Book contents
- Frontmatter
- Contents
- List of figures
- List of tables
- List of contributors
- Foreword
- Acknowledgments
- 1 Introduction
- 2 Culture and psychopathology
- 3 Culture and ethnicity in psychopharmacotherapy
- 4 Ethnic differences in psychotropic drug response and pharmacokinetics
- 5 Pharmacogenetics of ethnic populations
- 6 Variation in psychotropic responses in the Chinese population
- 7 Variation in psychotropic responses in the Hispanic population
- 8 Identifying inter-ethnic variations in psychotropic response in African Americans and other ethnic minorities
- 9 Complementary medicines in mental disorders
- 10 Cultural factors and the use of psychotropic medications
- 11 Outpatient prescribing practices in Asian countries
- 12 Psychiatric inpatient psychotropic prescribing in East Asia
- 13 Pharmaco-economic implications for Asia and other economically disadvantaged countries
- 14 Integrating theory, practice and economics in psychopharmacology
- 15 Research directions in ethno-psychopharmacology
- Index
- References
12 - Psychiatric inpatient psychotropic prescribing in East Asia
Published online by Cambridge University Press: 22 August 2009
- Frontmatter
- Contents
- List of figures
- List of tables
- List of contributors
- Foreword
- Acknowledgments
- 1 Introduction
- 2 Culture and psychopathology
- 3 Culture and ethnicity in psychopharmacotherapy
- 4 Ethnic differences in psychotropic drug response and pharmacokinetics
- 5 Pharmacogenetics of ethnic populations
- 6 Variation in psychotropic responses in the Chinese population
- 7 Variation in psychotropic responses in the Hispanic population
- 8 Identifying inter-ethnic variations in psychotropic response in African Americans and other ethnic minorities
- 9 Complementary medicines in mental disorders
- 10 Cultural factors and the use of psychotropic medications
- 11 Outpatient prescribing practices in Asian countries
- 12 Psychiatric inpatient psychotropic prescribing in East Asia
- 13 Pharmaco-economic implications for Asia and other economically disadvantaged countries
- 14 Integrating theory, practice and economics in psychopharmacology
- 15 Research directions in ethno-psychopharmacology
- Index
- References
Summary
Introduction
Prescribing of psychotropic drugs, such as antipsychotics, antidepressants, anxio- lytics and mood stabilizers, is common in psychiatric inpatients for acute and maintenance treatment of psychiatric illness.
While no one will disagree that the psychotropic drugs should be kept to an effective minimum dosage, it is reported that Asian patients usually require a lower dosage of antipsychotic drugs than Caucasian patients (Chiu et al., 1992; Ko et al., 1989). The differences in prescribing patterns are not just observed in the dosages of psychotropic drugs, but are also seen in the types of psychotropic drugs, the use of poly-antipsychotic drugs, and the concurrent use of psychotropic drugs. Generally, prescribing patterns may be based on the following factors:
biological factors including genetic susceptibility to adverse effects (Lam et al., 1995). Some researchers have argued that ethnicity may provide a marker for individual genetic variation, and that drug choice and dose should vary according to different races (Jones & Perlis, 2006);
ethnicity factors (Opolka et al., 2004), in that Caucasian patients were more likely to receive an atypical antipsychotic and less likely to receive a depot injection than Latino patients (Covell et al., 2002);
prescribers' professional training, where postgraduate and continuing medical education can affect the prescribing habit (Hull et al., 2005). Findings from clinical trials, particularly results from industrial sponsored clinical trials may influence prescribing patterns (Perlis et al., 2005);
health care system and medical insurance (Sleath & Shih, 2003).
In 1999, the first collaborative attempt to study the prescribing of psychotropic drugs in several East Asian countries was initiated.
- Type
- Chapter
- Information
- Ethno-psychopharmacologyAdvances in Current Practice, pp. 144 - 150Publisher: Cambridge University PressPrint publication year: 2008