Physical Health Of Patients With Schizophrenia. Dr. Ahmed Shoka Consultant Psychiatrist. Schizophrenia. Strikes one in a hundred And affects many more. The Mission. Facts Figures Findings Challenge Implication. The Concept.
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Dr. Ahmed Shoka
Strikes one in a hundred And affects many more.
One study demonstrated that clozapine has been shown to contribute to a significant decrease in daily cigarette use in heavy smokers in comparison to typical neuroleptics.
Moderate RisperidoneClopenthixol Sulpride Amisulpride Haloperidol Fluphenazine FlupenthixolAntipsychotics & Weight Gain(Zimmerman et al 2003)
2-Type II Diabetes
5-Insulin resistance or hyperinsulinaemia
Dr Hameedi of Yale School of Medicine ,Stamford, New York noted that even in treatment naïve schizophrenic patients, the risk of diabetes is two to four times that of people in the general population ( APA 2003)
1-BMI greater than 25
2-1st degree relative with diabetes
3-Habitual physical inactivity
4-Being a member of a high-risk ethnic population
5-Having delivered a baby heavier than 9lb or having gestational diabetes
7-HDL cholesterol level = 0r< 35md/dl or a triglyceride level = or > 250mg/dl
8-History of abnormal glucose tolerance test
9-History of vascular disease
2-Smoking, schizophrenic patients have a prevalence of smoking nearly twice that of the general population with estimates of 56%-88% in outpatient groups and 79% or more in chronic inpatient settings.
5-Lifestyle factors, lower levels of physical activity due to combined effects of sedating psychotropic medications and the core negative symptoms of the illness itself.
No action required unless abnormal T-wave morphology.
Consider switch to drug of lower effect, perform ECG and consider referral to cardiologist.
Review treatment . Consider switch to drug of lower effect. Refer to cardiologist immediately.
To ensure that the physical health of patients with schizophrenia is given the priority it deserves, helping them to face their future with the lowest possible morbidity and mortality odds stacked against them.