Medication Adherence and Route of Administration

A patient's initial experience of medication can have a powerful influence on short-term and long-term adherence to treatment [3]. Nonadherence can be considered the norm, rather than the exception [58]. Adherence is influenced by several factors, including:

• attitudes towards illness;

• concerns about the effects of medication.

An investment in addressing these issues in the early stages of treatment can have a worthwhile long-term impact.

Administering medication can be considered as a process of negotiation between clinicians, the patient and the family. Identifying and dealing with anxieties and specific fears about medication empowers patients, which in turn encourages greater adherence [3].

Premature use of depot medications can be interpreted as a ''soft option'' which blames the patient for noncompliance. Depot medications are justified as second-line therapy in a small minority of cases, for specific reasons such as extreme denial, demonstrated inability to adhere despite good educational and psychosocial support, or severe risks associated with relapse. Long-acting depot medications are not usually prescribed for acute psychotic episodes, because they take months to reach a stable therapeutic level and are eliminated very slowly [11]. As a result, there is relatively little control over the amount of medication the patient is receiving, and it is difficult to titrate the dose to strike a balance between side effects and therapeutic effects. Long-acting injectable forms of novel antipsychotic medications are now becoming available and may change the current pattern of use somewhat.

BiPolar Explained

BiPolar Explained

Bipolar is a condition that wreaks havoc on those that it affects. If you suffer from Bipolar, chances are that your family suffers right with you. No matter if you are that family member trying to learn to cope or you are the person that has been diagnosed, there is hope out there.

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