Switching antipsychotics: Results of 16-month non-interventional, prospective, observational clinical research of inpatients with schizophrenia spectrum disorders

The study aims to identify prescribing and switching patterns of antipsychotics in clinical practice. A 16-month, prospective study was conducted at the Psychiatric Hospital Idrija, Slovenia. Inpatients (N = 311) with schizophrenia spectrum disorders were observed. The causes for switching antipsych...

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Main Authors: Bole Cvetka Bačar, Pišlar Mitja, Šen Metka, Tavčar Rok, Mrhar Aleš
Format: Article
Language:English
Published: Sciendo 2017-03-01
Series:Acta Pharmaceutica
Subjects:
Online Access:https://doi.org/10.1515/acph-2017-0001
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author Bole Cvetka Bačar
Pišlar Mitja
Šen Metka
Tavčar Rok
Mrhar Aleš
author_facet Bole Cvetka Bačar
Pišlar Mitja
Šen Metka
Tavčar Rok
Mrhar Aleš
author_sort Bole Cvetka Bačar
collection DOAJ
description The study aims to identify prescribing and switching patterns of antipsychotics in clinical practice. A 16-month, prospective study was conducted at the Psychiatric Hospital Idrija, Slovenia. Inpatients (N = 311) with schizophrenia spectrum disorders were observed. The causes for switching antipsychotics and switching strategies were analyzed. Analyzing a total of 3954 prescriptions, the collected data confirmed that treatment strategies in this psychiatric hospital are very complex. It was found that 37 percent of inpatients had at least one switch. Moreover, switches that included three or more antipsychotics were detected. The most common causes for switching antipsychotics were adverse reactions and inefficacy or lack of efficacy. Among switching options, abrupt switch was recorded several times. As some patients are receiving several antipsychotics at the same time, it is possible that unusual switching occurs in clinical practice. It seems that the choice of switching strategy is also affected by the cause and urgency for switching an antipsychotic.
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spelling doaj-art-b03bb0808b2c4fceb989bbe447005ba12025-02-02T11:49:55ZengSciendoActa Pharmaceutica1846-95582017-03-016719911210.1515/acph-2017-0001acph-2017-0001Switching antipsychotics: Results of 16-month non-interventional, prospective, observational clinical research of inpatients with schizophrenia spectrum disordersBole Cvetka Bačar0Pišlar Mitja1Šen Metka2Tavčar Rok3Mrhar Aleš4Psychiatric Hospital Idrija, SloveniaFaculty of Pharmacy, University of Ljubljana, SloveniaPharmacy Kromberk, Nova Gorica, SloveniaUniversity Psychiatric Hospital Ljubljana, Ljubljana, SloveniaFaculty of Pharmacy, University of Ljubljana, SloveniaThe study aims to identify prescribing and switching patterns of antipsychotics in clinical practice. A 16-month, prospective study was conducted at the Psychiatric Hospital Idrija, Slovenia. Inpatients (N = 311) with schizophrenia spectrum disorders were observed. The causes for switching antipsychotics and switching strategies were analyzed. Analyzing a total of 3954 prescriptions, the collected data confirmed that treatment strategies in this psychiatric hospital are very complex. It was found that 37 percent of inpatients had at least one switch. Moreover, switches that included three or more antipsychotics were detected. The most common causes for switching antipsychotics were adverse reactions and inefficacy or lack of efficacy. Among switching options, abrupt switch was recorded several times. As some patients are receiving several antipsychotics at the same time, it is possible that unusual switching occurs in clinical practice. It seems that the choice of switching strategy is also affected by the cause and urgency for switching an antipsychotic.https://doi.org/10.1515/acph-2017-0001schizophreniaswitching antipsychoticscausesstrategies
spellingShingle Bole Cvetka Bačar
Pišlar Mitja
Šen Metka
Tavčar Rok
Mrhar Aleš
Switching antipsychotics: Results of 16-month non-interventional, prospective, observational clinical research of inpatients with schizophrenia spectrum disorders
Acta Pharmaceutica
schizophrenia
switching antipsychotics
causes
strategies
title Switching antipsychotics: Results of 16-month non-interventional, prospective, observational clinical research of inpatients with schizophrenia spectrum disorders
title_full Switching antipsychotics: Results of 16-month non-interventional, prospective, observational clinical research of inpatients with schizophrenia spectrum disorders
title_fullStr Switching antipsychotics: Results of 16-month non-interventional, prospective, observational clinical research of inpatients with schizophrenia spectrum disorders
title_full_unstemmed Switching antipsychotics: Results of 16-month non-interventional, prospective, observational clinical research of inpatients with schizophrenia spectrum disorders
title_short Switching antipsychotics: Results of 16-month non-interventional, prospective, observational clinical research of inpatients with schizophrenia spectrum disorders
title_sort switching antipsychotics results of 16 month non interventional prospective observational clinical research of inpatients with schizophrenia spectrum disorders
topic schizophrenia
switching antipsychotics
causes
strategies
url https://doi.org/10.1515/acph-2017-0001
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