Psychotropic Drugs on General Medical and Surgical Wards of a Teaching Hospital

Davidson, Jonathan

doi:10.1001/archpsyc.1975.01760220119012

Cited by 39 publications

(14 citation statements)

References 18 publications

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“…for each patient; this form was patterned after the survey of psychotropic drug use conducted by PSYCOG 1. The following information was recorded: (1) selected demographic data; ( 2 ) oncologic information (type of cancer, presence of metastasis, and time since diagnosis); (3) other important medical diagnoses; (4) whether or not the patient had been given a formal psychiatric diagnosis; (5) if there had been a psychiatric consultation, the DSM-IIIR diagnosis as it appeared in the consultation note; (6) pain medication prescribed (including type and dosage); and (7) psychotropic drugs prescribed. The psychotropic drugs were recorded using the taxonomy of Derogatis et aL4 including drug class, subclass, and generic name, along with the stated reason given by the physician for its prescription.…”

Section: Methodsmentioning

confidence: 99%

Changes in the prescription patterns of psychotropic drugs for cancer patients during a 10-year period

Stiefel

Kornblith

Holland

1990

Cancer

110

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The use of psychotropic drugs was studied in 200 cancer patients admitted to a medical oncology unit at Memorial Sloan-Kettering Cancer Center, New York, in December 1987. When compared with a similar survey that studied prescription practices 10 years ago, there was a 30% increase in the use of psychotropic agents. Whereas prescription rates for different drug classes remained relatively stable, psychotropic drugs are now used for a greater range of reasons. The introduction of several new agents, especially short-acting benzodiazepines, has altered the physician's choices. Despite awareness of the different properties of psychotropic medications and their increased use, they are still underused, especially the antidepressants and antipsychotics when prescribed for psychologic distress.

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Section: Methodsmentioning

confidence: 99%

Changes in the prescription patterns of psychotropic drugs for cancer patients during a 10-year period

Stiefel

Kornblith

Holland

1990

Cancer

110

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“…However, these drugs are used unethically in many cases, with few diagnostic indications for their use and no information regarding their effect (Davidson et al, 1975). In some instances, anti anxiety agents and antipsychotic drugs were used as adjuncts for analgesic relief from severe pain.…”

Section: Introductionmentioning

confidence: 99%

Prescribing pattern of psychotropic drugs used in non-psychiatric patients among outpatient department of two teaching hospitals in Bangladesh

Alam

Ara

Iqbal

2015

Bangladesh J Pharmacol

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“…Over the past quarter century, studies have reported racial disparities in the psychopharmacological treatment of schizophrenia (1,2). Although the prevalence of schizophrenia seems to be independent of race, its treatment is not (3,4).…”

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confidence: 99%

“…As early as 1975, Davidson et al (2) reported that African American patients admitted to a teaching hospital were less likely to be given psychotropic drugs than were white patients. Rossiter (15) reported a similar disparity in the use of prescription drugs affecting the CNS (including agents for the treatment of acute and chronic psychoses) in a nationally representative household survey of 40,000 individuals in 1977.…”

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confidence: 99%

Racial Disparity in the Use of Atypical Antipsychotic Medications Among Veterans

Copeland¹,

Zeber²,

Valenstein³

et al. 2003

AJP

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Objective: This study assessed the current state of antipsychotic prescription practices regarding race among veterans receiving care through the Department of Veterans Affairs. Method:The authors examined pharmacy records over a 12-month period for all veterans with schizophrenia and antipsychotic prescriptions in fiscal year 1999. They used logistic regression analysis to assess the effect of race on the use of various atypical antipsychotic agents. Analytic models controlled for age, sex, comorbid substance use, bipolar disorder, and other psychosis. Results:The sample of 69,787 veterans with schizophrenia was 61.3% white, 30.1% African American, and 8.5% Hispanic. Among them, 39% had prescriptions for conventional antipsychotics, 37% for atypical antipsychotics, and 23% for both atypical and conventional antipsychotics. Use of any atypical agent during the year was less likely for Hispanic veterans (55%) than for two other groups (both 61%). When examining specific medications in a multivariate model, the authors found that African American and Hispanic veterans were much less likely to receive clozapine than were white veterans. Conclusions:Overall use of atypical antipsychotics was slightly less common for African American and Hispanic veterans with schizophrenia than for white patients. However, use of clozapine, the first choice for refractory illness and possibly uniquely effective for patients with comorbid substance abuse, did vary greatly by race. This may reflect concern over serious side effects, such as loss of white blood cells and fluctuations of serum glucose levels, or patient preference.

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Psychotropic Drugs on General Medical and Surgical Wards of a Teaching Hospital

Cited by 39 publications

References 18 publications

Changes in the prescription patterns of psychotropic drugs for cancer patients during a 10-year period

Changes in the prescription patterns of psychotropic drugs for cancer patients during a 10-year period

Prescribing pattern of psychotropic drugs used in non-psychiatric patients among outpatient department of two teaching hospitals in Bangladesh

Racial Disparity in the Use of Atypical Antipsychotic Medications Among Veterans

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