Neuroleptic dose and schizophrenic symptoms. A survey of prescribing practices.

Abstract:

:A study was conducted to survey the prescribing practices of neuroleptic doses in 100 consecutively hospitalized DSM-III-R schizophrenic patients. The relationship between doses and clinical and symptomatological variables was subsequently analyzed. Patients were evaluated through the Positive and Negative Syndrome Scale (PANSS). The peak mean dose in chlorpromazine equivalents was 1290 (range 250-7200). Haloperidol was the most commonly employed neuroleptic (67 patients). Neuroleptic doses were correlated with excitement, suspiciousness, hostility, uncooperativeness and poor impulse control. The neuroleptic doses administered in our hospital were similar to those found in other survey reports but higher than those recommended by the controlled dose-response studies. The correlation found between neuroleptic doses and symptoms of disruptive behavior suggests that we employed high-dose practices to treat the disruptive symptoms of schizophrenia. We concluded that it is useful to distinguish between the neuroleptic doses required to control the psychotic episode and those to treat the disruptive behavior.

journal_name

Acta Psychiatr Scand

authors

Peralta V,Cuesta MJ,Caro F,Martinez-Larrea A

doi

10.1111/j.1600-0447.1994.tb01606.x

subject

Has Abstract

pub_date

1994-11-01 00:00:00

pages

354-7

issue

5

eissn

0001-690X

issn

1600-0447

journal_volume

90

pub_type

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