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Correction to: Safety of psychotropic medications in people with COVID-19: evidence review and practical recommendations

Authors :
David Taylor
Christoph Hiemke
Marianna Purgato
Giovanni Ostuzzi
Andrea Fagiolini
Serdar M. Dursun
Philip B. Ward
Corrado Barbui
Brendon Stubbs
Alessandro Cuomo
Davide Papola
Francesco Amaddeo
Taishiro Kishimoto
Michela Nosè
Giuseppe Imperadore
Graham Thornicroft
Chiara Gastaldon
Robin Emsley
Georgios Schoretsanitis
Giulia Michencigh
F. Bertolini
Christoph U. Correll
Source :
BMC Medicine, BMC Medicine, Vol 18, Iss 1, Pp 1-1 (2020)
Publication Year :
2020

Abstract

Background The novel coronavirus pandemic calls for a rapid adaptation of conventional medical practices to meet the evolving needs of such vulnerable patients. People with coronavirus disease (COVID-19) may frequently require treatment with psychotropic medications, but are at the same time at higher risk for safety issues because of the complex underlying medical condition and the potential interaction with medical treatments. Methods In order to produce evidence-based practical recommendations on the optimal management of psychotropic medications in people with COVID-19, an international, multi-disciplinary working group was established. The methodology of the WHO Rapid Advice Guidelines in the context of a public health emergency and the principles of the AGREE statement were followed. Available evidence informing on the risk of respiratory, cardiovascular, infective, hemostatic, and consciousness alterations related to the use of psychotropic medications, and drug–drug interactions between psychotropic and medical treatments used in people with COVID-19, was reviewed and discussed by the working group. Results All classes of psychotropic medications showed potentially relevant safety risks for people with COVID-19. A set of practical recommendations was drawn in order to inform frontline clinicians on the assessment of the anticipated risk of psychotropic-related unfavorable events, and the possible actions to take in order to effectively manage this risk, such as when it is appropriate to avoid, withdraw, switch, or adjust the dose of the medication. Conclusions The present evidence-based recommendations will improve the quality of psychiatric care in people with COVID-19, allowing an appropriate management of the medical condition without worsening the psychiatric condition and vice versa.

Details

ISSN :
17417015
Volume :
18
Issue :
1
Database :
OpenAIRE
Journal :
BMC medicine
Accession number :
edsair.doi.dedup.....b8f5ba075fed4a553ff91e58a11211cb