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Audit of anticholinergic treatment in a psychiatric patient population

Department of Psychiatry, University of Dundee, Ninewells Hospital and Medical School, Dundee DD1 9SY

Aims and method An audit was performed to look at how carefully anticholinergic medication was prescribed and monitored in a population of psychiatric patients on depot medication.

Results The mean duration of prescription was 47 months and 44% of patients' prescriptions went unaltered for over three years. Evidence was lacking for rational initial anticholinergic prescription.

Clinical implications Anticholinergic treatment needs to be prescribed more rationally with regular monitoring of extra-pyramidal symptoms.