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A Comparative Hospital Survey of Psychotropic Drug Prescribing

Published online by Cambridge University Press:  02 January 2018

M. Muijen  and
T. Silverstone
M. Muijen
Affiliation:
Medical College of St Bartholomew's Hospital, London EC1
T. Silverstone*
Affiliation:
Medical College of St Bartholomew's Hospital, London EC1
*
∗Correspondece
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Abstract

In a survey of psychotropic drug prescribing for in-patients in three different types of psychiatric hospitals, the prevalence of combinations of more than one psychotropic drug varied from 45% in one hospital to 94% in another, with significant consistent differences between the use of drug combinations in the various hospitals. Combinations of two antipsychotic drugs were particularly frequent; the hospital with the lowest prevalence of polypharmacy was the only one with an associated psychopharmacology unit. Access to clinical pharmacology teaching may be an important factor in determining appropriate drug-prescribing habits.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 150 , Issue 4 , April 1987 , pp. 501 - 504
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

Bennett, J. L. & Hamilton, D. L. (1963) Sequential use of antidepressant drugs with chlorpromazine in chronic schizophrenia. Psychiatric Quarterly, 37, 53–65.Google Scholar
Boulanger, J. Ph. & Zarifian, E. (1981) L'association neuro-leptique-antidepresseur tricyclique. L'Encephale, 8, 5–28.Google Scholar
Casey, J. F., Hollister, L. E., Klett, C. J., Lasky, J. & Caffey, E. M. (1962) Combined drug therapy of chronic schizophrenics. American Journal of Psychiatry, 117, 997–1003.Google Scholar
Edwards, G. J. (1982) Factors influencing the psychotropic drug choices of teachers of psychiatry. British Journal of Clinical and Social Psychology, 2, 24–26.Google Scholar
Edwards, S. & Kumar, V. (1984) A survey of prescribing of psychotropic drugs in a Birmingham psychiatric hospital. British Journal of Psychiatry, 145, 502–507.Google Scholar
Fann, W. & Wheless, J. (1978) Dangers of psychotropic polypharmacy. Current Psychiatric Therapies, 143–154.Google Scholar
Freeman, H. (1967) Therapeutic value of combinations of psychotropic drugs. Psychopharmacology Bulletin, 4, 1–27.Google ScholarPubMed
Hemminski, E. (1977) Polypharmacy among psychiatric patients. Acta Psychiatrica Scandinavica, 56, 347–356.Google Scholar
Hollister, L. (1974) Polypharmacy in psychiatry, is it necessary, good or bad. In Rational Psychopharmacotherapy and the Right to Treatment (ed. F. Ayd). Baltimore: Medical Communications.Google Scholar
Merlis, S., Sheppard, C., Collins, L. & Fiorentino, D. (1970) Polypharmacy in psychiatry: patterns of differential treatment. American Journal of Psychiatry, 126, 123–127.Google Scholar
Merlis, S., Beyel, V., Fiorentino, D., Fracchia, J. & Sheppard, C. (1972a) Polypharmacy in psychiatry: empiricism, efficacy and rationale. American Psychiatric Therapy, 89–97.Google Scholar
Merlis, S., Sheppard, C. & Fracchia, J. (1972b) Psychiatrists characteristics and polypharmacy. Canadian Psychiatric Association Journal, 17, (Suppl. 2), 89–92.CrossRefGoogle ScholarPubMed
Michel, K. & Kolakowska, T. (1981) A survey of prescribing psychotropic drugs in two psychiatric hospitals. British Journal of Psychiatry, 138, 217–221.Google Scholar
Morgan, R. & Gopalaswamy, A. K. (1984) Psychotropic drugs: another survey of prescribing patterns. British Journal of Psychiatry, 144, 298–302.Google Scholar
Prien, R. F., Balter, M. B. & Caffey, E. M. (1973) Hospital surveys of prescribing practice with psychotherapeutic drugs. Archives of General Psychiatry, 35, 1271–1275.Google Scholar
Sheppard, C., Collins, L., Fiorentino, D., Fracchia, J. & Merlis, S. (1969) Polypharmacy in psychiatric treatment: Incidence at a State Hospital. Current Therapeutic Research, 11, 765–774.Google Scholar
Talbot, D. R. (1967) Are tranquilliser combinations more effective than a single tranquilliser? American Journal of Psychiatry, 117, 997–1000.Google Scholar
Yosselson-Superstine, S., Sternik, D. & Llebenzon, D. (1979) Prescribing patterns in psychiatric hospitals in Israel. Acta Psychiatrica Scandinavica, 60, 477–482.CrossRefGoogle ScholarPubMed
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