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Psychotropic prescriptions for the treatment of schizophrenia in an outpatient clinic

Trends in psychiatry and psychotherapy, 2017-07, Vol.39 (3), p.165-172 [Peer Reviewed Journal]

Copyright Associação de Psiquiatria do Rio Grande do Sul - Trends in Psychiatry and Psychotherapy 2017 ;This work is licensed under a Creative Commons Attribution 4.0 International License. ;ISSN: 2237-6089 ;ISSN: 2238-0019 ;EISSN: 2238-0019 ;DOI: 10.1590/2237-6089-2016-0088 ;PMID: 28876362

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Title:
Psychotropic prescriptions for the treatment of schizophrenia in an outpatient clinic
Author: Okpataku, Christopher Izehinosen ; Tawani, David
Subjects: Adult ; Ambulatory Care Facilities ; Antipsychotics ; clinic ; Cross-Sectional Studies ; Data processing ; Developing countries ; Employment ; Female ; Haloperidol ; Haloperidol - adverse effects ; Haloperidol - therapeutic use ; Humans ; LDCs ; Male ; Mental disorders ; Middle Aged ; Outpatients ; prescription ; Prescriptions ; PSYCHIATRY ; Psychotropic ; Psychotropic drugs ; Psychotropic Drugs - adverse effects ; Psychotropic Drugs - therapeutic use ; Retrospective Studies ; Schizophrenia ; Schizophrenia - drug therapy ; Trihexyphenidyl ; Young Adult
Is Part Of: Trends in psychiatry and psychotherapy, 2017-07, Vol.39 (3), p.165-172
Description: There is an unpredictable pattern in the prescription of antipsychotics and other psychotropic medications for the treatment of schizophrenia, particularly in resource-limited settings in developing countries. To determine the psychotropic prescriptions given to patients with schizophrenia in an outpatient clinic of a tertiary hospital and to describe the choices and trends of these prescriptions. This was a cross-sectional descriptive study of prescriptions for adults with schizophrenia. After clinical consultation, patients' case notes were randomly selected over a period of 2 years. Using a structured form, data were extracted from the case notes including biodemographic data, psychotropic medications prescribed and changes made to these prescriptions. Data were analyzed by means of descriptive statistics. A total of 103 patients were selected, with a mean age of 35.96±9.78 years; 48.5% were males and 51.5% were females; 33% were unemployed and 38% had been hospitalized in the past. There were 231 initial prescriptions and 228 current prescriptions, with about 2.2 prescriptions per patient. Haloperidol (mean dose 14.77±6.28mg and 11.44±5.55mg for initial and current) and other old-generation antipsychotics were the most commonly prescribed for new cases (98%). Mean duration of psychotropic use was 7.78±5.6 years. All the patients were prescribed trihexyphenidyl, and 56.3% of the patients had their medications changed as a result of side effects. There was a very high preference for the use of first-generation antipsychotics for all treatment settings (in- and outpatients), a pattern that is likely to persist.
Publisher: Portugal: Associação de Psiquiatria do Rio Grande do Sul - Trends in Psychiatry and Psychotherapy
Language: English;Portuguese
Identifier: ISSN: 2237-6089
ISSN: 2238-0019
EISSN: 2238-0019
DOI: 10.1590/2237-6089-2016-0088
PMID: 28876362
Source: ProQuest One Psychology
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Psychotropic prescriptions for the treatment of schizophrenia in an outpatient clinic

Copyright Associação de Psiquiatria do Rio Grande do Sul - Trends in Psychiatry and Psychotherapy 2017 ;This work is licensed under a Creative Commons Attribution 4.0 International License. ;ISSN: 2237-6089 ;ISSN: 2238-0019 ;EISSN: 2238-0019 ;DOI: 10.1590/2237-6089-2016-0088 ;PMID: 28876362

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