Perspectives

Outcomes Study: Adverse Effects of Combination Antipsychotic Therapy in a Forensic Patient Population

Written by admin | Dec 5, 2023 9:44:34 PM

Background

  • Current guidelines suggest reserving combination antipsychotic therapy (CAT) as a fourth- or fifth-line option in cases of resistance
  • Previous studies investigating CAT have found an increase in movement-related adverse effects, although not significant, as well as predicted reduced survival rate while little significant clinical benefit has been seen
  • There is limited prior evidence investigating risks of CAT in the forensic population
  • Few previous studies have investigated patient outcomes in a pre-post design to mitigate limitations of varying severities of illness


Objectives

Primary Outcome

  • Compare frequency of adverse drug reactions (ADRs) in patients before and after initiation of combination
    antipsychotic therapy

Secondary Outcomes

  • Evaluate frequency of medication use for extrapyramidal symptoms (EPS), hyperlipidemia (HLD), or diabetes in patients before and after initiation of multiple antipsychotics
  • Assess changes in lipid profiles, A1C, complete blood count (CBC), and BMI
  • Compare frequency of ADRs for each combination regimen

 

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