Benzodiazepine dose reduction in prisoner patients: 15 years' teamwork between psychiatrists and pharmacists
Autor: | L. Lalande, D. Cabelguenne, J Jonker, M Sautereau, C. Picard, Luc Zimmer, F Meunier |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors medicine.drug_class media_common.quotation_subject Pharmacist Pharmacists 030226 pharmacology & pharmacy 03 medical and health sciences Benzodiazepines 0302 clinical medicine Pharmacotherapy Intervention (counseling) medicine Humans Pharmacology (medical) 030212 general & internal medicine Medical prescription Practice Patterns Physicians' media_common Retrospective Studies Pharmacology Patient Care Team Psychiatry Teamwork Benzodiazepine Dose-Response Relationship Drug business.industry Prisoners Retrospective cohort study Emergency medicine Practice Guidelines as Topic Female France Guideline Adherence business Diazepam medicine.drug |
Zdroj: | Journal of clinical pharmacy and therapeutics. 43(6) |
ISSN: | 1365-2710 |
Popis: | WHAT IS KNOWN AND OBJECTIVE Benzodiazepines are widely consumed in prisons, despite the iatrogenic risks associated with this therapeutic class. A multidisciplinary pharmacotherapy programme was therefore initiated by pharmacists in 2001. The aim of this study was to demonstrate the efficacy of teamwork between psychiatrists and pharmacists in benzodiazepine dose adjustment, with 15 years of hindsight. METHOD In this retrospective study, daily prescribed benzodiazepine doses were compared between a reference group of patients in prisons in Lyon, France, in 2000, and four groups after psychiatrist-pharmacist teamwork in 2004, 2008, 2012 and 2016. RESULTS AND DISCUSSION A number of 1249 patients were included. Prescribed doses of benzodiazepine decreased in the intervention groups, to a mean of 29-35 mg diazepam equivalent per day, compared to the control group (42 mg/day) (P |
Databáze: | OpenAIRE |
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