Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-25T04:11:11.484Z Has data issue: false hasContentIssue false

1892 – Therapeutic Adherence In Depot Medicated Patients

Published online by Cambridge University Press:  15 April 2020

A. Roberto
Affiliation:
Psychiatry, Hospital Garcia de Orta, Almada, Portugal
J. Souta
Affiliation:
Psychiatry, Hospital Garcia de Orta, Almada, Portugal
S. Coelho
Affiliation:
Psychiatry, Hospital Garcia de Orta, Almada, Portugal
P. Sales
Affiliation:
Psychiatry, Hospital Garcia de Orta, Almada, Portugal
I.R. Costa
Affiliation:
Psychiatry, Hospital Garcia de Orta, Almada, Portugal
D. Pereira
Affiliation:
Psychiatry, Hospital Garcia de Orta, Almada, Portugal

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction and objectives

Poor adherence remains a problem in schizophrenic patients. Treatment guidelines for schizophrenia recommend depot medications for patients who are no adherent to oral regimens. This study aims to evaluate subjective experiences, adverse effects and adherence of depot medicated patients.

Methods

Was applied a questionnaire composed by the “Drug Attitude Inventory” (subjectively assesses the attitude and experiences of patients towards their depot medication) and by questions about adverse effects with medications. We took into account four different depot formulations: risperidone, haloperidol, fluphenazine and zuclopenthixol.

Results

Participated 44 schizophrenic patients. The majority is male (77%). Clinically, the mean age of diagnosis is 28 years. About 50% of patients do the long acting risperidone, 31,8% the haloperidol decanoate and 9,1% the fluphenazine or zuclopenthixol. About 52,3% say they do not know the reason they take depot medication and 16% report previous therapeutic abandonment. There are not differences between mean results in “Drug attitude inventory” and all depot medications average in the positive range. Most frequent adverse affects are weight gain (29,5%) and sedation (15,9%). In rating discomfort of adverse affects 54,5% patients score zero (no discomfort) and 2,3% score ten (very uncomfortable) without significant differences between formulations.

Discussion/conclusion

Despite reporting adverse effects, patients attribute a low score in terms of discomfort. Although some of them report ignore the reason they are taking depot, patients have positive subjective experiences and attitudes with these medications. This fact may be predictive of good compliance.

Type
Abstract
Copyright
Copyright © European Psychiatric Association 2013
Submit a response

Comments

No Comments have been published for this article.