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http://dx.doi.org/10.1177/10398562241308437 | DOI Listing |
Eur Neuropsychopharmacol
August 2025
Department of Clinical Medicine, Aarhus University, Aarhus, Denmark; Psychosis Research Unit, Aarhus University Hospital - Psychiatry, Aarhus, Denmark.
Antipsychotic polypharmacy (APP) remains common in the treatment of schizophrenia despite increased risk of adverse events and limited evidence of additional efficacy compared to antipsychotic monotherapy (APM). We conducted a nationwide, register-based cohort study to characterize APP among patients with schizophrenia in Denmark, 1997-2021. Patients were followed from year 3 after the schizophrenia diagnosis and onwards.
View Article and Find Full Text PDFJ Affect Disord
August 2025
Institute of Pharmaceutical Sciences, Kings College London, WC2R 2LS, UK; North East London NHS Foundation Trust, IG3 8YY, UK.
Background: Clinicians often recommend dosing antidepressants every other day when tapering to reduce 'average' daily doses. This is used in place of liquid formulations or other methods for obtaining smaller doses. There is limited evidence to support this approach.
View Article and Find Full Text PDFBasic Clin Pharmacol Toxicol
September 2025
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Background: National estimates of drug discontinuation for deprescribing targets in older adults are limited, partly due to challenges distinguishing planned deprescribing from poor adherence. Focusing on individuals with multidose dispensing (MDD), characterized by high adherence by design, may yield realistic discontinuation rates.
Aims: To estimate the rates of discontinuation for chronically used drugs targeted for deprescribing among older adults, and to describe reinitiation among users of MDD and standard dispensing (non-MDD).
BMC Geriatr
August 2025
Faculté de pharmacie, Université Laval, Québec, Québec, Canada.
Background: Potentially inappropriate medications (PIMs) are frequent in older adults, contributing to hospitalizations, adverse events, and healthcare burden. We aimed to estimate direct PIM cost trends from 2012 to 2021 among older women and men in Quebec, Canada.
Methods: Using medico-administrative data, we assessed direct costs paid by the public insurer (medication cost and professional fee, excluding out-of-pocket payments by individuals) of PIMs claimed by adults ≥65 years covered by the public drug plan.
J Am Geriatr Soc
July 2025
Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Background: Prolonged benzodiazepine (BZD) use following hospital discharge may heighten the risk of BZD dependence and serious adverse drug events in older adults. However, there is limited understanding of BZD discontinuation pattern and associated factors in this population.
Methods: This retrospective cohort study was conducted using Optum CDM from January 2004 to February 2025.