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A Monograph Series Devoted To The Understanding Of Medicine, Mental Health, Man, Mind, Music And Their Matrix
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PSYCHIATRY, MENTAL HEALTH AND PSYCHOANALYSIS
Year : 2013  |  Volume : 11  |  Issue : 1  |  Page : 82-99

Polypharmacy in psychiatry: A review


1 M.B.B.S., F.C.L.R., Research Associate, Lokmanya Tilak Medical College and Sion General Hospital, Sion, Mumbai 400 022, India
2 M.D., D.P.M. Assistant Professor of Psychiatry, M.G.M. Medical College and Hospital, M.G.M. University of Health Sciences, Sector 18, Kamothe, New Mumbai 410 209, India
3 M.D., D.N.B., D.P.M Professor of Psychiatry, Lokmanya Tilak Medical College and Sion General Hospital, Sion, Mumbai 400 022, India
4 MD, MRCPsych, FRCPC University of Western Ontario, Regional Mental Health Care, 467, Sunset Drive, St. Thomas, Ontario, N6H3V9, Canada

Correspondence Address:
Amresh Shrivastava
University of Western Ontario, Regional Mental Health Care, 467, Sunset Drive, St. Thomas, Ontario, N6H3V9
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1229.104497

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Psychiatric polypharmacy refers to the prescription of two or more psychiatric medications concurrently to a patient. It can be categorised as same-class, multi-class, adjunctive, augmentation and total polypharmacy. Despite advances in psychopharmacology and a better understanding of the principles of therapeutics, its practice is increasing rapidly. The prevalence of polypharmacy in psychiatry varies between 13%-90%. There are various clinical and pharmaco-economic factors associated with it. Dealing with polypharmacy requires an understanding of its associated factors. Education, guidelines and algorithms for the appropriate management of various conditions are effective ways to avoid irrational polypharmacy.


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