Adams Danielle, Sawhney Indermeet
Hertfordshire Partnership NHS Foundation Trust, St Albans, Hertfordshire, UK.
Department of Learning Disability, Hertfordshire Partnership NHS Foundation Trust, St Albans, Hertfordshire, UK.
Eur J Hosp Pharm. 2017 Jan;24(1):63-64. doi: 10.1136/ejhpharm-2016-001051.
A 30-year-old man with learning disability, living in a residential home with no documented mental health diagnosis, on the autistic spectrum was prescribed carbamazepine, olanzapine and propranolol to manage behaviour on a long-term basis. He was able to successfully discontinue both of his psychotropic medicines. The reduction was carried out in the community under the supervision of the learning disability psychiatrist. He is less tired, more alert and better able to express himself. He has expanded his activities and increased his access to the community. He is able to cope better with changes to his routine. His behaviours are well managed by the behavioural strategies in place and he has now been discharged by the psychiatrist to the general practitioner.
一名30岁有学习障碍的男子，生活在一家无精神健康诊断记录的寄宿机构，属于自闭症谱系，长期服用卡马西平、奥氮平和普萘洛尔来控制行为。他成功停用了两种精神药物。减药过程是在学习障碍精神科医生的监督下于社区进行的。他不再那么疲惫，更加机敏，也更能表达自己。他拓展了活动范围，增加了参与社区活动的机会。他能更好地应对日常生活的变化。他的行为通过现有的行为策略得到了很好的控制，现在精神科医生已将他转诊给全科医生。
