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July 8, 1998

Trends in Prescribing Psychotropic Medications

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;280(2):132-134. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-2-jac80010

To the Editor.— In recent years, psychotropic drugs, particularly fluoxetine hydrochloride, have appeared most often on the list of prescriptions filled and prescription expenses in many delivery systems.1 The article on prescribing trends in psychotropic medications by Dr Pincus and colleagues,2 however, leaves many questions unanswered. We agree that the patterns of psychotropic medication use in outpatient medical practice changed dramatically during the study period, and the increase of stimulant drug visits over that period is also striking—especially for nonpsychiatrists. However, we have several questions concerning risk adjustment and assessment of impact.

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