학술논문

Long‐acting second‐generation and oral antipsychotics for substance use disorders and psychotic symptoms: Prescribing attitudes among Italian psychiatrists.
Document Type
Article
Source
Perspectives in Psychiatric Care. Oct2021, Vol. 57 Issue 4, p1700-1706. 7p. 3 Charts.
Subject
*DRUG therapy for psychoses
*PSYCHIATRIC nursing
*SUBSTANCE abuse
*PSYCHOSES
*ORAL drug administration
*PHYSICIANS' attitudes
*NURSING practice
*DESCRIPTIVE statistics
*DRUG prescribing
*DATA analysis software
*PHYSICIAN practice patterns
*ANTIPSYCHOTIC agents
Language
ISSN
0031-5990
Abstract
Purpose: To explore Italian psychiatrists' attitudes toward the off‐label use of second generation antipsychotics (SGAs) in patients with substance use disorder and psychotic symptoms. Design and Methods: A sample of 300 Italian psychiatrists associated with the Italian Society of Neuropsychopharmacology was randomly selected to complete a survey about the off‐label prescription of SGAs. Findings: Oral aripiprazole (32.7%), olanzapine (30.2%), and quetiapine (25.2%) were considered "appropriate." Long‐acting antipsychoticss were generally considered "inappropriate." Practice Implications: Our findings reflect a substantial level of uncertainty and a lack of coherent clinical guidance within the realm of dual diagnosis treatment. Therefore, they emphasize the need to develop specific guidelines to improve the management of pharmacotherapy among this population. [ABSTRACT FROM AUTHOR]