Table 5.
Psychotropic medication prescribing practices after stratifying based on 25% use of long acting injectable
| Treatment Characteristics | LAI <25% | LAI >/=25% | P value* |
|---|---|---|---|
| Antipsychotics | |||
| 0 Antipsychotic, Median % (IQR)[^] | 4.2(0.0–19.0)[26] | 0.0(0.0–6.0)[26] | 0.10 |
| 1 Antipsychotic | 61.7(44.5–73.0)[26] | 56.1(42.0–76.0)[26] | 0.60 |
| 2 Antipsychotics | 14.1(8.4–23.6)[20] | 34.6(20.7–42.9)[20] | 0.001 |
| 3 or more Antipsychotics | 1.8(0.0–5.8)[20] | 4.8(0.0–11.8)[20] | 0.20 |
| APP (>/= 2 Antipsychotics)a | 22.0(15.2–35.0)[37] | 35.7(18.5–46.0)[28] | 0.04 |
| First-generation antipsychotics | 55.0(45.0–90.1)[34] | 90.5(74.0–100)[24] | 0.003 |
| Second-generation antipsychotics | 44.1(6.0–59.9)[26] | 1.1(0.0–24.0)[19] | 0.03 |
| Clozapine | 7.8(0.0–14.2)[26] | 0.0(0.0–9.5)[16] | 0.18 |
| Long-acting injectable preparations | 16.0(8.7–21.8)[37] | 47.1(30.5–66.2)[28] | <0.0001 |
| Comedications | |||
| Mood stabilizers b | 19.9(14.2–22.7)[10] | 6.5(4.0–11.1)[4] | 0.03 |
| Lithium b | 4.3(1.9–10.0)[14] | 4.7(3.0–7.2)[10] | 0.95 |
| Anticonvulsants b | 7.3(4.0–10.7)[10] | 1.0(0.0–5.7)[12] | 0.007 |
| Anxiolytics/hypnotics | 32.0(15.7–40.0)[25] | 33.1(15.0–39.0)[18] | 0.94 |
| Antidepressants | 14.1(7.8–24.7)[27] | 10.0(6.2–24.2)[17] | 0.45 |
| Anticholinergics | 35.1(26.9–46.8)[27] | 48.0(37.1–67.2)[17] | 0.004 |
| APP (>/= 2 Antipsychotics) | |||
| FGA + FGA | 52.0(0.0–100)[23] | 100(99.0–100)[15] | 0.03 |
| SGA + SGA | 1.5(0.0–15.6)[21] | 0.0(0.0–0.0)[15] | 0.02 |
| FGA + SGA | 26.5(0.0–56.5)[24] | 0.0(0.0–5.15)[16] | 0.02 |
| Long-acting injectable preparations | 11.4(0.0–31.8)[10] | 81.0(55.1–100)[16] | 0.006 |
Mann-Whitney test.
Number of time points. IQR: Interquantile range (percentile 25–75). APP: Antipsychotic Polypharmacy. FGA: First-Generation Antipsychotic. SGA: Second-Generation Antipsychotic.
The APP rate is not identical to the sum of patients taking 2 or >/=3 antipsychotics, as not all studies reporting on APP specified the exact number of antipsychotics prescribed;
Although overlapping conceptually, the terms “mood stabilizers”, “anticonvulsants” and “lithium” are taken directly from the publications.