Dynamic in prescribing antipsychotic drugs during five year period (2001-2005) in the Psychiatric Hospital Vrapče, Zagreb, Croatia

Jukić, Vlado and Herceg, Miroslav and Brečić, Petrana and Vidović, Domagoj and Križaj, Aida (2008) Dynamic in prescribing antipsychotic drugs during five year period (2001-2005) in the Psychiatric Hospital Vrapče, Zagreb, Croatia. Collegium Antropologicum, 32 (S. 1). pp. 211-213. ISSN 0350-6134

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Abstract

Aim of this study was to determine changes in prescribing antipsychotics during 5 year period in Psychiatric Hospital VrapEe. Data about type of antipsychotic medication, ward and gender were collected for all patients receiving antipsychotics on 1st of October. During 5 year period decrease in prescribing classical antipsychotics was observed while prescribing of atypical antipsychotics has shown increase. There was an increase in number of patients treated with combination of antipsychotics, while number of patients treated with clozapine remained the same. It was noticed that female patients were more often treated with atypical antipsychotics. Data for forensic and emergency ward was analyzed separately and trends similar to hospitals were noticed here. Rationalizing use of antipsychotics can decrease cost of treatment, decrease negative effects of antipsychotics and consequently improve the treatment. Through systematic studies of this type positive progress and changes in the prescribing of antipsychotics are possible.

Abstract in Croatian

Cilj ovog istraživanja bio je utvrditi promjene u propisivanju antipsihotika tijekom petogodišnjeg perioda (2001–2005) u Psihijatrijskoj bolnici Vrapče. Podaci o vrsti antipsihotika, odjelu te spolu za sve bolesnike koji su primali antipsihotike prikupljani su jednom godišnje, 1. listopada. Tijekom petogodišnjeg razdoblja zamijećen je pad propisivanja klasičnih antipsihotika uz porast propisivanja atipičnih antipsihotika. Značajno je porastao broj bolesnika liječenih kombinacijom antipsihotika, dok je broj bolesnika liječenih klozapinom ostao nepromijenjen. Zamijećeno je kako su ženske bolesnice češće liječene atipičnim antipsihoticima. Posebno je analizirano propisivanje antipsihotika na odjelu forenzičke i urgentne psihijatrije gdje je uočen trend sličan bolničkom. Racionalizacija primjene antipsihotika može dovesti do smanjenja troškova liječenja, smanjiti negativne učinke antipsihotika i u konačnici poboljšati liječenje bolesnika. Kroz sustavne studije ovakvog tipa moguće su pozitivne promjene u propisivanju antipsihotika.

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