## Abstract A 1βday audit (on 11 March 1985) of the psychotropic drugs prescribed for 1084 institutionalized adults with mental handicap in a longβstay hospital is reported. The relevance of staffing levels, chronological age, sex and mental level is considered. Of the 1084 patients, 35 per cent we
The effect of anticonvulsant medication on the psychopathology of adults with a mental handicap and epilepsy
β Scribed by S. Deb; D. Hunter
- Publisher
- John Wiley and Sons
- Year
- 1992
- Tongue
- English
- Weight
- 561 KB
- Volume
- 7
- Category
- Article
- ISSN
- 0885-6222
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β¦ Synopsis
Abstract
Different aspects of anticonvulsant treatment and psychopathology were studied in a group of 150 adult epileptic mentally handicapped patients and compared with a matched control group of 150 adult nonβepileptic mentally handicapped people. Patients were collected from both hospital and community. Most epileptic patients received monopharmacy of the modern generation of anticonvulsants within the British National Formulary recommended dosage schedule. Most had their serum anticonvulsant level within the local laboratory reference range. Anticonvulsants other than sodium valproate lowered serum folate level. In general there was no direct relationship with anticonvulsant medication and psychopathology, although carbamazepine monopharmacy showed some protective effect on aggressive behaviour.
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The lethal doses, neurotoxic doses, anticonvulsant potencies, and protective indices for two chlorinated barbiturates, 5-(4-chlorophenyl)-5-ethylbarbituric acid (monochloro) and 5-(3,4-dichlorophenyl)-5-ethylbarbituric acid (dichloro), were determined in mice and the results compared with similar va