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A Study of an Antipsychotic Prescription Pattern of Patients with Schizophrenia in a Developing Country

Authors
Journal
Indian Journal of Psychological Medicine
0253-7176
Publisher
Medknow Publications
Publication Date
Volume
32
Issue
1
Identifiers
DOI: 10.4103/0253-7176.70520
Keywords
  • Original Article
Disciplines
  • Pharmacology

Abstract

Background: Though there are several recommended guidelines for treating schizophrenia, in routine clinical practice, these are not followed. Aim: To conduct an audit of the prescription pattern of antipsychotic drugs in patients with schizophrenia, in a tertiary care centre in India, during a period of 1 year and compare it with Maudsley guidelines and Clinical practice guidelines for Psychiatrists in India (IPS guidelines). Materials and Methods: Data were collected from the case records, compiled, and analyzed. The concordance or discordance with Maudsley and IPS guidelines were studied. Results: The demographic variables of the patients and the prescription pattern of drugs were analyzed. The correlations between supramaximal and sub-threshold dosage of drugs to the gender, age, duration of illness, and combination of drugs were examined. Conclusions: Polypharmacy of antipsychotics is common. 31% of patients were on combination of typical and atypical antipsychotics. 4% of patients were receiving supramaximal dose of antipsychotics and all of them were on combination (P =<0.03, x2). 24% of patients were on sub-threshold doses. 83% were not on anticholinergic drugs.

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