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Usage of clozapine and the new neuroleptics: A postal questionnaire survey among general psychiatrists

  • M. F. Bristow (a1)
Abstract
Aims and method

To explore clozapine and atypical antipsychotic usage in England and Wales, particularly availability, restrictions on use and shifting of prescribing to general practitioners. To examine the hypothesis that respondents in acute trusts would encounter more restrictions. Method used – postal questionnaire sent to general psychiatrists derived from the 1996 Medical Directory.

Results

There was an 80% response rate and over 90% of respondents used clozapine, with only 9% reporting any difficulty in obtaining it. Difficulty was not associated with any particular type of trust. Only about 4% of respondents suggested that general practitioners regularly took over the prescribing costs of the drug.

Clinical implications

Optimistic, with widespread usage and few difficulties in obtaining clozapine. General practitioner prescribing is still very low and needs to increase.

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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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Aitchison, K. J. & Kerwin, R. W. (1997) Cost effectiveness of clozapine. A UK clinic-based study. British Journal of Psychiatry, 171, 125 130.
Healy, D. (1993) Psychopharmacology and the ethics of resource allocation. British Journal of Psychiatry, 182, 23 28.
Launer, M. (1995) Clozapine in schizophrenia. Lancet, 345, 1435 1436.
Medical Directory (1996) The Medical Directory 1996. London: Cartermill International Ltd.
Meltzer, H. Y. & Cola, P. A. (1994) The pharmacoeconomics of clozapine. Journal of Clinical Psychiatry, 55 (suppl. B), 161 165.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Usage of clozapine and the new neuroleptics: A postal questionnaire survey among general psychiatrists

  • M. F. Bristow (a1)
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