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|Year : 2016 | Volume
| Issue : 4 | Page : 417-424
Indian psychiatric society multicentric study: Correlates of prescription patterns of psychotropics in India
Sandeep Grover1, Ajit Avasthi1, Vishal Sinha2, Bhavesh Lakdawala3, Manish Bathla4, Sujata Sethi5, DM Mathur6, Puneet Kathuria7, Sandip Shah8, D Sai Baalasubramanian9, Vivek Agarwal10, Kamla Deka11
1 Department of Psychiatry, PGIMER, Chandigarh, India
2 Department of Psychiatry, S N Medical College, Agra, Uttar Pradesh, India
3 Department of Psychiatry, B J Medical College and Civil Hospital, Ahmedabad, Gujarat, India
4 Department of Psychiatry, MM Institute of Medical Sciences and Research, Mullana, Ambala, India
5 Department of Psychiatry, PGIMS, Rohtak, India
6 Department of Psychiatry, Gitanjali Medical College Hospital, Udaipur, Rajasthan, India
7 Consultant Psychiatrist, Ludhiana, Punjab, India
8 Department of Psychiatry, SBKS MI & RC, Sumandeep Vidyapeeth, Pipaira, Vadodara, Gujarat, India
9 Department of Psychiatry, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India
10 Department of Psychiatry, KGMU, Lucknow, Uttar Pradesh, India
11 Department of Psychiatry, Guwahati Medical College, Guwahati, Assam, India
Background: There is a lack of information on the clinical and sociodemographic correlates of prescription of psychotropics by psychiatrists.
Aim and Objective: This study aimed to evaluate the relationship of prescription patterns with various clinical and sociodemographic variables.
Methodology: Data of prescription patterns, psychiatric diagnosis, sociodemographic variables, and comorbid physical illnesses were collected for 4480 patients, across 11 centers.
Results: Females are more often prescribed escitalopram, sertraline, amitriptyline, amisulpride, nonlithium mood stabilizers, and benzodiazepines, whereas males are more often prescribed fluoxetine, olanzapine, two antipsychotics concurrently, typical antipsychotics, valproate, lithium, and more than one benzodiazepine. Elderly (>65 years) participants are more often prescribed sertraline when compared to adolescents. In addition, elderly more often receive quetiapine and less often are prescribed benzodiazepines. Those with comorbid neurological disorders are commonly prescribed antipsychotics, amitriptyline, and more than one antidepressant and are less commonly prescribed lithium, combination of two mood stabilizers, and benzodiazepines. Those with cardiac ailments are more commonly prescribed sertraline, quetiapine, and lithium and less frequently prescribed amitriptyline, fluoxetine, olanzapine, risperidone, and typical antipsychotics. Those with diabetes mellitus more often received escitalopram and quetiapine. Presence of more than one psychiatric diagnosis was associated with the use of more number of medications. Further, diagnosis of affective disorders was associated with the use of a higher number of medications.
Conclusion: Findings of the present study suggest that sociodemographic variables and physical and psychiatric comorbidity influence the prescription patterns of psychotropics.
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
Source of Support: None, Conflict of Interest: None
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