Psychotropic Drug Utilization in Psychiatry Inpatients at Extremes of Age at a University Hospital in Southern India

Kamath, Ashwin and Kamath, Priyanka and Hadigal, Sanjay and Shenoy, Ashok K (2015) Psychotropic Drug Utilization in Psychiatry Inpatients at Extremes of Age at a University Hospital in Southern India. International Journal of Health Sciences & Research, 5 (9). pp. 298-306. ISSN 2249-9571

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Abstract

Background: Psychiatric disorders are fast emerging as a major group of disorders affecting the society. With a predominantly younger population, psychiatric morbidity in children in India is relatively high. Also, management of psychiatric illness in elderly is complicated by presence of comorbidities and attendant polypharmacy. The objective of our study was to determine the psychotropic drug utilization pattern in the extremes of age in a tertiary care facility in Southern India. Method: Hospital records of psychiatry inpatients ≤ 18 years of age and ≥65 years of age admitted over a period of one year and two years respectively were studied. Drugs prescribed on hospital admission and on discharge were recorded. Results: A total of 133 patients were studied of which 82 were children and the rest were elderly. Of the 82 pediatric patients, 59.8% were males. The mean age was 11.47±5.09 years in males and 13.67±4.09 years in females (p=0.034). Antianxiety drugs were the most commonly prescribed psychotropics followed by antipsychotics. Of the 51 elderly patients, 58.8% were males. The mean age was 73.67±5.8 years in males and 68.57±4.7 years in females (p=0.001). Antianxiety drugs were the most commonly prescribed psychotropics followed by antidepressants. Polypharmacy was less as compared to other similar studies. Conclusion: A large number of patients in both the extremes of age received anxiolytics. No significant gender difference was seen with regard to polypharmacy. A larger study of psychotropic drug prescription taking into consideration the standard practice guidelines, both in the children and elderly patients, is necessary.

Item Type: Article
Uncontrolled Keywords: Drug utilization, psychotropics, age, gender, polypharmacy.
Subjects: Medicine > KMC Mangalore > Pharmacology
Depositing User: KMCMLR User
Date Deposited: 18 Sep 2015 16:40
Last Modified: 18 Sep 2015 16:40
URI: http://eprints.manipal.edu/id/eprint/143945

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