Antipsychotic polypharmacy: Retrospective evaluation of cases with psychotic disorder followed in outpatient clinic (tur)

INTRODUCTION[|]In this study, it was aimed to investigate the sociodemographic and clinical features that may be related to antipsychotic polypharmacy and to discuss the causes and effects of this condition. [¤]METHODS[|]The records of the cases followed up at the psychotic disorders outpatient clin...

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Main Authors: Şahabettin Çetin, Melike Ceyhan Balcı Şengül, Osman Özdel
Format: Article
Language:English
Published: ANP Publishing 2021-05-01
Series:Klinik Psikiyatri Dergisi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=kpd&un=KPD-27676
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author Şahabettin Çetin
Melike Ceyhan Balcı Şengül
Osman Özdel
author_facet Şahabettin Çetin
Melike Ceyhan Balcı Şengül
Osman Özdel
author_sort Şahabettin Çetin
collection DOAJ
description INTRODUCTION[|]In this study, it was aimed to investigate the sociodemographic and clinical features that may be related to antipsychotic polypharmacy and to discuss the causes and effects of this condition. [¤]METHODS[|]The records of the cases followed up at the psychotic disorders outpatient clinic were analyzed retrospectively. Sociodemographic and disease related clinical features, Clinical Global Impression Scale (CGI) Severity of Illness and Advers Events in their last applications were evaluated.[¤]RESULTS[|]The most common diagnosis is schizophrenia with a rate of 63.6% (n = 150). It was determined that 76.7% (n = 181) of 236 patients included in the study were using at least two antipsychotic drugs, %64.8 (n=153) were using long acting parenteral antipsychotics. When comparing antipsychotic polypharmacy and monotherapy patients;statistically significant difference was found in terms of age, gender, onset age of disease, history of electroconvulsive therapy (ECT), long termparenteral antipsychotic use, number of hospitalizations and duration of their last hospitalization, Clinical Global Impression Scale severity of illness and advers events scores.[¤]DISCUSSION AND CONCLUSION[|]Although there is insufficient data on the efficacy and safety of antipsychotic polypharmacy, it appears that it is preferred in practice far above the recommendations of treatment guidelines.It seems important to understand the causes of this situation, and to make adjustments in the practices and guidelines of clinicians.Medical, social and economic consequences caused by antipsychotic polypharmacyshould be considered.[¤]
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spelling doaj.art-90373e9f9e3f429c8a7b1464483c5c562023-02-15T16:10:41ZengANP PublishingKlinik Psikiyatri Dergisi1302-00992021-05-0124219119810.5505/kpd.2020.27676KPD-27676Antipsychotic polypharmacy: Retrospective evaluation of cases with psychotic disorder followed in outpatient clinic (tur)Şahabettin Çetin0Melike Ceyhan Balcı Şengül1Osman Özdel2Denizli State Hospital, Psychiatry Clinic, DenizliDepartment of Psychiatry, Adnan Menderes University Faculty of Medicine, AydınDepartment of Psychiatry, Pamukkale University Faculty of Medicine, DenizliINTRODUCTION[|]In this study, it was aimed to investigate the sociodemographic and clinical features that may be related to antipsychotic polypharmacy and to discuss the causes and effects of this condition. [¤]METHODS[|]The records of the cases followed up at the psychotic disorders outpatient clinic were analyzed retrospectively. Sociodemographic and disease related clinical features, Clinical Global Impression Scale (CGI) Severity of Illness and Advers Events in their last applications were evaluated.[¤]RESULTS[|]The most common diagnosis is schizophrenia with a rate of 63.6% (n = 150). It was determined that 76.7% (n = 181) of 236 patients included in the study were using at least two antipsychotic drugs, %64.8 (n=153) were using long acting parenteral antipsychotics. When comparing antipsychotic polypharmacy and monotherapy patients;statistically significant difference was found in terms of age, gender, onset age of disease, history of electroconvulsive therapy (ECT), long termparenteral antipsychotic use, number of hospitalizations and duration of their last hospitalization, Clinical Global Impression Scale severity of illness and advers events scores.[¤]DISCUSSION AND CONCLUSION[|]Although there is insufficient data on the efficacy and safety of antipsychotic polypharmacy, it appears that it is preferred in practice far above the recommendations of treatment guidelines.It seems important to understand the causes of this situation, and to make adjustments in the practices and guidelines of clinicians.Medical, social and economic consequences caused by antipsychotic polypharmacyshould be considered.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=kpd&un=KPD-27676antipsychoticspolypharmacyschizophreniapsychotic disorders
spellingShingle Şahabettin Çetin
Melike Ceyhan Balcı Şengül
Osman Özdel
Antipsychotic polypharmacy: Retrospective evaluation of cases with psychotic disorder followed in outpatient clinic (tur)
Klinik Psikiyatri Dergisi
antipsychotics
polypharmacy
schizophrenia
psychotic disorders
title Antipsychotic polypharmacy: Retrospective evaluation of cases with psychotic disorder followed in outpatient clinic (tur)
title_full Antipsychotic polypharmacy: Retrospective evaluation of cases with psychotic disorder followed in outpatient clinic (tur)
title_fullStr Antipsychotic polypharmacy: Retrospective evaluation of cases with psychotic disorder followed in outpatient clinic (tur)
title_full_unstemmed Antipsychotic polypharmacy: Retrospective evaluation of cases with psychotic disorder followed in outpatient clinic (tur)
title_short Antipsychotic polypharmacy: Retrospective evaluation of cases with psychotic disorder followed in outpatient clinic (tur)
title_sort antipsychotic polypharmacy retrospective evaluation of cases with psychotic disorder followed in outpatient clinic tur
topic antipsychotics
polypharmacy
schizophrenia
psychotic disorders
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=kpd&un=KPD-27676
work_keys_str_mv AT sahabettincetin antipsychoticpolypharmacyretrospectiveevaluationofcaseswithpsychoticdisorderfollowedinoutpatientclinictur
AT melikeceyhanbalcısengul antipsychoticpolypharmacyretrospectiveevaluationofcaseswithpsychoticdisorderfollowedinoutpatientclinictur
AT osmanozdel antipsychoticpolypharmacyretrospectiveevaluationofcaseswithpsychoticdisorderfollowedinoutpatientclinictur