Voorschrijven van psychofarmaca bij mensen met een verstandelijke beperking: Handvatten voor de praktijk

Translated title of the contribution: Practical guidelines for prescribing psychotropic medication to people with intellectual disability

G. De Kuijper*, G. Degraeve, J. R. Zinkstok

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: In people with intellectual disability (ID) prescription of psychotropic drugs is often chronic and outside licensed indications. AIM: To provide practical strategies for prescribing psychotropic drugs in people with ID. METHOD: We reviewed the literature and existing guidelines to summarize recommendations for prescribing psychotropic drugs in people with ID. RESULTS: The Diagnostic Manual - Intellectual Disability is a useful tool to facilitate diagnosis of mental disorders in people with ID. Challenging behaviour in the absence of a psychiatric disorder is not a licensed indication for prescribing psychotropic drugs. Because of increased vulnerability for side effects in people with ID, it is crucial to carry out a risk-benefit analysis before prescribing psychotropic drugs. In line with existing guidelines, we recommend monitoring of treatment and adverse effects with standardized scales adapted for ID. CONCLUSION: A careful decision-making process regarding initiation and continuation is essential to prevent insufficient as well as excessive pharmacotherapy in people with ID.

Translated title of the contributionPractical guidelines for prescribing psychotropic medication to people with intellectual disability
Original languageDutch
Pages (from-to)786-791
Number of pages6
JournalTijdschrift voor Psychiatrie
Volume6
Issue number11
Publication statusPublished - 1 Jan 2019

Keywords

  • Challenging behaviour
  • Intellectual disability
  • Mental disorder
  • Psychotropic medication

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