ผู้วิจัย/Authors: Pichet Udomratn, M.D.

ชื่อเรื่อง/Title: Prescribing Habits of Thai Psychiatrists in the Treatment of a First Episode Schizophrenia

แหล่งที่มา/Source: Journal of The Psychiatric Association of Thailand, Vol. 44 No.2 April-June 1999, P 119-124.

รายละเอียด / Details:

Objective To study the pattern of prescribing antipsychotic drugs by Thai psychiatrists in the acute treatment of a first episode schizophrenia. Method Practising Thai psychiatrists, regardless of sex, age and hospitals, were asked to complete a questionnaire of a case history involving a first episode of paranoid schizophrenia. Data from the questionnaires was presented by percentages, then grouped and compared. Results Of 98 respondents, 76.5% were male and 23.5% were female, aged 30-40 (63.3%) who worked in a psychiatric hospital (37.8%) a university hospital or a general hospital (24.5%). Most psychiatrists (36.7%) prescribed haloperidol in an average daily dose of 6-10 mg (39%), while 33% and 17% prescribed 11-15 mg and 16-20 mg respectively. Most psychiatrists (33%) would wait for 22-35 days to change the neuroleptics if the psychotic symptoms proved resistant to the first treatment with haloperidol. Perphenazine was the most popular drug of most psychiatrists (53.1%) chosen as a second neuroleptic. Conclusions Thai psychiatrists tend to prescribe a moderate dose of haloperidol in acute treatment of the first episode paranoid schizophrenia and a mid-potency antipsychotic (perphenazine) was chosen as a second neuroleptic. However, this study was done before the introduction of novel antipsychotic drugs such as clozapine, risperidone and olanzapine. Whether this pattern will change should be further investigated.

Keywords: prescribing pattern, antipsychotic drugs, schizophrenia, first episode, Thai psychiatrists, psychiatry

ปีที่เผยแพร่/Year: 1999

Address: Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.

Code: 00000123

ISSN/ISBN: 0125-6985

Country of publication: Thailand.

Language: English.

Category: Abstract Journal.

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