n African Journal of Psychiatry - Polypharmacy in psychiatric outpatient practice in northern Nigeria : original article
|Article Title||Polypharmacy in psychiatric outpatient practice in northern Nigeria : original article|
|© Publisher:||In House Publications|
|Journal||African Journal of Psychiatry|
|Author||A.B. Adeponle, A.O. Obembe, S.O. Adeyemi and G.T. Suleiman|
|Publication Date||Nov 2007|
|Pages||215 - 218|
|Keyword(s)||Nigeria, Patterns, Polypharmacy and Psychiatric|
Objective: To describe and analyze patterns of polypharmacy among psychiatric outpatients in northern Nigeria and identify predictors of psychotropic polypharmacy.
Method: A cross-sectional study, using chart review of new patients at out-patient clinics of two regional psychiatric hospitals in northern Nigeria, measuring rates, patterns and predictors of psychotropic polypharmacy.
Results: A total of 278 patients were seen, of whom 92% were given two or more psychotropic agents. The pattern of psychotropic polypharmacy revealed that total, multi-class and adjunctive polypharmacy rates were high, while augmentation and same class polypharmacy rates were low. Age of respondent and diagnosis were the factors associated with total polypharmacy.
Conclusion: The complex interplay of factors influencing physician prescription practices requires that a more pragmatic approach be adopted in efforts to curtail polypharmacy practice, rather than a wholesale, absolute condemnation of the practice.
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