ANALYSIS OF PSYCHOTROPICS POLYPHARMACY AND PREVALENCE OF NON-PSYCHOTROPICS PRESCRIBED IN OUTPATIENT PSYCHIATRY UNIT OF A TERTIARY CARE TEACHING HOSPITAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 30
Abstract
BACKGROUND The prevalence of polypharmacy is ever increasing contributing to irrationality in prescription. Prescription of more than two psychotropes is considered psychotropic polypharmacy. Other medications which are often co-prescribed with psychotropics (anticholinergics, anti-Parkinson’s and anti-dementia medications) often contribute to polypharmacy in psychiatry clinical practice. METHODS A retrospective prescription analysis of all the prescription deposited in dispensary run by psychiatry department of tertiary care centre was undertaken. The analysis focused on the non-psychotropes prescribed along with estimation of prevalence of polypharmacy. RESULTS The non-psychotropes were prescribed at an average of 0.56 per prescription per patient. An average of 2.25 medicines were prescribed per patient. The anticholinergic trihexyphenidyl tops the chart of non-psychotropes prescribed. CONCLUSIONS The study highlights the prevalence of psychotropic polypharmacy and contribution of non-psychotropes to the polypharmacy in the prescribed prescriptions. Hence the non-psychotropes prescribed must be restricted for the practicing rational drug therapy.
Authors and Affiliations
Sharmila S, Tejus A. , Md. Fadil Salmani, Salma Malik
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