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LETTER TO EDITOR Table of Contents   
Year : 2007  |  Volume : 49  |  Issue : 3  |  Page : 225
Antipsychotic drug prescription in postgraduate psychiatry training programs in India: Time to reflect


Department of Psychiatry, Amrita Institute of Medical Sciences and Research Centre, Cochin - 682 026, Kerala, India

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How to cite this article:
Varghese ST. Antipsychotic drug prescription in postgraduate psychiatry training programs in India: Time to reflect. Indian J Psychiatry 2007;49:225

How to cite this URL:
Varghese ST. Antipsychotic drug prescription in postgraduate psychiatry training programs in India: Time to reflect. Indian J Psychiatry [serial online] 2007 [cited 2019 Oct 21];49:225. Available from: http://www.indianjpsychiatry.org/text.asp?2007/49/3/225/37329


The current postgraduate psychiatric training programs all over India are psychopharmacology oriented and are essentially based on the medical model of illness. An interesting feature of this change in psychiatric teaching programs is the comfort level of new graduates with typical antipsychotic medications. Most of the institutes and regional medical colleges in India currently emphasize the use of atypical antipsychotics for treatment of schizophrenia as suggested either by the American Psychiatric Association Guidelines or the National Institute of Clinical Excellence or the guidelines suggested by the Indian Psychiatric Society.

Among the recently passed postgraduates in Psychiatry, those who are equally comfortable with the use of typical and atypical antipsychotics are very few. The residents passing from leading institutes in India would have difficulty in prescribing Chlorpromazine or pimozide or trifluoperazine or even haloperidol. With new studies questioning the infallibility of the atypical antipsychotics, it should not come as a surprise if typical antipsychotics are again brought to the forefront in the management of schizophrenia. [1],[2]

It may not be long when we would have created a generation of psychiatrists in India who would be poorly trained in psychotherapeutic techniques, as well as prescription of a group of medications which are essential drugs in our armamentarium against schizophrenia. All the Psychiatry program directors in India should be aware of this lacuna in our Psychiatry training, and adequate steps should be taken to rectify this.

 
   References Top

1.Jones PB, Barnes TR, Davies L, Dunn G, Lloyd H, Hayhurst KP. Randomized controlled trial of the effect on Quality of Life of second- vs. first-generation antipsychotic drugs in schizophrenia: Cost Utility of the Latest Antipsychotic Drugs in Schizophrenia Study (CUtLASS 1). Arch Gen Psychiatry 2006;63:1079-87.  Back to cited text no. 1    
2.Lieberman JA, Stroup TS, McEvoy JP, Swartz MS, Rosenheck RA, Perkins DO, et al . Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. N Engl J Med 2005;353:1209-23.  Back to cited text no. 2  [PUBMED]  [FULLTEXT]

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Correspondence Address:
Sunny T Varghese
Department of Psychiatry, Amrita Institute of Medical Sciences and Research Centre, Cochin - 682 026, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5545.37329

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