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

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by reviewing the objectives section, which outlines the appropriate and inappropriate indications for antipsychotic use. This will guide your understanding as you fill out the form.
  3. In the 'Meet Mrs. A' section, input relevant patient information such as age, medical history, and current medications. Ensure accuracy to reflect her condition.
  4. Proceed to document any challenges faced in managing symptoms. Use our platform's text tools to highlight key issues like side effects or alternative treatments considered.
  5. Fill out the CMS regulations section by detailing compliance measures taken regarding antipsychotic prescriptions. Utilize checkboxes and dropdowns for clarity.
  6. Finally, review all entries for completeness and accuracy before saving or sharing the document directly from our platform.

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Other adverse outcomes associated with antipsychotic use in dementia include risk of extrapyramidal side effects including gait disturbance (with use of FGAs and risperidone, but less commonly olanzapine, , and quetiapine), sedation, venous thromboembolism, and pneumonia [6, 25, 51, 54].
The most frequent reasons for discontinuation were side effects and patient believed he/she no longer needed the medication because he/she was now better. The most frequent reasons for continuation were benefits for positive symptoms and another person told them to.
The five steps to individualize deprescribing practices to each patient are (1) to identify potentially inappropriate medications; (2) to determine if the medication dosage can be reduced or the medication stopped; (3) to plan tapering; (4) to monitor (for discontinuation symptoms or the need to restart) and support
We estimated the risk of recurrence within the first year following medication discontinuation to be 77%.
The adverse effects of antipsychotic medications range from relatively minor tolerability issues (e.g., mild sedation or dry mouth) to very unpleasant (e.g., constipation, akathisia, sexual dysfunction) to painful (e.g., acute dystonias) to disfiguring (e.g., weight gain, tardive dyskinesia) to life threatening (e.g.,

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From the patient perspective, the reasons given as the single most important reason for discontinuing the drug used prior to study start were positive symptoms not sufficiently improved or made worse (26.2%), patient wishes to try a new antipsychotic (21.6%), and adverse events (19.0%).

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