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Audit of anticholinergic treatment in a psychiatric patient population

  • Justin H. G. Williams (a1)
Abstract
Aims and method

An audit was performed to look at how carefully anticholinergic medication was prescribed and monitored in a population of psychiatric patients on depot medication.

Results

The mean duration of prescription was 47 months and 44% of patients' prescriptions went unaltered for over three years. Evidence was lacking for rational initial anticholinergic prescription.

Clinical implications

Anticholinergic treatment needs to be prescribed more rationally with regular monitoring of extra-pyramidal symptoms.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Barnes, T. R. E. (1990) Comment on the WHO consensus statement. British Journal of Psychiatry, 156, 413414.
Bazire, S. (1995) Psychotropic Drug Directory 1995, p. 42. Milton Keynes: Lundbeck.
Double, D. B., Warren, G. C., Evans, M., et al (1993) Efficacy of maintenance use of anticholinergic agents. Acta Psychiatrica Scandinavica, 88, 381384.
Johnstone, E. C., Crow, T. J., Ferrier, N. I., et al (1983) Adverse effects of anticholinergic medication on positive schizophrenic symptoms. Psychological Medicine, 13, 513527.
World Health Organization (1990) Prophylactic use of anticholinergics in patients on long-term neuroleptic treatment. A consensus statement. British Journal of Psychiatry, 156, 412.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Audit of anticholinergic treatment in a psychiatric patient population

  • Justin H. G. Williams (a1)
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