Which antipsychotics would mental health professionals from a low income country choose for themselves (original) (raw)
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Trends in the prescribing of antipsychotic medicines in Pakistan: implications for the future
Current medical research and opinion, 2018
There is a paucity of antipsychotic prescribing and utilization data in Pakistan that needs addressing, especially with issues of availability, affordability, gender differences, and domestic violence, to develop pertinent strategies. The objective of this study was to address these issues by describing current antipsychotic utilization patterns in Pakistan among adult patients attending tertiary care hospitals and private practitioners. A three staged approach was used including (1) assessment of total antipsychotic utilization, expenditure, and costs per unit between 2010 and 2015, (2) an in-depth retrospective study of prescribing patterns, including co-morbidities among representative hospital patients in Pakistan, and (3) assessment of the quality of prescribing against WHO targets. Total use of antipsychotics increased 4.3-fold and the cost/unit increased by 13.2% during the study period. Risperidone and olanzapine were the most prescribed antipsychotics with more limited use ...
Antipsychotic Use: Cross-Sectional Opinion Survey of Psychiatrists in India and United Kingdom
Pharmacy
The aim of this survey of psychiatrists from the UK and India was to compare their opinions on antipsychotic medication choice and their experiences of such medications’ effectiveness and tolerability in patients who were newly diagnosed with acute schizophrenia. Following ethical approval, a cross-sectional online survey of psychiatrists from the UK and India was conducted. Ninety-five responses were received from each country. The most selected first-line APDs in both countries were olanzapine (47.5%), risperidone (42.8%) and aripiprazole (25.3%). A total of 60% of psychiatrists from India (60%) and 48% from the UK (48%) selected ‘medication efficacy’ as the main factor in their choice. Reassessment and consideration to switch most often took place within 4–6 weeks (53.7%) and 3–6 months (11.6%). The major reasons for switching antipsychotic medications were poor clinical efficacy (69%) and lack of tolerability (45%). Nonadherence was the most common reason for relapse (90% of UK ...
International trends in antipsychotic use: A study in 16 countries, 2005-2014
European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2017
The objective of this study was to assess international trends in antipsychotic use, using a standardised methodology. A repeated cross-sectional design was applied to data extracts from the years 2005 to 2014 from 16 countries worldwide. During the study period, the overall prevalence of antipsychotic use increased in 10 of the 16 studied countries. In 2014, the overall prevalence of antipsychotic use was highest in Taiwan (78.2/1000 persons), and lowest in Colombia (3.2/1000). In children and adolescents (0-19 years), antipsychotic use ranged from 0.5/1000 (Lithuania) to 30.8/1000 (Taiwan). In adults (20-64 years), the range was 2.8/1000 (Colombia) to 78.9/1000 (publicly insured US population), and in older adults (65+ years), antipsychotic use ranged from 19.0/1000 (Colombia) to 149.0/1000 (Taiwan). Atypical antipsychotic use increased in all populations (range of atypical/typical ratio: 0.7 (Taiwan) to 6.1 (New Zealand, Australia)). Quetiapine, risperidone, and olanzapine were m...
Typical and Atypical Antipsychotic Drug Utilization in a Psychiatric Clinic in Palestine
2004
Pattern of atypical and typical antipsychotic medications among one hundred and twenty four patients receiving these medications was investigated and analyzed. Males constitute approximately 61% of the sample. More than half of the patients in the sample were less than 50 years old. Most the patients prescribed antipsychotic medications were having schizophrenia (61%). Analysis of the prescribed antipsychotics for the
Typical and Atypical Antipsychotic Drug Utilization in a Psychiatric Clinic â in Palestine
2004
Pattern of atypical and typical antipsychotic medications among one hundred and twenty four patients receiving these medications was investigated and analyzed. Males constitute approximately 61% of the sample. More than half of the patients in the sample were less than 50 years old. Most the patients prescribed antipsychotic medications were having schizophrenia (61%). Analysis of the prescribed antipsychotics for the patients showed that approximately 99% of the patients were receiving conventional typical antipsychotic medications either as single (70.2%) or combination (17.7%) or in depot form (10.4%). Less than 2% of the patients were receiving atypical antipsychotic medications. Among those prescribed conventional typical antipsychotic drugs, only (56%) were co-prescribed anticholinergic drugs. The underutilization of atypical antipsychotics and the underutilization of anticholinergics to be co-prescribed with conventional antipsychotics require further evaluation and investigation at the national Palestinian level.
Prescription Pattern and Off-Label Use of Antipsychotics in a Middle Eastern Population
Frontiers in Pharmacology, 2021
Background: Understanding the prescription pattern of medications in a population can help reveal the potential usage scenarios, including off-label prescriptions, and the need for precision medicine implementation. Therefore, the aim of this study was to assess the prescription pattern and off-label use of antipsychotics in the Qatari population.Methods: We performed a cross-sectional study of Qatari patients who received antipsychotic prescriptions from the major healthcare providers in the country during the 2-year period between June 2018 and May 2020. The number of patients, prescriptions dispensed, and clinical indications were collected and statistical analysis using chi-square test was conducted.Results: Among the 9,349 Qatari patients prescribed with antipsychotics during the study period, the majority were female (57%; p < 0.001) and were in the age categories 20–39 and 30–39 years (both 22%; p < 0.001). Among the 35,938 antipsychotic prescriptions dispensed, second-...
Which antipsychotics would mental health professionals take themselves?
Psychiatric Bulletin, 2007
Aims and MethodMany studies report prescribing preferences for antipsychotics but few have examined what professionals would choose for themselves if they were diagnosed with schizophrenia. We asked 188 nurses, pharmacists and doctors which antipsychotic they would prefer to be prescribed.ResultsRisperidone (n=49, 26.1%), olanzapine (n=49, 26.1%) and aripiprazole (n=35, 18.6%) were the most popular choices.Clinical ImplicationsProfessionals' choice was in line with the latest evidence on comparative effectiveness of atypical antipsychotics and therefore might be a sensitive indicator of the most effective antipsychotic.
OBJECTIVE: To determine the preferred antipsychotic drug of mental health professionals. MATERIAL AND METHODS: This cross-sectional survey was conducted among mental healthcare professionals of 25 public/private healthcare facilities of Sindh and Blochistan provinces form April 2007 to March 2008. After approval from ethical committee of Dow University of Health Sciences mental health professionals (trainees, consultants with experience only and consultant with postgraduate qualification) present on the day of visit to a facility were approached and asked to fill a semi-structured questionnaire to determine the preferred antipsychotic for patient as well as for themselves if they got ill and the factors they consider while choosing that antipsychotic. Descriptive analysis of the data was performed by SPSS v. 14. RESULTS: One-hundred five mental health professionals were divided in 3 groups i.e. trainees (29), experienced doctors (24) and consultants psychiatrists (52). They have almost equal experience of using typical (48%) and atypical (49%) antipsychotic, but when asked to chose antipsychotic for themselves, atypical (81%) were preferred over typical (14%) antipsychotic with Risperidone as the most common choice (55%) followed by quetiapine, olanzapine and clozapine. Regarding the factors influencing prescription, efficacy and safety were most considered factor while choosing antipsychotic for themselves as compare to efficacy and cost while experiencing prescription for patients. CONCLUSION: Clinical approach varies while prescribing anti-psychotic drug for the patients and for themselves between typical and atypical. Efficacy and safety were considered while choosing for themselves, whereas efficacy and cost while prescribing for patients.