OBJECTIVE: To investigate the characteristics and regularities of adverse drug reactions( ADR)occurred in psychiatric patients
so as to provide theoretical references for clinical safe medication. METHODS: Data of ADR cases in 925 psychiatric patients reported from Jan. 2015 to Aug. 2019 were collected and analyzed in terms of patients’ general information
main suspected drugs and its classification
ADR involved organs and( or) systems and main clinical manifestation
the causal correlation and outcomes. RESULTS: Among the 925 psychiatric patients with ADR
mostly were aged > 60( 323 cases
34. 92%); the primary diseases of patients were mainly schizophrenia( 562 cases
60. 76%). The main suspected drugs had induced 1 044 case-times of ADR
mainly concentrated in antipsychotic drugs
of which olanzapine had induced the most ADR( 171 case-timss
16. 38%). There were 1 072 case-times of ADR involved organs and( or) systems
mainly involved the neurological system( 239 case-times
22. 29%)
and the clinical manifestations were mainly extrapyramidal diseases. Of the 925 patients with ADR
587 patients turned better after treatment
including 63. 46%. CONCLUSIONS: Medication monitoring on psychiatric patients should be strengthened
dosage reduction and drug withdrawl should be timely conducted when ADR occurred to ensure safe and effective medication.