Second-Generation Antipsychotics Underused in ERs
the MPR take:
Oral second-generation antipsychotics (SGAs) have been recommended as first-line therapy for acute agitation in the emergency department (ED), but a new study has found that first-generation antipsychotics (FGAs) are still more likely to be administered in the ED. In research published in the Journal of Emergency Medicine, 1,680 patients accounting for 1,770 ED visits received SGAs from 2004–2011 in two university EDs received FGAs 61.4% of the time, compared to 38.6% for SGAs. Some potential reasons for FGA administration include ED physicians unfamiliarity with SGAs and the reported fewer side effects of FGAs in patients admitted to the ED related to alcohol and drug abuse issues.
Despite expert recommendations, second-generation antipsychotics are not often prescribed in the emergency department The Journal of Emergency Medicine, 06/12/2014 Clinical Article Wilson MP, et al. – This structured analysis suggests that despite expert recommendations, second–generation antipsychotics (SGAs) are administered a minority of the time to ED patients.
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