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
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David_Shiers retweeted
‘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
David_Shiers retweeted
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
David_Shiers retweeted
The one-page algorithm also lists important prescribing information including dosing instructions, possible side effects and monitoring recommendations
David_Shiers retweeted
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
David_Shiers retweeted
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
David_Shiers retweeted
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
David_Shiers retweeted
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.
David_Shiers retweeted
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
David_Shiers retweeted
🚨🚨🚨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…
David_Shiers retweeted
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
🙏🙏 @CizCG for sharing this with primary care colleagues. GPs have so much to offer here... share this small book with families to start that conversation "how are you all coping?" @anandchitnis @erinpsychdoc @SohrabPanday @pfrench123 @dremmatiffin @dclovesgp
David_Shiers retweeted
BJGPLife: Coping with Psychosis and Schizophrenia: Family Stories of Hope and Recovery
bjgplife.com/coping-with-psy…
David_Shiers retweeted
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
CMHP event = first for me... conversation with MH pharmacist - @jassij1984 really special. Ages ago wrote for GP peers pmc.ncbi.nlm.nih.gov/article… and for EIP service practitioners... onlinelibrary.wiley.com/doi/…
Plug for new book aimed at supporting carers cambridge.org/core/books/cop…
David_Shiers retweeted
another reason we should look after the physical health of people w SMI @Davidiris1
Our new paper out @BJGPjournal @juanbazoa @drandyclegg @osborn_ucl @i_petersen @UCL_PCPH @CAPS_UCL @NIHRresearch
David_Shiers retweeted
Our new paper out @BJGPjournal @juanbazoa @drandyclegg @osborn_ucl @i_petersen @UCL_PCPH @CAPS_UCL @NIHRresearch
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…
David_Shiers retweeted
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/…
David_Shiers retweeted
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⤵️
David_Shiers retweeted
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…