David_Shiers

‘Flattened, fattened, and forgotten’: the ‘dis-integrated’ care of patients prescribed #antipsychotics in the UK bjgp.org/content/75/750… - a follow up editorial to our recent paper in @BJGPjournal on antipsychotic use in #primarycare UK (bjgp.org/content/75/750…) #mentalhealth

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/schizophreniab… A 🧵of the key points

This is the first guideline produced by the PROGRESS research group. Lead by @BNODonoghue and funded by @hrbireland

The one-page algorithm also lists important prescribing information including dosing instructions, possible side effects and monitoring recommendations

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

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

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

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.

Take a screenshot 📸 to save the algorithm to your phone now

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

🚨🚨🚨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…

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

@BJGPjournal 🙏🙏 @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

BJGPLife: Coping with Psychosis and Schizophrenia: Family Stories of Hope and Recovery bjgplife.com/coping-with-ps…

Improvements for patients with #psychosis and early intervention in psychosis services are highlighted in this research doi.org/10.3399/BJGP.2… @EXTENDEIP @CizCG @Keele_MHRes #PrimaryCare #EarlyInterventionInPsychosis Watch the 1-min video

@POPSUKORG @SarahJPharm CMHP event = first for me... conversation with MH pharmacist - @jassij1984 really special. Ages ago wrote for GP peers pmc.ncbi.nlm.nih.gov/articles/PMC11… and for EIP service practitioners... onlinelibrary.wiley.com/doi/full/10.11… Plug for new book aimed at supporting carers #fndtn-information" target="_blank" rel="nofollow noopener">cambridge.org/core/books/cop…

@SarahJPharm @Davidiris1 Presented or written, that would be great. I’m feeling a bit ignorant for not being aware before.

@Davidiris1 makes a v. powerful point about how disempowered he felt as a parent in the mental health system, (even with his privileges as a white, articulate, healthcare professional who was used to being listened to). A feeling that's never left him. We must do better #CMHP24

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

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/…

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⤵️