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New Study Improves Treatment & Saves Drug & Hospital
Costs:
Shows ["Schizophrenic"] Patients Do Better On Fraction Of Usual
Dose
Dr Shitij Kapur, Clarke Institute of Psychiatry Schizophrenia
Division & the University of Toronto Schizophrenia Program
Schizophrenia
Originally published 1in 996,quoted on qspc site
Published online by the Clarke Institute and CAMH:
http://www.camh.net/CLARKEPages/communications/press_releases/reduce_schizo_drug_cost.html
"The problem with many antipsychotic drugs, is that the side-effects
can be so awful that patients become convinced the drug is the enemy,
and stop taking it. When that happens they often lapse into psychosis
and have to be hospitalized. Since these drugs are the best available
treatment for schizophrenia, and the cost and side effects of these
drugs are considerable, it is imperative that we find the lowest
effective dose. "
A team of Clarke Institute of Psychiatry researchers have found
that patients with schizophrenia improve on far lower doses
of antipsychotic medication than traditionally prescribed, and
with far fewer of the debilitating side effects. Their finding
could improve the life of individuals with schizophrenia and
save millions in drug and hospital costs. On the basis of this
work, Dr Kapur who led the research, encourages clinicians initiating
treatment for schizophrenia to use low doses of typical antipsychotics
- particularly for patients experiencing their first episode
of psychosis. The findings have been published in the July issue
of the American Journal of Psychiatry.
The costs are enormous. Schizophrenia accounts
for 2.5% of total health care expenditures in any province - far
more than any other serious illness. In Canada, people with chronic
schizophrenia occupy 8% of all hospital beds - more beds than
people suffering from cancer, heart disease, diabetes, and arthritis
combined. It is estimated that schizophrenia costs Canadian society
more than $4 billion per year - $2.3 billion in direct health
care costs and $2 billion in indirect costs such as welfare and
support payments. The emotional cost to the individuals and their
families is incalculable.
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