Topical aspects of out-patient geriatric psychiatry and issues of use of Tiapride
Recent years have been characterized by an undoubtedly positive, in general, tendency of increasing the share of the elderly population. However, at the same time there are data on the growth of primary morbidity and morbidity with mental disorders among older age groups. And in particular this applies to persons suffering from organic disorders that require special care when conducting psychopharmacotherapy due to an increased risk of side effects. The purpose of this work was primarily to assess the presence in the structure of a dispensary cohort of elderly mentally ill patients who potentially need to conduct outpatient antipsychotic therapy (including both relieving and supportive). It is established that such contingent is approaching to 50%. A clinical analysis showed the possibility of treatment with tiapride, an antipsychotic with selectivity and safety properties, patients with hallucinatory manifestations, and in some cases with the emergence of mental confusion, as well as with somatoform symptoms in the structure of depression. However, available data comparing the results of using the drug with the reference antipsychotic haloperidol dictate the need for wider use of tiapride in ambulatory therapy, including through appropriate psycho-educational efforts.