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Psychiatric Bulletin (1997) 21: 566-569. doi: 10.1192/pb.21.9.566
© 1997 The Royal College of Psychiatrists
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Use of high dose antipsychotic medication

Graeme Yorston, Senior Registrar in Old Age Psychiatry*

DMHE Community Team, South Buckinghamshire NHS Trust, Shrubbery Road, High Wycombe, Buckinghamshire HP13 6PS

Alison Pinney, Dispensary Manager

Amersham Hospital, Whielden Street, Amersham, Bucks HP7 0JD

* Correspondence

An audit of antipsychotic prescribing was carried out on community and in-patient samples. A novel method of expressing total daily antipsychotic dose as a percentage of the British National Formulary maximum recommended dose was used. Of 226 patients who had been prescribed antipsychotics, 16 (7%) were found to be on high doses. Their medical notes were examined to ascertain whether the Royal College of Psychiatrists guidelines were being followed. Recommendations on ways in which practice could be improved were made and a re-audit was carried out. The number of patients receiving high doses fell to 6 (3%) out of 206.




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Copyright © 1997 The Royal College of Psychiatrists.