SYMPOSIA

Poster Presentations
4. Şükrü Kartalcı, Işıl Göğceğöz Gül, Rıfat Karlıdağ, Birgül Elbozan Cumurcu Recurrent priapism during quetiapine treatment case report; Bulletin of Clinical
Psychopharmacology, Vol: 20, N.: 4, 2010 327-328
Bulletin of Clinical Psychopharmacology 2011;21(Suppl. 2):S167-8
[PP-078] Ref. No: 113
Prescribing patterns and inappropriate use of medications in patients referred to
doctors in Ardabil City of Iran
Firouz Amani, Amin Shaker
Iran- Ardabil University of Medical Sciences, Iran
E-mail: biostat.f@gmail.com
Objective: To determine the drug use patterns and descriptive analysis of prescriptions among patients who visited doctors in Ardabil City.
Methods: A retrospective study was carried out on 2000 randomly selected prescriptions from all registered prescriptions in Ardabil City
using data from two insurance organizations. Data were obtained on demographics, prescribing indicators and potentially inappropriate
medications. The collected data were analyzed by descriptive statistical methods using SPSS software.
Results: From all prescriptions, 822 (41 %) were for men and 1178 (59%) were for women. The mean age of the subjects was 31.6 ± 21.3
years ranging from 1 to 91. On thousand three hundred and six (65.3%) of all prescriptions were from general practitioners and others from
specialists. The mean number of drugs per prescription was 3.58±1.3 ranging from 1 to 9. Dexamethasone, with 219 (24.7 %) prescriptions,
was the most commonly prescribed medication. The total number of medications prescribed in all the prescriptions was 7158 while the
mean number of medications per encounter was 3.6. Antibiotics, with 52.8% of the prescriptions, were the most prescribed drug group.
Conclusion: The results showed that the mean of prescription drugs per encounter and the rate of prescription injection drugs were more
than the global standards. Also, the pattern of prescription drugs was inappropriate. It is necessary to reduce irrational prescription of
drugs to patients by monitoring and control indicators of medical doctors who prescribe higher numbers of prescriptions.
Key words: Pattern, drug utilization, inappropriate medications
Bulletin of Clinical Psychopharmacology 2011;21(Suppl. 2):S168
[PP-079] Ref. No: 305
Bipolar affective disorder and normal pressure hydrocephaly: A case report
Kader Semra Karataş 1 , Jülide Güler 1 , Özgür Bilgin Topçuoğlu 2 , Ebru Damla Bostancı 1 , Beliz Soyer 1
1Erenkoy Mental and Nervous Diseases Training and Research Hospital, Department of Psychiatry, İstanbul, Turkey
2Erenkoy Mental and Nervous Diseases Training and Research Hospital, Department of Neurology, İstanbul, Turkey
E-mail: drsemraocak@yahoo.com
Background: The subject of this study was how affective disorders are related to structural changes in the brain. The use of lithium in
affective disorders can cause pseudotumor cerebri, which has been reported in the literature, although there is no information about the
occurrence of normal pressure hydrocephalus. We detected normal pressure hydrocephalus in a patient diagnosed with bipolar affective
disorder 10 years ago and treated with lithium.
Case: A 55 year-old woman, housewife, not working, lives in Istanbul with her husband and children. She was diagnosed with bipolar
affective disorder 10 years ago and treated with lithium. She had hand tremors, weakness and dizziness and was admitted to hospital.
The patient was dehydrated, walking with small steps, showed balance difficulty and urinary incontinence. The patient was admitted
to the psychiatric unit. A neurology consultation and cranial MRI were requested. The patient was thought to have normal pressure
hydrocephalus. Lumbar puncture was performed twice. The patient was diagnosed with arrested hydrocephalus; CSF flow could not be
identified. A CSF dynamic MRI was requested and the patient was transferred to neurosurgery.
Discussion: There are publications about the relationship between structural brain abnormalities and affective disorders. Hydrocephalus,
by definition, is the accumulation of CSF in the ventricular system due to an imbalance between production and absorption of CSF.
Presenting symptoms include memory impairment, urinary incontinence symptoms, and ventriculomegaly (2,3). The etiology of
normal pressure hydrocephalus can include head trauma, metabolic problems, endocrinopathies, infectious and immunological
conditions; danazol, tamoxifen, oxytocin, tetracycline, indomethacin, lithium, drugs such as retinol are mentioned (2.4). Normal pressure
S168 Bulletin of Clinical Psychopharmacology, Vol: 21, Supplement: 2, 2011 - www.psikofarmakoloji.org