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Urinary detection of olanzapine – an aid to compliance confirmed

Published online by Cambridge University Press:  02 January 2018

John W. Coates*
Affiliation:
Rotherham General Hospital, Moorgate Road, Rotherham, South Yorkshire S60 2UD
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Abstract

Type
The Columns
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 2000, The Royal College of Psychiatrists

Sir: The recent introduction of this technique (Reference CoatesCoates, 1999) has led to an important development in psychiatric practice in our area, with possible national consequences.

At a recent mental health review tribunal, due to the fact that a patient had consistently tested negative for olanzapine it was accepted that the patient was not adherent with treatment, contrary to their assertion. The presence of objective evidence of non-adherence was, I believe, instrumental in the tribunal's decision to continue a detention order. Therefore, this shows that there are considerable implications of regular testing for olanzapine, and possibly other antipsychotics, in urine. Within the context of judicial or semijudicial processes, objectively testable evidence will, I believe, always have a greater weight than that of subjective opinion. I therefore believe that urinary detection of olanzapine has been confirmed as an aid to adherence. The issue of whether adherence then becomes compulsion is something that will require further consideration.

References

Coates, J. (1999) Urinary detection of olanzapine – an aid to compliance. British Journal of Psychiatry, 175, 591592.Google Scholar
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