Modifying psychotropic drug prescription patterns: a follow-up survey

Psychiatry Clin Neurosci. 1997 Oct;51(5):309-14. doi: 10.1111/j.1440-1819.1997.tb03204.x.

Abstract

Cross-sectional surveys of prescription patterns of psychotropic drugs provide a quick, global estimation of the appropriateness of psychopharmacotherapy. Recurrent inadequacies in prescribing for psychiatric patients include polypharmacy, high doses of antipsychotics (APS), the use of multiple APS simultaneously, and the administration of these drugs in multiple divided doses. Faulty prescribing patterns are difficult to amend. Following a survey in a rehabilitation facility for chronic psychiatric patients, a systematic education program and other measures were introduced to improve prescribing habits. Two years later the survey was repeated. Significant improvements were detected in the following areas: reductions in the doses of APS and antiparkinsonian (AP) drugs, reductions in the number of patients placed on these drugs, and reductions in the percentage of patients receiving multiple antipsychotics simultaneously. Despite these reductions in doses of psychotropic agents, patients' rehabilitative potential was not compromised.

MeSH terms

  • Antiparkinson Agents / adverse effects
  • Antiparkinson Agents / therapeutic use
  • Antipsychotic Agents / adverse effects
  • Antipsychotic Agents / therapeutic use
  • Cholinergic Antagonists / adverse effects
  • Cholinergic Antagonists / therapeutic use
  • Drug Prescriptions*
  • Drug Utilization
  • Female
  • Follow-Up Studies
  • Hongkong
  • Humans
  • Male
  • Mental Disorders / drug therapy
  • Middle Aged
  • Psychotropic Drugs*

Substances

  • Antiparkinson Agents
  • Antipsychotic Agents
  • Cholinergic Antagonists
  • Psychotropic Drugs