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CSM advice: Benzodiazepines should be used to treat insomnia only when it is severe, disabling or subjecting the individual to extreme distress. Hypnotics may be prescribed for in-patients as required. They should not normally be prescribed on discharge for patients not previously taking a sleeping tablet and will not be dispensed by pharmacy except in exceptional circumstances. For patients taking a sleeping tablet regularly prior to admission it will be assumed that they have a supply at home or if brought into hospital that these will be returned to the patient on discharge, prescribers must notify pharmacy of any patient taking a sleeping tablet prior to admission who is not returning to their own home and may therefore need a supply on discharge. For use only in patients who are on the Intensive Care Unit.

If the patient is prescribed a regular antipsychotic kemadrin 2.5mg olanzapine lorazepam avoids the risks associated with combining antipsychotics. Repeat after 60 minutes if partial response. Continued use should be evaluated early in treatment. Acute psychosis or mania in-patient setting To be used on an as required basis. Short duration of action If the patient is prescribed a regular antipsychotic then lorazepam avoids the risks associated with combining antipsychotics.

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Anaesthetist use only for acute post-operative pain management. From 1st April gabapentin has been reclassified as a controlled drug. From 1st April pregabalin has been reclassified as a controlled drug. Consultant initiation only for outpatient use. To avoid confusion between the different strength brands available, Buccolam should be prescribed by brand name.

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Common side effects include weight gain, movement disorders, dizziness, feeling tired, constipation, and dry mouth. Olanzapine was patented in and approved for medical use in the United States in The first-line psychiatric treatment for schizophrenia is antipsychotic medication; with olanzapine being one such medication. National Institute for Health and Care Excellence, the British Association for Psychopharmacology, and the World Federation of Societies for Biological Psychiatry suggest that there is little difference in effectiveness between antipsychotics in prevention of relapse, and recommend that the specific choice of antipsychotic be chosen based on a person's preference and the drug's side effect profile. Agency for Healthcare Research and Quality concludes that olanzapine is not different from haloperidol in the treatment of positive symptoms and general psychopathology, or in overall assessment, but that it is superior for the treatment of negative and depressive symptoms.

For continuous use up to a maximum of 14 days. Restriction: To be used only in community detoxification clinics or GPs with special interest. APC advice March The balance of risks and benefit should be considered before prescribing antipsychotics drugs for elderly patients. In elderly patients with dementia antipsychotic drugs are associated with a small increased risk of mortality and an increased risk of stroke or transient ischaemic attack. Treatment is kemadrin 2.5mg olanzapine continued if there are acceptable leucocyte and neutrophil counts.

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