Antipsychotic use in the elderly: What doctors say they do, and what they do

Tiller, John, Ames, David, Brodaty, Henry, Byrne, Gerard, Chawla, Sudarshan, Halliday, Graeme, Snowdon, John, Hepworth, Graham, McArdle, Peter and Schweitzer, Isaac (2008) Antipsychotic use in the elderly: What doctors say they do, and what they do. Australasian Journal on Ageing, 27 3: 134-142. doi:10.1111/j.1741-6612.2008.00308.x

Author Tiller, John
Ames, David
Brodaty, Henry
Byrne, Gerard
Chawla, Sudarshan
Halliday, Graeme
Snowdon, John
Hepworth, Graham
McArdle, Peter
Schweitzer, Isaac
Title Antipsychotic use in the elderly: What doctors say they do, and what they do
Journal name Australasian Journal on Ageing   Check publisher's open access policy
ISSN 1440-6381
Publication date 2008-09
Sub-type Article (original research)
DOI 10.1111/j.1741-6612.2008.00308.x
Volume 27
Issue 3
Start page 134
End page 142
Total pages 9
Language eng
Subject 1701 Psychology
Abstract Objective: To review psychiatrists' attitudes and actual practice on the use of typical and atypical antipsychotics in the elderly. Methods: Audit data were collected from 18-old-age psychiatry units across Australia. The attitudes of old age psychiatrists and their perceptions of the efficacy, tolerability and clinical usefulness of antipsychotics were examined. Results: The medications used for 321 patients were audited, and the attitudes of the 57 prescribing doctors were assessed. All available atypicals were prescribed and reported as more efficacious and clinically useful than typicals. Adverse events perceived by doctors as an obstacle to prescribing were more frequent than reported adverse event rates in product information. All diagnostic groups improved. Off-label use comprised almost 22% in this sample. Conclusions: Adverse events are impediments to prescribing, more so with typical than atypical antipsychotics. All available atypicals were used and appeared effective in this elderly population.
Keyword Adverse events
Antipsychotic dosage
Q-Index Code C1
Q-Index Status Provisional Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Psychology Publications
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Citation counts: TR Web of Science Citation Count  Cited 7 times in Thomson Reuters Web of Science Article | Citations
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Created: Thu, 03 Sep 2009, 09:46:22 EST by Mr Andrew Martlew on behalf of Faculty of Social & Behavioural Sciences