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Adverse drug reactions of antidepressants and antipsychotics : Experience, knowledge and attitudes among Norwegian psychiatrists

Castberg, Ingrid ; Reimers, Arne LU ; Sandvik, Pål ; Aamo, Trond O. and Spigset, Olav (2006) In Nordic Journal of Psychiatry 60(3). p.227-233
Abstract

Efficient prevention of adverse drug reactions (ADRs) requires knowledge about their severity and pharmacological mechanisms and is dependent on reliable data on their frequencies and possible risk factors. The study was conducted to investigate the prescribers' experience and understanding of the ADRs of psychotropic drugs, and their attitude towards reporting these. In a questionnaire, physicians treating adult psychiatric patients were asked which ADRs that they regarded bothersome for some of the most widely used antidepressants and antipsychotics. Questions about the relationship between blockade of drug receptors and ADRs, and about the physicians' personal experience of and attitudes towards reporting of ADRs were also included.... (More)

Efficient prevention of adverse drug reactions (ADRs) requires knowledge about their severity and pharmacological mechanisms and is dependent on reliable data on their frequencies and possible risk factors. The study was conducted to investigate the prescribers' experience and understanding of the ADRs of psychotropic drugs, and their attitude towards reporting these. In a questionnaire, physicians treating adult psychiatric patients were asked which ADRs that they regarded bothersome for some of the most widely used antidepressants and antipsychotics. Questions about the relationship between blockade of drug receptors and ADRs, and about the physicians' personal experience of and attitudes towards reporting of ADRs were also included. In total, 70 of 91 questionnaires (78%) were returned. The mean number of ADRs regarded bothersome ranged from 2.4 to 9.3 for the various drugs/drug classes. Qualified psychiatrists stated a significantly higher number of bothersome ADRs than did the residents. The percentage of physicians associating blockade of a receptor with a specific ADR varied from 76% (histamine receptor blockade and sedation) to 37% (α1- adrenergic blockade and tachycardia). Thirty-nine per cent of the physicians had never reported an ADR to the Norwegian Medicines Agency. The number of ADRs considered bothersome was relatively high. The pattern of these ADRs generally mirrored the typical ADR profiles of the drugs. The knowledge of the underlying mechanisms of ADRs was more or less incomplete. The reporting rate of ADRs to the national regulatory authorities was low.

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author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Adverse drug reaction reporting system, Adverse drug reactions, Antidepressants, Antipsychotics, Attitude of health personnel
in
Nordic Journal of Psychiatry
volume
60
issue
3
pages
227 - 233
publisher
Informa Healthcare
external identifiers
  • scopus:33744804598
  • pmid:16720514
ISSN
0803-9488
DOI
10.1080/08039480600636494
language
English
LU publication?
no
id
b56c17e3-4855-4e69-b276-887e6c419924
date added to LUP
2024-08-31 14:55:44
date last changed
2024-09-02 08:01:27
@article{b56c17e3-4855-4e69-b276-887e6c419924,
  abstract     = {{<p>Efficient prevention of adverse drug reactions (ADRs) requires knowledge about their severity and pharmacological mechanisms and is dependent on reliable data on their frequencies and possible risk factors. The study was conducted to investigate the prescribers' experience and understanding of the ADRs of psychotropic drugs, and their attitude towards reporting these. In a questionnaire, physicians treating adult psychiatric patients were asked which ADRs that they regarded bothersome for some of the most widely used antidepressants and antipsychotics. Questions about the relationship between blockade of drug receptors and ADRs, and about the physicians' personal experience of and attitudes towards reporting of ADRs were also included. In total, 70 of 91 questionnaires (78%) were returned. The mean number of ADRs regarded bothersome ranged from 2.4 to 9.3 for the various drugs/drug classes. Qualified psychiatrists stated a significantly higher number of bothersome ADRs than did the residents. The percentage of physicians associating blockade of a receptor with a specific ADR varied from 76% (histamine receptor blockade and sedation) to 37% (α<sub>1</sub>- adrenergic blockade and tachycardia). Thirty-nine per cent of the physicians had never reported an ADR to the Norwegian Medicines Agency. The number of ADRs considered bothersome was relatively high. The pattern of these ADRs generally mirrored the typical ADR profiles of the drugs. The knowledge of the underlying mechanisms of ADRs was more or less incomplete. The reporting rate of ADRs to the national regulatory authorities was low.</p>}},
  author       = {{Castberg, Ingrid and Reimers, Arne and Sandvik, Pål and Aamo, Trond O. and Spigset, Olav}},
  issn         = {{0803-9488}},
  keywords     = {{Adverse drug reaction reporting system; Adverse drug reactions; Antidepressants; Antipsychotics; Attitude of health personnel}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{227--233}},
  publisher    = {{Informa Healthcare}},
  series       = {{Nordic Journal of Psychiatry}},
  title        = {{Adverse drug reactions of antidepressants and antipsychotics : Experience, knowledge and attitudes among Norwegian psychiatrists}},
  url          = {{http://dx.doi.org/10.1080/08039480600636494}},
  doi          = {{10.1080/08039480600636494}},
  volume       = {{60}},
  year         = {{2006}},
}