Early LAI Antipsychotics in First 5 Years of Schizophrenia

This industry-funded narrative review synthesizes efficacy, cost, and guideline evidence supporting earlier positioning of long-acting injectable antipsychotics, relevant to ambulatory pharmacists managing adherence in serious mental illness.

long-acting injectable antipsychoticsLAIpaliperidone palmitaterisperidonearipiprazoleschizophreniafirst-episode psychosisadherencerelapse preventionnarrative reviewpharmacoeconomics Ambulatory Care / MTM

Background Information

Early LAI use in schizophrenia improves outcomes and adherence.

Early intervention with long-acting injectable (LAI) antipsychotics in schizophrenia could improve outcomes significantly. LAIs used early in treatment show reduced relapse rates and lower healthcare costs. Encourages first-line use of LAIs, yet notes current underuse and need for improved clinical adoption. Consider LAIs early in schizophrenia for better adherence and outcomes.

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Authors: Harrison SJ, Antunes J, Knight K, Johnston K, Mehawej J, Sanchez P, Correll CU

Citation: Harrison SJ, Antunes J, Knight K, et al. The Role of Long-Acting Injectable Antipsychotics in the Early Treatment of Schizophrenia. CNS drugs. 2026;40(7):921-948. doi:10.1007/s40263-026-01294-9

Article Links: PubMed · Journal / DOI · Free Full Text (PMC)

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Executive Summary

Study Design

Patient Population

Primary Outcomes

Secondary Outcomes & Safety Profile

Pharmacist Implications

Clinical Pearls

Limitations

Controversies & Evidence Gaps

Cost & Logistics

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