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Table 2 Frequency of distribution of responses to questions about prescribing practices for patients with schizophrenia

From: Tackling myths of common prescribing patterns in schizophrenia amongst Egyptian psychiatrists

  N = 124 %
Q1 When first prescribing an antipsychotic drug to a patient with schizophrenia, most of the time your choice is primarily guided by:
a- Your own experience 23 18.5
b- Guidelines 40 32.3
c- Cost of the drug 11 8.9
d- Patient choice 0 0
e- Patients clinical profile 49 39.5
f- Other 1 0.8
Q2 If cost was not an issue, what would be your preferred first line antipsychotic of choice for a patient with schizophrenia:
a- Oral typical antipsychotic drug 8 6.5
b- Oral atypical antipsychotic drug 96 77.4
c- Combination of oral antipsychotics (eg typical+atypical, 2 typicals, 2 atypicals) 6 4.8
d- Depot antipsychotic—typical/atypical (circle one if preferred) 3 2.4
f- Oral+depot 1 0.8
g- Clozapine 0 0
h- No particular preference. 5 4.0
g- Other 5 4.0
Q3 When prescribing a first line antipsychotic for a patient with schizophrenia, your starting dose is:
a- The minimum effective antipsychotic dose of the drug. 68 54.8
b- A moderate antipsychotic dose of the drug. 50 40.3
c- The maximum antipsychotic dose of the drug. 4 3.2
Other 2 1.6
Q4 Which of the following most closely reflects your practice in schizophrenia?
a- I never combine two or more antipsychotic drugs (eg typical+atypical, 2 typicals, 2 atypicals). 8 6.5
b- I commonly combine two or more antipsychotic drugs. 35 28.2
c- In some situations, I can combine two or more antipsychotic drugs. 80 64.5
d- Not stated 1 0.8
Q5 Which of the following most closely reflects your practice in schizophrenia?
a- I never prescribe antipsychotic medications above the maximum dose. 104 83.9
b- I commonly prescribe antipsychotic medications above the maximum dose. 3 2.4
c- In some situations, I prescribe antipsychotic medications above the maximum dose. 15 12.1
d- Other 2 1.6
Q6 In your practice, when do you most commonly consider prescribing clozapine in schizophrenia:
a- Never 4 3.2
b- First line 1 0.8
c- Second line 15 12.1
d- Third line 74 59.7
e- Other 30 24.2
Q7 Which of the following most closely reflects your practice?
a- When prescribing antipsychotic drugs, I commonly add an anticholinergic from the start 53 42.7
b- When prescribing antipsychotic drugs, I never add an anticholinergic from the start 12 9.7
c- In some situations, I will add an anticholinergic from the start 56 45.2
d- Other/not stated 3 2.4
Q8 Which of the following most closely reflects your practice?
a- If I start an anticholinergic, I mostly maintain patients on them for as long as they are receiving an antipsychotic 62 50.0
b- If I start an anticholinergic, I mostly discontinue them after several weeks while continuing to maintain the patient on an antipsychotic. 58 46.8
c- Other/not stated 4 3.2
Q9 Which of the following most closely reflects your practice?
a- I never combine typical depot antipsychotic with an oral atypical antipsychotic 6 4.8
b- I commonly combine typical depot antipsychotic with an oral atypical antipsychotic. 47 37.9
c- In some situations I combine typical depot antipsychotic with an oral atypical antipsychotic. 69 55.6
d- Other/not stated 2 1.6
Q10 Which of the following most closely reflects your practice?
a- I never prescribe an antipsychotic in a small dose for sedation. 12 9.7
b- I commonly prescribe an antipsychotic in a small dose for sedation. 55 44.4
c- I sometimes prescribe an antipsychotic in a small dose for sedation. 55 44.4
other/not stated 2 1.6
Q11 Do you add a mood stabilizer to enhance the effect of the antipsychotics?
a- I never add a mood stabilizer to enhance the effect of antipsychotic drugs 39 31.5
b- I commonly add a mood stabilizer to enhance the effect of antipsychotic drugs 13 10.5
c- I sometimes add a mood stabilizer to enhance the effect of antipsychotic drugs 69 55.6
d- Other/not stated 3 2.4
Q12 Do you refer to any specific treatment guidelines for your prescribing?
a- No 44 35.5
b- Yes 73 58.9
c- Other/not stated 7 5.6