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Drug Surveillance in Psychiatric Patients in the Federal Republic of Germany

  • Conference paper
Neuropsychopharmacology

Abstract

In 1979 a study for drug surveillance in psychiatric patients (Arzneimittelüberwachung in der Psychiatrie, AMÜP) was initiated by the Arbeitsgemeinschaft für Neuropsychopharmakologie und Pharmakopsychiatrie, financed by the Federal Health Agency (Bundesgesundheitsamt) of the Federal Republic of Germany. The main aim of the study was to assess data on adverse drug reactions (ADRs) under conditions of everyday clinical practice. Data on type and frequency of ADRs for various psychotropic drugs are available from clinical trials, however in everyday clinical practice patients of all age groups, including the elderly, are treated; some patients have concomitant physical diseases, and frequently drug combinations are used, as polypharmacy is a common practice in psychiatry worldwide (Clark and Holden 1987; Grohmann et al. 1986; Schmidt et al. 1987; Swett 1979). As the need for additional information on the occurence of ADR under these treatment conditions had not previously been met by any large-scale drug surveillance study, the AMÜP study was undertaken.

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References

  • Bürke H, Grohmann R, Rüther E (1986) Psychiatric outpatients treatment: developing methods of drug surveillance. Pharmacopsychiatry 19: 298–299

    Article  Google Scholar 

  • Clark AF, Holden L (1987) The persistence of prescribing habits: a survey and follow-up of prescribing to chronic hospital in-patients. Br J Psychiatry 150: 88–91

    Article  PubMed  CAS  Google Scholar 

  • Dirschedl P, Grohmann R, Schmidt LG (1986) Reliability of adverse drug reaction assessment. Pharmacopsychiatry 19: 292–293

    Article  Google Scholar 

  • Finney DJ (1965) The design and logic of a monitor of drug use. J Chron Dis 18:77-98 Grohmann R, Hippius H, Müller-Oerlinghausen B, Rüther E, Scherer J, Schmidt LG, Strauß A, Wolf B (1984) Assessment of adverse drug reactions in psychiatric hospitals. Eur J Clin Pharmacol. 26: 727–734

    Google Scholar 

  • Grohmann R, Hippius H, Müller-Oerlinghausen B, Rüther E, Scherer J, Schmidt LG, Strauß A, Wolf B (1984) Assessment of adverse drug reactions in psychiatric hospitals. Eur J Clin Pharmacol. 26:727–734

    Article  PubMed  CAS  Google Scholar 

  • Grohmann R, Dirschedl P, Rennig E, Scherer J, Schmidt LG (1986) Methodological problems in assessment of adverse drug reactions with drug combinations. Pharmacopsychiatry 19: 300–301

    Article  Google Scholar 

  • Haag H (1983) Spätdyskinesie. Eine epidemiologische Untersuchung. Thesis, Ludwig Maximilians University, München

    Google Scholar 

  • Hurwitz N, Wade OL (1969) Intensive hospital monitoring of adverse reactions to drugs. Br Med J 1: 531–536

    Article  PubMed  CAS  Google Scholar 

  • Kramer MS, Leventhal JM, Hutchinson TA, Feinstein AR (1979) An algorithm for the operational assessment of adverse drug reactions. I: Background, description, and instruction for use. JAMA 242: 623–632

    Article  PubMed  CAS  Google Scholar 

  • Rüther E, Benkert O, Eckmann F, Eckmann I, Grohmann R, Helmchen H, Hippius H, Müller-Oerlinghausen B, Poser W, Schmidt LG, Stille G, Strauß A, Überla K (1980) Drug Monitoring in psychiatrischen Kliniken. Bericht der Arbeitsgruppe für Medikamenten-Überwachung in der Psychiatrie. Arzneimittelforschung/Drug Res 30: 1181–1183

    Google Scholar 

  • Schmidt LG, Langscheid-Schmidt K (1987) Neuroleptika-bedingte Aufnahmen in einer psychiatrischen Universitätsklinik ( Aus dem AMÜP-Projekt ). Nervenarzt 58: 379–382

    PubMed  CAS  Google Scholar 

  • Schmidt LG, Grohmann R, Helmchen H, Langscheid-Schmidt K, Müller-Oerlinghausen B, Poser W, Rüther E, Scherer J, Strauß A, WolfB (1984) Adverse drug reactions. Acta Psychiatr Scand 70: 77–89

    CAS  Google Scholar 

  • Schmidt LG, Schüssler G, Linden M, Müller-Oerlinghausen B (1985) Impact of adverse drug reactions on treatment of psychiatric outpatients. Pharmacopsychiatry 17: 40–41

    Article  Google Scholar 

  • Schmidt LG, Czerlinsky H, Stöckel M (1987) Longitudinal assessment of psychotropic drug use in acutely-ill psychiatric inpatients. Int J Clin Pharmacol Ther Toxicol 25: 244–250

    PubMed  CAS  Google Scholar 

  • Seidl LG, Thornton GF, Cluff LEG (1965) Epidemiological studies of adverse drug reactions. Am J Publ Health 55: 1170–1175

    Article  CAS  Google Scholar 

  • Swett C (1979) Patterns of drug use in psychiatric inpatient wards. J Clin Psychiatry 16: 464–468

    Google Scholar 

  • Venulet J (1977) Methods of monitoring adverse reactions to drugs. Proc Drug Res 21: 231–292

    CAS  Google Scholar 

  • von Oefele K, Rüther E (1985) Adverse drug reaction monitoring in long-term psychiatric inpatients. Pharmacopsychiatry 18: 33–34

    Article  Google Scholar 

  • von Oefele K, Grohmann R, Rüther E (1986) Adverse drug reactions in combined tricyclic and MAO I-therapy. Pharmacopsychiatry 19: 243–244

    Article  Google Scholar 

  • Wolf B, Grohmann R, Biber D, Brenner P, Rüther E (1989) Benzodiazepine abuse and dependence in psychiatric in patients. Pharmacopsychiatry 22: 54–60

    Article  PubMed  CAS  Google Scholar 

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© 1990 Springer-Verlag Berlin Heidelberg

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Grohmann, R., Schmidt, L.G., Rüther, E. (1990). Drug Surveillance in Psychiatric Patients in the Federal Republic of Germany. In: Bunney, W.E., Hippius, H., Laakmann, G., Schmauss, M. (eds) Neuropsychopharmacology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74034-3_57

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  • DOI: https://doi.org/10.1007/978-3-642-74034-3_57

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-74036-7

  • Online ISBN: 978-3-642-74034-3

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