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Why are psychotropic drugs prescribed to out-patients?

A methodological study

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Summary

The prescription of psychotropic drugs at a multidoctor district health centre in northern Sweden in 1973, was analysed by means of problemoriented medical records. Of the 22,000 inhabitants of the district 10,700 consulted the health centre. Psychotropic drugs were prescribed for 11.3% of the patients, corresponding to 5% of the inhabitants of the area. Sixty per cent of the patients received one psychotropic prescription and 90% not more than three. Two-thirds of prescriptions were for women. Hypnotics, sedatives and minor tranquillisers constituted 64% of all prescriptions, major tranquillisers 24% and antidepressants 12%. One fifth of the patients obtained drugs belonging to more than one of the major psychotropic groups during the year. Insomnia, psychoneurosis and depression made up two-thirds of the indications for psychotropic drug therapy. More than thirty different psychotropic drugs were prescribed for the two major indications. There was considerable variation in how the different doctors prescribed drugs for the same indication. Fifty-nine different drug products were prescribed, of which the commonest five constituted more than half of the total number. Individual doctors used from 22 to 38 different psychotropic drugs.

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References

  1. Allgulander, C.: Dependence on Sedative and Hypnotic Drugs. A Comparative Clinical and Social Study. Acta Psychiatr. Scand. Suppl.270 (1978)

  2. Grímsson, A., Idänpään-Heikkilä, J., Lunde, P.K.M., Olafsson, O., Westerholm, B.: Förbrukningen av psykofarmak i Finland, Island, Norge och Sverige. Nord. Med.92, 49–54 (1977)

    Google Scholar 

  3. Grímsson, A., Idänpään-Heikkilä, J., Lunde, P.K.M., Olafsson, O., Westerholm, B.: The utilization of psychotropic drugs in Finland, Iceland, Norway and Sweden. In: Drug Utilization Studies — methods and applications. U. Bergman, A. Grímsson, B. Westerholm (eds.). Copenhagen: WHO Regional Publications, European Series. In Press (1978).

    Google Scholar 

  4. Gunnarsson, C., Maaths, G.: Produktionsredovisning vid Örnsköldsviks läkarstation. Spri rapport 3/74 (Stockholm 1974)

  5. Provisorisk diagnoskod för öppen vård. Socialstyrelsens PB 3 (1970)

  6. Bergman, U., Gunnarsson, C., Westerholm, B.: Förskrivning av psykofarmaka vid en flerläkarstation. Läkartidningen74, 244–246 (1977)

    Google Scholar 

  7. Boethius, G., Westerholm, B.: Psykofarmakaförbrukningen i Sverige under 1970-talet. Sven. Farm. Tidskr.81, 289–295 (1977)

    Google Scholar 

  8. The Australian general practice morbidity and prescribing survey 1969 to 1974. The Royal Australian College of General Practitioners. Med. J. Austr. Special Suppl.2, 5–28 (1976)

  9. Sedvall, G.: Kliniskt-farmakologiska aspekter på förskrivning av sedativa-hypnotika. Läkartidningen69, 1373–1377 (1972)

    Google Scholar 

  10. Boethius, G., Sjöqvist, F.: Doses and dosage intervals of drugs — clinical practice versus pharmacokinetic principles. Clin. Pharmacol. Ther.24, 255–263 (1978)

    Google Scholar 

  11. Åsberg, M.: Treatment of depression with tricyclic drugs — pharmacokinetic and pharmacodynamic aspects. Pharmacopsychiatry9, 18–26 (1976)

    Google Scholar 

  12. Vinar, O., Stiká, L.: Drug combinations prescribed by physicians in Prague 6 for psychiatric diagnoses. Act. Nerv. Super.14, 85 (1972)

    Google Scholar 

  13. Hemminki, E.: Polypharmacy among psychiatric patients. Acta Psychiatr. Scand.56, 347 (1977)

    Google Scholar 

  14. Boethius, G., Westerholm, B.: Purchases of hypnotics, sedatives and minor tranquillisers among 2566 individuals in the county of Jämtland, Sweden. A 6-year follow-up. Acta Psychiatr. Scand.56, 147–159 (1977)

    Google Scholar 

  15. Bergman, U., Sjöqvist, F., Söderhielm, L.: Use of digoxin in a low density population area in Sweden. Europ. J. clin. Pharmacol.10, 19–24 (1976)

    Google Scholar 

  16. Hemminki, E.: General Practitioners Indications for Psychotropic Drugs. Scand. J. Soc. Med.2, 79–85 (1974)

    Google Scholar 

  17. Änggård, E.: Effektregistrering vid klinisk läkemedelsprövning — behov av förbättrade metoder. I: Klinisk Läkemedelsprövning. 1978: I Socialstyrelsens kommitté för läkemedelsinformation

  18. Fugelli, P.: Bruk av legemidler på Vaerøy og Røst. Oslo-Bergen-Tromsø: Universitetsforlaget 1977

    Google Scholar 

  19. Bergström, K., Westerholm, B.: Consumption of sedatives, hypnotics and minor tranquillisers in a Swedish town. Psychiatry. Proceedings of the V. World Congress of Psychiatry, Mexico, D. F., Nov.25 – Dec. 4, 1971, pp. 94–102. Part I. Amsterdam: Excerpta Medica 1971

    Google Scholar 

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Bergman, U., Dahlström, M., Gunnarsson, C. et al. Why are psychotropic drugs prescribed to out-patients?. Eur J Clin Pharmacol 15, 249–256 (1979). https://doi.org/10.1007/BF00618513

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  • DOI: https://doi.org/10.1007/BF00618513

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