Category Archives: Psychotropic drug

Patterns of psychotropic drug: CONCLUSIONS

A total of 84% of all PRN dose scheduling was made by nonpsychiatrists. While further studies are needed to interpret the significance of this finding adequately, it may represent a cautious approach to the use of psychotropic drugs or reflect their patients’ nature of illness. However, it may also be a reflection of their limited knowledge of psychotropic medications. PRN prescription has its own merit … Continue reading

Patterns of psychotropic drug: DISCUSSION(3)

Among the wards studied, PSYCH practised a greater degree of polytherapy in their prescription of psychotropic drugs. While this practice may relate to the nature ofp sy chiat-ric illness in general and the longer length of stay, caut ion should be exercised. Polytherapy is cumbersome for patients, facilitates toxicity, and predisposes to greater side effects and drug-drug interactions. As well, it is inconvenient to the … Continue reading

Patterns of psychotropic drug: DISCUSSION(2)

The higher one-day prevalence of psychotropic drug prescription for men than women in this sample is probably a bias created by inclusion of OBGYN. It could also be a reflection of the in-patient population. Out-patient studies have found higher prevalence in women than in men. However 52.5% of all patients to whom psychotropic drugs were prescribed were women, a reflection of the overrepresentation of women … Continue reading

Patterns of psychotropic drug: DISCUSSION(1)

Pharmacoepidemiological data presented in this report provide several advantages for the institutions studied. The monitoring and analysis of the pre scribing patterns are useful for self-audit. These baseline data can be applied to improve clinical practice, save expendilure on drugs, decrease side effect and medication errors, and allow more nursing time to be spent with patients instead of administering drugs. For example, this study revealed … Continue reading

Patterns of psychotropic drug: RESULTS(4)

Commonly used psychotropic drugs by diagnosis A total of 57.1% of all prescriptions were for patients with no psychiatric diagnosis (see Table 1). There was no class of cheapest drugs con fined to any diag nos tic cate gory. How ever, pa tients with psychiatric diagnoses were prescribed more antidepressants, an timan ics and anti-Parkinsonian drugs. Ap proximately 51% of patients with only medical, nonpsychiatric diagnoses were … Continue reading

Patterns of psychotropic drug: RESULTS(3)

There was no prescription for psychostimulants. Children with psychiatric problems were not treated in the studied hospitals. The most commonly prescribed psychotropic drugs in the population studied were the BZD Plus class, accounting for 49.1% of 371 prescriptions. Antipsychotics accounted for 23.2%, antidepressants 10%, anti-Parkinsonian 10% and anti-manic 7.8% (P=0.02). Among the disciplines, PSYCH, MED and SURG pre scribed consistently from the five classes ofpsy … Continue reading

Patterns of psychotropic drug: RESULTS(2)

The one-day prevalence rate for psychotropic drugs prescription was 54.9% for men and 45.0% for women (%2=3.98, P<0.05). The two hospitals with psychiatry wards, UH and SCH, had a higher prevalence of psychotropic drugs prescription, 48.9% and 55.6%, respectively, than the hospital without a psychiatry ward (SPH), which had a prevalence of 40.4% (%2=6.05, P<0.05). Among the disciplines, the PSYCH ward had the highest psychotropic … Continue reading

Patterns of psychotropic drug: RESULTS(1)

Population characteristics Patient charts of260 women (57.4%) and 193 men (42.6%) (total 453) who were in-patients at the time of the survey were included. The majority of patients were from UH (40.6%); 35.3% were from SCH and 24.1% from SPH. Patient distribution by ward was MED 38.9%, OBGYN 18.5%, SURG 17.2%, PSYCH 13.5% and PED 11.9%.

Patterns of psychotropic drug: MATERIALS AND METHODS Definition

In this study, psychotropic drugs refer to the antipsychotics, antimanics (including antiepileptics used in mood ), antidepressants, anti-Parkinsonians, psychostimulants, and benzodiazepines and hypnosedatives (BZD Plus) that are mostly used in clinical psychiatry and that have been the focus of several other epidemiological studies. Hospital structure refers to whether a department of psychiatry was present in the hospital. Length of hospital stay is the period between … Continue reading

Patterns of psychotropic drug use by five medical specialties(2)

Beardsley and co-workers reported that primary care physicians prescribed 66% of the psychotropic medications to a large ambulatory patient population while psychiatrists prescribed only 17.2% and other specialists 16.9%. Several studieshaveexam-ined general prescribing patterns for psychotropic cheap drugs by primary care physicians in ambulatory populations and by psychiatrists in psychiatric populations. The current authors found no study that examined psychotropic drug use by different medical specialists in an … Continue reading