De Prescribing of Antipsychotics in Home Patients: Current ... 2025

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For those prescribed antipsychotics for the treatment of BPSD, we recommend considering the following: Reduce to 75%, 50%, and 25% of the original dose on a biweekly basis before stopping. Alternatively, reduce the previous dose by approximately 50% every week down to 25% of the initial dose, then stop.
There is consistent evidence supporting the efficacy of antipsychotics in the short term and mid term following stabilization of acute psychotic symptoms. There is insufficient evidence supporting the notion that this effect changes in the long term.
Conclusion. Both primary care physicians and psychiatrists can prescribe psychiatric medication. All journeys start somewhere, and a primary care clinic is often a good place to start your journey to better mental health.
The national average for the percentage of long-stay residents who received an antipsychotic during this time period was 23.9%.
If you stop taking your antipsychotic, your original symptoms may return. This may happen quickly, but it can take up to 6 months after you stop taking your antipsychotic.

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Many antipsychotics increase risk for metabolic syndrome and thus the risk of heart disease, diabetes, and stroke (7), which are among the common causes of premature mortality in schizophrenia (8).
Some people may be able to stop taking antipsychotics without problems, but others can find it very difficult. If you have been taking them for some time, it can be more difficult to come off them. This is especially if you have been taking them for one year or longer.
While not a certainty, long‐term antipsychotic treatment is a very common outcome for people with schizophrenia. We encourage a sense of curiosity about the possibility of dose reduction and discontinuation in appropriate patients.

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