Patterns of prescription of antipsychotics in Qatar.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2020
Historique:
received: 22 03 2020
accepted: 25 10 2020
entrez: 9 11 2020
pubmed: 10 11 2020
medline: 5 1 2021
Statut: epublish

Résumé

Even though all guidelines recommend generally against antipsychotic polypharmacy, antipsychotic polypharmacy appears to be a very common practice across the globe. This study aimed to examine the prescription patterns of antipsychotics in Qatar, in comparison with the international guidelines, and to scrutinize the sociodemographic and clinical features associated with antipsychotic polypharmacy. All the medical records of all the inpatients and outpatients treated by antipsychotics at the Department of Psychiatry-Hamad Medical Corporation (HMC) in Doha, Qatar (between October 2012 and April 2014) were retrospectively analyzed. We retrieved the available sociodemographic data, psychiatric features, and details on the medication history. Our sample consisted of 537 individuals on antipsychotics (2/3 were male; mean age 33.8±10.2 years), prescribed for a psychotic disorder in 57%, a mood disorder in 9.3%, and various other diagnoses in 33.7%. About 55.9% received one antipsychotic, 29.6% received two antipsychotics, and 14.5% received more than two antipsychotics. Polypharmacy was associated with younger age (p = 0.025), being single (p<0.001), the diagnosis of a psychotic disorder (p<0.001), and previous admissions to psychiatry (p<0.001). Antipsychotic polypharmacy appears to be quite common in Qatar, as it is the case in many other countries, in contrast with most international recommendations. Studies are needed to explore the reasons behind this disparity.

Identifiants

pubmed: 33166337
doi: 10.1371/journal.pone.0241986
pii: PONE-D-20-08216
pmc: PMC7652328
doi:

Substances chimiques

Antipsychotic Agents 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0241986

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Sami Ouanes (S)

Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar.

Imen Becetti (I)

Weill Cornell Medical College, Medical Education, Doha, Qatar.

Suhaila Ghuloum (S)

Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar.

Samer Hammoudeh (S)

Research Department, Weill Cornell Medical College, Doha, Qatar.

Mena Shehata (M)

Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar.

Hany Ghabrash (H)

Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar.

Areej Yehya (A)

Research Department, Weill Cornell Medical College, Doha, Qatar.

Hawra Al-Lawati (H)

Weill Cornell Medical College, Medical Education, Doha, Qatar.

Nora Al-Fakhri (N)

Weill Cornell Medical College, Medical Education, Doha, Qatar.

Huma Iram (H)

Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar.

Nighat Ajmal (N)

Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar.

Yassin Eltorki (Y)

Pharmacy Department, Hamad Medical Corporation, Psychiatry Hospital, Doha, Qatar.

Hassen Al-Amin (H)

Psychiatry Department, Weill Cornell Medical College, Doha, Qatar.

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