to protect confidentiality)

Patricia Backlar, Bentson H. McFarland

Research output: Contribution to journalArticle

2 Scopus citations


Clozapine (Clozaril) is a new, powerful, costly anti-psychotic medicine, with a possible serious side effect (agranulocytosis) that entails weekly blood monitoring. In a three hundred bed state mental hospital that is allotted thirty clozapine slots (high costs effectively rationing this drug), a woman with schizophrenia responds minimally to this medication. Her attending physician wishes to withdraw the medicine and give it to another patient with schizophrenia on the ward who might have a better response. The woman's family threatens to make a public outcry. Both the attending physician and the family ask the HEC for a consult.

Original languageEnglish (US)
Pages (from-to)302-318
Number of pages17
JournalHEC Forum
Issue number5
StatePublished - Sep 1993



  • clozapine
  • ethics committee
  • rationing
  • schizophrenia
  • state mental hospital

ASJC Scopus subject areas

  • Issues, ethics and legal aspects
  • Health(social science)
  • Health Policy

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