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antipsychotic deprescribing

Management: - if the antipsychotic was initiated within the last year, a gradual dose reduction (GDR) must be attempted in two separate quarters (with at least one month between attempts) [1] - if the antipsychotic has been prescribed for more than one year, a GDR must be attempted annually [1] - if no antipsychotic GDR has been attempted, the prescriber must document a taper is clinically contraindicated [1] - when antipsychotic therapy is decreased or discontinued, informed consent is not needed* - ref [2] recommends deprescribing antipsychotics for adults with behavioral & psychological symptoms of dementia treated for at least 3 months (symptoms stabilized) * also see antipsychotic Management: for antipsychotic prescribing

Related

antipsychotic agent

General

medication deprescribing

References

  1. CDPH L&S SNF Antipsychotic Use Survery Tool https://cdn.ymaws.com/www.ascp.com/resource/collection/0BC2F6FB-85B6-49BA-B1E7-5F11C4E319B9/ASCP-CA-CDPHAntipsychoticSurveyToolRevised2014.pdf
  2. Bjerre LM et al Deprescribing antipsychotics for behavioural and psychological symptoms of dementia and insomnia. Evidence-based clinical practice guideline. Canadian Family Physician Jan 2018, 64 (1) 17-27 PMID: 29358245 PMCID: PMC5962971 Free PMC article https://www.cfp.ca/content/64/1/17