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AuthorJacob, S.A.
AuthorPharm, B.
AuthorPharm, M.
AuthorIbrahim, Mohamed Izham Mohamed
AuthorMohammed, F.
Available date2022-04-10T10:25:39Z
Publication Date2012
Publication NameMental Health in Family Medicine
ResourceScopus
URIhttp://hdl.handle.net/10576/29464
URIhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84882397823&partnerID=40&md5=a479d187024437ec646da927daa3a88d
AbstractThe present study was conducted primarily to determine the occurrence of polypharmacy in patients with schizophrenia on risperidone. The secondary aim was to ascertain the incidence of inappropriate prescribing with anticholinergics. A retrospective reviewofth e medical recordsofall patients who were being followed up at the outpatient clinic of a tertiary-care hospital in Malaysia was conducted. Only patients who were being prescribed risperidone between 1 June 2008 and 31 December 2008 were included in the study. Demographic data such as patient's age, gender and race were obtained from the patient's medical records. In total, 113 patients met the selection criteria. Polypharmacy was found to occur in 34 patients (30.09%), with the majority (76.47%) being on two antipsychotics. In total, 27 patients (34.18%) on monotherapy with risperidone were prescribed an anticholinergic on scheduled dosing, while 19 patients (24.05%) were prescribed it on an as-needed basis. Of the patients on polypharmacy, 26 (76.47%) were on scheduled dosing of anticholinergics, while three (8.82%) were taking the medicationonanas-needed basis. Polypharmacy should be avoided, and the use of anticholinergics should be closely reviewed. By adopting more efficient prescribing practices, costs can be reduced and financial resources can instead be channelled towards more beneficial areas for the patients.
Languageen
SubjectAnticholinergic
Antipsychotic
Polypharmacy
Risperidone
Schizophrenia
TitlePolypharmacy in the management of patients with schizophrenia on risperidone in a tertiary-care hospital in Malaysia
TypeArticle
Pagination37-43
Issue Number1
Volume Number10
dc.accessType Abstract Only


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