Pharmacological management of acute mania - does current prescribing practice reflect treatment guidelines?

A Steeruwits, T R E Barnes, J Fehler, R Ohlsen, V A Curtis

Research output: Contribution to journalLiterature reviewpeer-review

2 Citations (Scopus)

Abstract

The records of 70 inpatients with an acute manic episode were audited, to examine the relationship between current prescribing practice, the recommendations of recent clinical guidance and short-term clinical outcomes. Overall, 38 combinations of medication were prescribed. Within the first 24 hours of treatment, monotherapy with a second generation antipsychotic was favoured. At discharge, combination treatment (a mood stabilizer and a second generation antipsychotic) predominated. Early initiation of medication was significantly associated with an earlier clinical decision to discharge. Prescribing was generally in accord with published guidelines. The findings reinforce the value of prescribing surveys in mental health and the need to share understanding of the constraints that may lead to deviation from prescribing guidelines
Original languageEnglish
Pages (from-to)206 - 209
Number of pages4
JournalJournal of Psychopharmacology
Volume21
Issue number2
DOIs
Publication statusPublished - Mar 2007

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