Antipsychotic Side Effects Identification Using the Naranjo Algorithm at Hospital X Yogyakarta
Abstrak
The escalating utilization of antipsychotics undeniably contributes to the heightened risk of drug side effects. This study aims to identify antipsychotic side effects and their causality. This study belongs to observational research with a descriptive cross-sectional design. The participants were patients prescribed antipsychotic drugs at Hospital X Yogyakarta between April and July 2022 who met the specified inclusion criteria. This study utilized accidental sampling, generating 61 patients as the participants. Data collection was carried out prospectively through interviews and medical records. The Naranjo algorithm was used to analyze causality. The predominant drug type administered to patients was atypical antipsychotics, with a total of 72 prescriptions. Risperidone accounted for the highest number of prescriptions, totaling 37 (22.16%). Weight gain contributed to the highest percentage of reported side effects, with 16 (16.33%) instances. The side effects with the highest causality score of 7 (probable) were breast secretion, tremors, palpitations, weight gain, and decreased blood pressure. Weight gain was the most frequently observed side effect when taken together. The maximum score for the causality association of side effects was an average of 7, indicating a probable connection. This study provides insight into the numerous side effects associated with prescription antipsychotic drugs.
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Merchán-Naranjo J, Tapia C, Bailón C, Moreno C, Baeza I, Calvo-Escalona R, ..., Arango C. Secondary effects of antipsychotic treatment in naïve or quasi-naïve children and adolescents: Design of a follow-up protocol and baseline results. 2012;5(4): 217–28.
Kemenkes RI. 2018. Riset Kesehatan Dasar; RISKESDAS. Jakarta: Balitbang Kemenkes RI
Julaeha J, Ananda V, dan Pradana D. Gambaran efek samping antipsikotik pada pasien skizofrenia pada bangsal rawat inap di RS. Grhasia Yogyakarta. Farmasains. 2016;3(1): 35-41.
Yulianty MD, Cahaya N, dan Srikartika VM. Studi Penggunaan Antipsikotik dan Efek Samping pada Pasien Skizofrenia di Rumah Sakit Jiwa Sambang Lihum Kalimantan Selatan. Jurnal Sains Farmasi & Klinis. 2017:3(2), 153.
Dania H, Faridah IN, Rahmah KF, Abdulah R, Barliana MI, dan Perwitasari DA. Hubungan Pemberian Terapi Antipsikotik terhadap Kejadian Efek Samping Sindrom Ekstrapiramidal pada Pasien Rawat Jalan di Salah Satu Rumah Sakit di Bantul, Yogyakarta. Indonesian Journal of Clinical Pharmacy. 2019:8(1).
BPOM RI. Pedoman Monioring Efek Samping Obat (MESO) Bagi Tenaga Kesehatan. Direktorat Pengawasan Distribusi Produk Terapetik Dan PKRT Badan POM RI. 2012: 1–35.
Wijayanti A dan Puspitosari WA. Hubungan Onset Usia dengan Kualitas Hidup Penderita Skizofrenia di Wilayah Kerja Puskesmas Kasihan II Bantul Yogyakarta. Jurnal Mutiara Medika. 2014;14(1): 7.
Swayami IGAYUV. Aspek Biologi Triheksifenidil di Bidang Psikiatri. Medicina. 2014; 45(2): 89-93.
Pardede JA dan Hasibuan EK. Lamanya Perawatan Pasien Skizofrenia Rawat Jalan dengan Tingkat Stres Keluarga. Indonesian Trust Health Journal. 2020;3(1): 283-8.
Sona A, Hasni D, Anissa M, dan Heppy F. Identifikasi Keluhan Peningkatan Berat Badan Subjektif pada Pasien Skizofrenia yang Mendapat Terapi Antipsikotik di RSJ HB. Saanin Padang. 2020;16(1): 1-11.
Lett TAP, Wallace TJM, Chowdhury NI, Tiwari AK, Kennedy JL, Müller DJ. Pharmacogenetics of antipsychotic-induced weight gain: Review and clinical implications. Molecular Psychiatry. 2012;17(3):242-66.
Arijaya DNK. Clozapine pada Skizofrenia Paranoid dengan Obesitas: Sebuah Laporan Kasus. E-Jurnal Medika Udayana. 2014. 3(4):433-41.
Hafifah A, Puspitasari IM, and Sinuraya RK. Review Artikel: Farmakoterapi dan Rehabilitasi Psikososial Pada Skizofrenia. Farmaka. 2018;16(2):210-32.
Montejo ÁL, Arango C, Bernardo M, Carrasco JL, Crespo-Facorro B, Cruz JJ, …, Vieta E. Spanish consensus on the risks and detection of antipsychotic drug-related hyperprolactinaemia. Revista de psiquiatria y salud mental. 2016; 9(3): 158-73.
Rompis NN, Mawuntu AHP, Jasi MT, dan Tumewah R. Sindrom Ekstrapiramidal. Jurnal Sinaps. 2020;3(1): 42-8.
Setiawati MC, Yasin NM. Evaluation of side effect of risperidon on schizophrenic patient in Amino Gondohutomo hospital Semarang. Indonesian Journal of Pharmacy. 2010; 21(2):77-82.
Devi F. Studi Efek Samping dan Profil Pengobatan pada Pasien Skizofrenia di Instalasi Rawat Inap Rumah Sakit Jiwa Provinsi Kalimantan Barat. Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN. 2019;4(1).
Qin J, Zima AV, Porta M, Blatter LA, and Fill M. Trifluoperazine: A rynodine receptor agonist. Pflügers Archiv-European Journal of Physiology. 2009;458(4): 643-51.
Saharuddin S, Ikawati Z and Kristanto CS. Perbandingan Efektivitas Regimen Terapi Antipsikotik Pasien Schizophrenia di RSJ Dr. Ernaldi Bahar Palembang. Majalah Farmaseutik. 2021;17(2): 206-16.
Aryani F, Muharni S, and Arlian RY. Study of Orthostatic Hypotension by Using Antipsychotics in Female Schizophrenic Patients. Borneo Journal of Pharmacy. 2021; 4(3): 210-8.
DOI: https://doi.org/10.24198/ijpst.v12s1.57955
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