Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-19T10:33:19.707Z Has data issue: false hasContentIssue false

Psychotropic drug prescribing in a Nigerian psychiatric hospital

Published online by Cambridge University Press:  02 January 2018

Imafidon O. Agbonile
Affiliation:
Psychiatric Hospital, Uselu, PMB 1102, Benin City, Edo State, Nigeria
Oluwole Famuyiwa
Affiliation:
Lagos University Teaching Hospital, Nigeria, email fam2005lag@yahoo.com
Rights & Permissions [Opens in a new window]

Extract

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.

Psychopharmacotherapy dominates the therapeutic arsenal of psychiatrists and, not surprisingly, psychotropic drugs are widely consumed in psychiatric practice. The pattern of prescribing of these drugs needs to be appraised in terms of ‘rational drug use', which may be defined as ‘the use of the least number of drugs to obtain the best possible effects in the shortest possible time and at a reasonable cost’ (Gross, 1981).

Type
Original Paper
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © The Royal College of Psychiatrists 2009

References

Baker, J. A., Lovell, K. & Harris, N. (2008) The impact of a good practice manual of professional practice associated with psychotropic PRN in acute mental health wards: an exploratory study. International Journal of Nursing Studies, 45, 14031410.CrossRefGoogle ScholarPubMed
Barbul, C. & Tansella, M. (2005) Psychotropic drug epidemiology: the road travelled, the road ahead. International Review of Psychiatry, 17, 143145.Google Scholar
Broekema, W. J., de Groot, I. W. & Van Harten, P. N. (2007) Simultaneous prescribing of atypical antipsychotics, conventional antipsychotics and anticholinergics - a European study. Pharmacy World and Science, 29, 126130.Google Scholar
Chakrabrati, A., Whicher, E. V., Morrison, M., et al (2007) As required medication regimens for seriously mentally ill people in hospital. Cochrane Database of Systematic Reviews, (3), CD003441.Google Scholar
Cookson, J. C., Taylor, J. & Katona, D. (2002) Extra pyramidal side-effects. In Use of Drugs in Psychiatry: The Evidence from Psychopharmacology (5th edn), pp. 184198. Gaskell.Google Scholar
Edwards, S. & Kumar, V. (1984) A survey of prescribing of psychotropic drugs in a Birmingham psychiatric hospital. British Journal of Psychiatry, 145, 502507.Google Scholar
Famuyiwa, O. O. (1988) Psychotropic polypharmacy in Nigeria. The danger can be avoided and cost reduced. Tropical Doctor, 18, 711.Google Scholar
Gross, F. (1981) Drug utilisation therapy and practice. The present situation in Federal Republic of Germany. European Journal of Clinical Pharmacology, 19, 387394.Google Scholar
Gureje, O., Chisholm, D., Kola, L., et al (2007) Cost-effectiveness of an essential mental health intervention package in Nigeria. World Psychiatry, 6, 4248.Google Scholar
Thompson, A., Sullivan, S. A., Barley, M., et al (2008) The DEBIT Trial: an intervention to reduce antipsychotic polypharmacy prescribing in adult psychiatric wards - a cluster randomized controlled trial. Psychological Medicine, 38, 705715.CrossRefGoogle ScholarPubMed
Xiang, Y-T., Weng, Y-Z., Leung, C-M., et al (2007a) Clinical and social determinants of use of depot antipsychotics for patients with schizophrenia in Hong Kong. Hong Kong Journal of Psychiatry, 16, 7175.Google Scholar
Xiang, Y-T., Weng, Y-Z., Leung, C-M., et al (2007b) Exploring the clinical and social determinants of prescribing anticholinergic medication for Chinese patients with schizophrenia. Human Psychopharmacology, 22, 173180.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.