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 -chotropic drugs, while OBGYN and PED prescribed only antipsychotics and BZD Plus. ventolin inhaler
Among the antipsychotics, haloperidol was mostly prescribed, followed by chlorpromazine and thioridazine. The hospitals with psychiatry wards pretcribed from a wider spectrum of antipsychotics than SPH, which restricted such prescriptions to thioridazine. Amitriptyline was the most prescribed antidepressant, even by the PSYCH ward. The PSYCH ward prescribed a wide variety of antidepressants, but MED and SURG were limited to amitriptyline, doxepin and trimipramine, and OBGYN and PED did not prescribe antidepressants. Of the three hospitals, SPH prescribed minimal antidepressants, 10%, and the choice was quite limited. Lithium was the most prescribed antimanic agent and its use was exclusive to psychiatry and the two hospitals with psychiatry wards.
The popular BZD Plus prescribed were triazolam 25.8%, chlotal hydrate 19.2%, diazepam 11% and lotazepam 6.6%. SPH (without a psychiatric ward) showed the highest rate for chloral hydrate use (31% compared to 12% at UH and 21% at SCH).
SPH prescribed more benzodiazepines than the other hospitals (P<0.007). There were no sex differences in the prescription of BZD Plus, and these drugs were prescribed widely by all disciplines in the three hospitals except OBGYN and PED. Triazotam was the most prescribed BZD Plus by all disciplines except PED. Benztropine, diphenhydramine and oxy-butynin were the commonly pre tcribed anti-Parkinsonian drugs. There were no sex differences in their prescription.