http://lockupdoc.com/2009/11/why-seroquel-is-problematic-in-correctional-settings/ A Blog About Correctional & General Psychiatry and More Sat, 31 Jul 2010 14:39:14 +0000 hourly 1 http://wordpress.org/?v=3.0 http://lockupdoc.com/2009/11/why-seroquel-is-problematic-in-correctional-settings/comment-page-1/#comment-11 Meds and an Ear Sun, 22 Nov 2009 22:11:01 +0000 http://lockupdoc.com/?p=221#comment-11 Great article. Until very recently, I was one of the afore-mentioned naive civilian docs, not exactly enthusiastic about prescribing Seroquel so much as not aware of its abuse potential, particularly in the incarcerated setting. An additional concern is that it actually puts the inmate more at risk, insofar as other inmates quickly learn who is receiving such a sought-after drug, and more menacing types extort the drug from the inmate for whom the Seroquel was intended. I'll still prescribe Seroquel, and stimulants, and benzos, when the circumstances warrant, and no alternative can be reasonably expected to be effective. Bringing staff in to the work is more necessary when implementing these meds, for mouth checks, and additional safety measures as needed. Great article. Until very recently, I was one of the afore-mentioned naive civilian docs, not exactly enthusiastic about prescribing Seroquel so much as not aware of its abuse potential, particularly in the incarcerated setting.
An additional concern is that it actually puts the inmate more at risk, insofar as other inmates quickly learn who is receiving such a sought-after drug, and more menacing types extort the drug from the inmate for whom the Seroquel was intended. I’ll still prescribe Seroquel, and stimulants, and benzos, when the circumstances warrant, and no alternative can be reasonably expected to be effective. Bringing staff in to the work is more necessary when implementing these meds, for mouth checks, and additional safety measures as needed.

]]>