Purpose : To ascertain the actual medications administered to patients with schizophrenia who participated in competitive sports.
Subjects and Methods : An investigation on drug therapy was conducted through a questionnaire survey administered to 56 schizophrenic patients who participated in a volleyball competition, the 5th National Athletic Meeting for Mentally Disabled People in Okayama, 2005.
Results : Second generation antipsychotics were prescribed for 38 patients (68%), with 24 of these (63%) treated with single-drug therapy. A high adherence rate to medication was shown by 50 patients (89%) and 52 (93%) reported that they managed their medication by themselves. Forty patients (71%) reported that drug administration was thought to be important to participate in competitive sports.
Discussion : Most of the patients who participated in the competition were prescribed second generation antipsychotics ; however, only a few of these were treated by multi-drug therapy, which is frequently administered today in Japan. A high consciousness of self-management of medication was demonstrated in these patients. It is considered that optimization of antipsychotics is necessary for these patients to achieve their purpose, to participate in the game, and that this improves adherence to medication.
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