Substance misuse in patients with schizophrenia: a primary care guide

Dan I Lubman and Suresh Sundram
Med J Aust 2003; 178 (9 Suppl): S71-S75.


  • Smoking presents a substantial health and economic burden to people with schizophrenia.

  • Comorbid use of other substances is common, under-recognised, and associated with a number of serious adverse consequences, such as psychotic relapse and poorer social outcomes.

  • All patients with schizophrenia need to be screened for substance misuse.

  • Effective interventions involve integrated, modified pharmacological and psychosocial strategies.

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  • Dan I Lubman1
  • Suresh Sundram2

  • 1 Orygen Research Centre and Cognitive Neuropsychiatry Research and Academic Unit, University of Melbourne, Melbourne, VIC.
  • 2 Mental Health Research Institute, Melbourne, VIC.



Dr Lubman is supported by the Norma Licht Trust.

Competing interests:

S S has received honoraria from Eli Lilly and AstraZeneca. D I L has received conference support from Pfizer, Eli Lilly and AstraZeneca.

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