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Can Clozapine Be Prescribed When Neutrophil Count Is High?

Posted on Thu, 6 Jul 2017

Question: I was notified by a pharmacy yesterday that they would not dispense my client his clozaril because he had ELEVATED neutrophils. I thought we should be concerned if the neutrophils were DECREASED. Please advise.

Answered by Dr. Alexander H. Sheppe (55 minutes later)

Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

You are right about this. Pharmacies should not deny filling a clozapine prescription because of a high neutrophils -- only if there are LOW neutrophils. The pharmacy is incorrect here. You may want to have your prescribing doctor call them to authorize them to fill it.

Dr. Sheppe

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Above answer was peer-reviewed by : Dr. Vaishalee Punj