@Davidiris1

Honorary reader in early psychosis Manchester Uni. Former GP and joint lead on UK EI in Psychosis Programme (2004-10); just my views

 UK
Joined June 2013
  • Tweets5.3K
  • Following1.1K
  • Followers1.8K
341Media
David_Shiers retweeted
Frances Mair@FrancesMair2 Jan 2025
‘Flattened, fattened, and forgotten’: the ‘dis-integrated’ care of patients prescribed #antipsychotics in the UK bjgp.org/content/75/750/9 - a follow up editorial to our recent paper in @BJGPjournal on antipsychotic use in #primarycare UK (bjgp.org/content/75/750/e68) #mentalhealth

‘Flattened, fattened, and forgotten’: the ‘dis-integrated’ care of patients prescribed antipsycho...

There is a growing problem with antipsychotic prescribing, that if the NHS is not careful, could become a new scandal in the making. Illnesses that require treatment with antipsychotics have increa...

bjgp.org
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Our guideline for the use of metformin to prevent antipsychotic-induced weight gain has just been published in Schizophrenia Bulletin. Read the full paper here: academic.oup.com/schizophren… A 🧵of the key points
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This is the first guideline produced by the PROGRESS research group. Lead by @BNODonoghue and funded by @hrbireland
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The one-page algorithm also lists important prescribing information including dosing instructions, possible side effects and monitoring recommendations
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We also recommend more intensive treatment if the person is overweight or obese. That is, to start a GLP-1 agonist if the person meets the criteria according to the license if these medicines are available
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3 core recommendations: 1: Co-commence metformin with high-risk antipsychotics (olanzapine,clozapine) 2: Co-commence metformin with medium risk antipsychotics + additional risk factors 3: Commence metformin with any antipsychotic if >3% increase in body weight in 1st year
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Weight gain is one of the most common and distressing side-effects of antipsychotic medicines. But, co-commencement of metformin with can reduce the extent of weight gain by 4.03kg (95% CI -5.78kg to -2.28kg) compared to controls
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This is the first published guideline for metformin for the prevention of weight gain. We used AGREE II & GRADE methods. International experts in endocrinology, metabolic psychiatry, pharmacy, general practice and patient & public partners came together to agree recommendations.
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Take a screenshot 📸 to save the algorithm to your phone now
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Thank you to all of our collaborators @ucddublin @SJOGMHealth @svuh @hrbireland @BNODonoghue @doloreskeating @RCSIPharmBioMol @HynesCaroline @OSheaHoganLab @FGaughran @JohnLyne9 @KarOConnor @benjmnperry @tobypill @Davidiris1 and many more
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🚨🚨🚨New guidelines on access to dental care for people with #SevereMentalIllness from @BSSCD_uk, endorsed by @rcpsych Poor oral health is source of preventable suffering in this population and we can do better. @JouryEaster @Davidiris1 @DrLadeSmith bsscd.org/index.php?view=art…
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Our main Early Youth Engagement (EYE-2) in first-episode psychosis services trial paper is now out. You can read it here cambridge.org/core/journals/… @pfrench123 @EmmanuellPeters @BLennox4 @drlouisecjohns @hambahamba01 @Research_SPFT @NIHRresearch @Sussex_Psych @McPinFoundation

The Early Youth Engagement (EYE-2) intervention in first-episode psychosis services: pragmatic...

The Early Youth Engagement (EYE-2) intervention in first-episode psychosis services: pragmatic cluster randomised controlled trial and cost-effectiveness evaluation - Volume 226 Issue 3

cambridge.org
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BJGPLife: Coping with Psychosis and Schizophrenia: Family Stories of Hope and Recovery bjgplife.com/coping-with-psy…
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Improvements for patients with #psychosis and early intervention in psychosis services are highlighted in this research doi.org/10.3399/BJGP.2023.05… @EXTENDEIP @CizCG @Keele_MHRes #PrimaryCare #EarlyInterventionInPsychosis Watch the 1-min video
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another reason we should look after the physical health of people w SMI @Davidiris1
Christina Avgerinou@CAvgerinou15 Oct 2024
Our new paper out @BJGPjournal @juanbazoa @drandyclegg @osborn_ucl @i_petersen @UCL_PCPH @CAPS_UCL @NIHRresearch
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Our new paper out @BJGPjournal @juanbazoa @drandyclegg @osborn_ucl @i_petersen @UCL_PCPH @CAPS_UCL @NIHRresearch
UCL News@uclnews15 Oct 2024
People over the age of 50 who have severe mental illness are more likely than the general population to experience fragility fractures, but may be less likely to get a diagnosis for osteoporosis, finds a new study led by Dr @CAvgerinou @UCL_IEHC ucl.ac.uk/news/2024/oct/seve…

Severe mental illness increases risk of fragility fractures in over 50s | UCL News

People over the age of 50 who have severe mental illness are more likely than the general population to experience fragility fractures but may be less likely to get a diagnosis for osteoporosis,...

ucl.ac.uk
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People taking long term antipsychotics need access to regular medication review to miminise physical health risks. We need to work together to make sure this is available for everyone who needs it. #parityofesteem #mortalitygap @DrLadeSmith @rcpsych bjgp.org/content/early/2024/…

Antipsychotic management in general practice: serial cross-sectional study (2011–2020)

Background Long-term use of antipsychotics confers increased risk of cardiometabolic disease. Ongoing need should be reviewed regularly by psychiatrists. Aim To explore trends in antipsychotic...

bjgp.org
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On Tuesday, Dr Juliana Onwumere, @davidiris1, Prof Elizabeth Kuipers & family carers Abi & Annette discussed the 'hidden voices' of #carers for those with #psychosis, chaired by @northactually. To wrap up #WorldMentalHealthDay, here's a preview of the conversation⤵️
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On 20th September 2024, The Hub for Metabolic Psychiatry officially launched alongside @MHPlatform! In our inaugural blog post for #worldmentalhealthday 🌍 we share some highlights from the event as well as some of our Hub's key aims. Read more 👇 metabolicpsychiatryhub.com/p…
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Dr Juliana Onwumere, Dr @Davidiris1 & Prof Elizabeth Kuipers' have published their book "Coping with Psychosis and Schizophrenia Family Stories of Hope and Recovery", co-authored by family carers⤵️ #Psychosis #Carers @CarersUK @MaudsleyNHS @northactually cambridge.org/core/books/cop…

Coping with Psychosis and Schizophrenia

Cambridge Core - Psychiatry and Clinical Psychology - Coping with Psychosis and Schizophrenia

cambridge.org
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