Tips for Boosting Schizophrenia Medication Compliance
If you or a loved one has struggled to stay on a treatment plan for schizophrenia, you're not alone. Taking medications as prescribed can be difficult for people with this illness. But complying with a treatment plan can help those with schizophrenia improve their overall health and make life more fulfilling. The key is to tackle the reasons that make compliance tough by creating and following an action plan.
Some research shows that more than half of people with schizophrenia don't fully follow their medication treatment plan. And the reasons are many. Some simply forget to take their medication for a day or more. Others stop taking medication because they don't believe they have schizophrenia or aren't convinced they need drugs—a common aspect of the illness called lack of insight. Others forego medication because they want to avoid negative side effects or are embarrassed they need daily medication.
But it's important to follow your treatment plan as prescribed. Studies show that missing even a day or two of medication can nearly double the risk for hospitalization. It can also increase the likelihood of depression and suicidal thoughts. To help steer clear of relapse, try these tips:
Talk with your doctor. If you have problems with your medication, such as with side effects, give your doctor a call. Never stop taking medication on your own. Your doctor may be able to adjust your dosage or find a different medication that works better for you. To help pinpoint problems, write down how you feel each day. Then bring the journal to your doctor's appointment.
Connect with others. Consider joining a schizophrenia support group. They're available for both people with the disease and their family members. Talking with people who have experienced the same struggles can help you learn how to better manage the illness and live a fuller life. It can also help you realize that you're not alone.
Seek therapy. Cognitive behavioral therapy has been shown to help people with schizophrenia gain better insight into the illness and understand why their medication is so important. This can lead to better treatment compliance. It can also help people better manage the symptoms of schizophrenia and handle day-to-day problems.
Use reminders. Simple reminder tools can be an effective way to help you stay on your treatment plan. At the beginning of each week, fill a pill box with sections labeled with each day to reduce medication confusion. Put up signs or ask a family member to call to remind you to take your medication. Pair medication time with a regular routine, such as eating a certain meal or brushing your teeth. There are smartphone apps that will help you take your meds as prescribed. Or set a watch or other alarm to prompt you when it's time. Consider carrying medications with you in a pill box attached to your key chain.
Address substance abuse. If you or your loved one uses recreational drugs, seek help to overcome the addiction. People with schizophrenia who abuse drugs are less likely to stick to their treatment plan. Plus, alcohol and drugs such as marijuana, cocaine, and amphetamines can actually make symptoms of schizophrenia worse.
Ask about long-acting medications. Talk with your doctor about the benefits and risks of long-acting injectable medications. Many of these antipsychotics are administered once or twice a month and have been shown to increase compliance and outcomes in people with schizophrenia.
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- “Antipsychotics and Schizophrenia: From Efficacy and Effectiveness to Clinical Decision-Making.” G Foussias and G Remington. Canadian Journal of Psychiatry. March 2010, vol. 55, no. 3, pp. 117-22.
- “Challenges in Preventing Schizophrenia.” Harvard Mental Health Letter. December 1, 2009.
- “Encouraging Patients to Take Medications as Prescribed.” Harvard Mental Health Letter. January 2010.
- “Partial Compliance With Antipsychotic Medication is Common in Patients with Schizophrenia.” C. Rummel-Kluge et al. The Australian and New Zealand Journal of Psychiatry. May 2008. Vol. 42, no. 5, pp. 382-8.
- “The Use of Depot Medications in the Treatment of Schizophrenia.” J. Davis. American Journal of Psychiatry. February 2010, vol. 167, no. 2, pp. 125-6.
- “Use of Depot Antipsychotic Medications for Medication Nonadherence in Schizophrenia.” J West et al. Sept. 2008, vol. 34, no. 5, pp. 995-1001.
- “List Results: Schizophrenia.” U.S. National Institutes of Health. Accessed May 25, 2010. http://clinicaltrials.gov/search/open/condition=%22Schizophrenia%22
- “Columbia’s Dr. Jeffrey Lieberman Leads Nationwide Effort to Develop Early Intervention for First Signs of Schizophrenia.” Columbia University Medical School. July 21, 2009. http://cumc.columbia.edu/news/press_releases/Early_Intervention_Schizophrenia.html
- North American Prodrome Longitudinal Study. http://napls.psych.ucla.edu/
- “Research.” Johns Hopkins Medicine. Accessed May 25, 2010. http://www.hopkinsmedicine.org/psychiatry/specialty_areas/schizophrenia/research.html
- “Understanding Schizophrenia and Recovery.” National Alliance on Mental Illness. August 2008. http://www.nami.org/Content/Microsites316/NAMI_PA,_Cumberland_and_Perry_Cos_/Discussion_Groups559/No...
- “Schizophrenia.” National Alliance on Mental Illness. February 2007. http://www.nami.org/Template.cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID...
- “Impaired Brain Connections Traced to Schizophrenia Mutation.” National Institute of Mental Health. March 31, 2010. http://www.nih.gov/news/health/mar2010/nimh-31.htm
- “Schizophrenia.” National Institute of Mental Health. 2009. http://www.nimh.nih.gov/health/publications/schizophrenia/complete-index.shtml#pub7
- “Depot Medication.” The Royal College of Psychiatrists. January 2010. http://www.rcpsych.ac.uk/mentalhealthinfo/problems/schizophrenia/depotmedication.aspx
- “Benefits of Dept Antipsychotics.” Schizophrenia Daily News Blog. Sept. 5, 2005. http://www.schizophrenia.com/sznews/archives/002371.html