Surreptitious Prescribing In Psychiatric Practice

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Administration of medicines in food and drink a study of

drink without the patient s knowledge, a practice known as covert or surreptitious prescribing or administration. Giving medication to a patient covertly has been described as an insidious and deceitful practice that violates every tenet of the doctor patient relationship (Ahern and van Tosh, 2005). But even these authors acknowledge that

Case Report A rare cause of hypoglycaemia - UM

standing history of psychiatric illnesses and repeated admissions to the Psychiatric Short-Stay Ward. The depressive illness was precipitated by an accident in a previous work-place. Other past history included hypertension of 4 years duration and spinal surgery for a prolapsed disc in 2006.

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prescribing physicians by providing them with opportunities to publish. Pharmaceutical sales representatives visit the prescribing physicians and encourage those who have had favorable experiences with the drugs to liaise with a medical writer to produce a draft of a paper. Many of these publications have appeared in the literature as case studies.

Prescription Diuretic Abuse in Patients With Bulimia Nervosa

values suggesting surreptitious diuretic abuse may have bulimia nervosa. Requests for diuretics should alert the physician to the need for direct, compassionate questioning about the extent and reasons for diuretic use. Prompt evaluation for an eating disorder should be undertaken if Submitted, revised, June 7, 1988.


The statements indicate that there were two meet ings, one that was planned for the surreptitious provision of another patient s controlled drug and the second to give her the controlled drug. In this situation, Dr. Swinamer would have had sufficient time to reflect on the legal and ethical implications of her intentions.

Medication Non-Compliance among the Elderly with Dementia

The practice of caregivers hiding medications in patients food or drinks was Whitty P, Devitt P (2005) Surreptitious prescribing in psychiatric practice


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and surreptitious prescribing could be viewed as willingness of the family to be more involved in a patient s care. Surreptitious Prescribing in Psychiatric Practice Peter Whitty, M.B., M.R.C.Psych. Pat Devitt, M.B., M.R.C.Psych. The authors are affiliated with the depart-ment of adult psychiatry at the Adelaide and Meath Hospital in Dublin

Exogenous Cushing s Syndrome and Glucocorticoid Withdrawal

of factitious Cushing s syndrome resulting from surreptitious use of steroids have been reported. Villaneuva et al described four cases of Cushing s syn-drome seen within a 2-year period in their practice caused by surreptitious glucocorticoid use [12]. As with many such patients, only one of those


Based on Practice Guideline for the Treatment of Patients With Eating Disorders,Third Edition, originally published in July 2006. A guideline watch, summarizing significant developments in the scientific literature since publication of this guideline, may be available in the Psychiatric Practice section of the APA web site at

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Conversely, patients with psychiatric disorders describe the loss of control and trust when being forcibly treated as more devastating to them than the symp-toms that led them to seek treatment in the first place. Surreptitious prescribing violates every tenet of the doctor-patient relation-ship and is the antithesis of recovery.

Opioids for Subacute and Chronic Pain

ACOEM Practice Guidelines Committee Content Attestation I, Kurt Hegmann, MD, MPH hereby declare that the content for this activity, including any presentation of therapeutic options, is well balanced, unbiased, and to the extent possible, evidence-based. Conflict of Interest Disclosure I have no financial relationships with commercial entities