NAMI HelpLine

Feb 27, 2025

Arlington, VA — Today, the National Alliance on Mental Illness (NAMI) released the following statement from Chief Executive Officer Daniel H. Gillison, Jr., following the Food and Drug Administration (FDA) announcement on February 24 that they will remove burdensome requirements to access clozapine, a lifesaving antipsychotic medication. This announcement comes after a long advocacy push from NAMI and the mental health community and is a great step forward for lifesaving access to care, making it easier for people who will benefit from this medication to access it. Gillison said:

“At NAMI, we believe that all people with mental illness deserve access to effective medication and treatment options. We are encouraged to see that the FDA listened to advocates in the serious mental illness community and took an important step to make clozapine, a lifesaving antipsychotic, available to more people by removing burdensome requirements. Clozapine is an important medication for people with treatment-resistant schizophrenia, and this will be a gamechanger for people who rely on clozapine.”

On February 24, the FDA issued a clarification, effective immediately, that would remove the burdensome Risk Evaluation and Mitigation Strategy (REMS) requirement for regular blood draws to monitor clozapine risks, recognizing that the benefits of clozapine outweigh the risk; instead, the REMS requirements created a burden on the providers and the health care system and, most importantly, made it hard for people to access and maintain this important treatment option.

The FDA’s action is in response to a multi-year advocacy effort from NAMI and advocates in the serious mental illness community who shared their lived experiences and argued that the current REMS process was overly burdensome and limited access to lifesaving care for people who rely on clozapine. Dr. Ken Duckworth, NAMI’s chief medical officer, submitted comments and testified to the FDA on the importance of clozapine in November 2024. Of the FDA’s decision, Dr. Duckworth said:

“I have seen the benefits of clozapine firsthand through my work as director of the clozapine clinic when I was the medical director of the Massachusetts Mental Health Center and also throughout my tenure at NAMI. Over and over, I have heard people tell me that clozapine has saved their life or a loved one’s life. The FDA’s decision confers dignity on people with mental illness to engage in meaningful dialogue with their provider to make the decision that works for them, weighing the risks and benefits. This is a win for people with mental illness.”

NAMI recognizes that successful treatment looks different for different people with mental illness. We will continue to advocate for people with mental illness to have access to a broad range of medication and treatments that work, and help people live fulfilling lives.

NAMI HelpLine is available M-F, 10 a.m. – 10 p.m. ET. Call 800-950-6264,
text “helpline” to 62640, or chat online. In a crisis, call or text 988 (24/7).