Diabetes mellitus and antipsychotic treatment in the United Kingdom

Christopher Carlson, Kenneth Hornbuckle, Frank DeLisle, Ludmila Kryzhanovskaya, Alan Breier, Patrizia Cavazzoni

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

Objective: Treatment-emergent diabetes has been reported during exposure to conventional and atypical antipsychotics. This retrospective cohort study explored the UK General Practice Research Database (GPRD) to determine hazard ratios of diabetes for patients prescribed antipsychotics. Methods: A Cox proportional hazard regression model using age, gender, and obesity (BMI > 30 kg/m2) was used to determine the hazard ratio (HR) of diabetes development in conventional antipsychotic (N = 59,089), atypical antipsychotic (N = 9053), individual antipsychotic, and general patient population cohorts (N = 1,491,548). Results: Compared with the general GPRD patient population, patients exposed to conventional or atypical antipsychotics had a higher risk of developing diabetes (atypical antipsychotic cohort: HR = 2.9, CI = 2.0-4.4; and conventional antipsychotic cohort: HR = 1.9, CI = 1.6-2.3). The risk of developing diabetes during thioridazine, risperidone, or olanzapine treatment was significantly higher compared with the general GPRD patient population. Conclusion: Consistent with other epidemiology studies, this study supports an increased risk of developing diabetes during treatment with antipsychotics.

Original languageEnglish (US)
Pages (from-to)366-375
Number of pages10
JournalEuropean Neuropsychopharmacology
Volume16
Issue number5
DOIs
StatePublished - Jul 1 2006

Keywords

  • Antipsychotics
  • Diabetes
  • Epidemiology

ASJC Scopus subject areas

  • Pharmacology
  • Neurology
  • Clinical Neurology
  • Psychiatry and Mental health
  • Biological Psychiatry
  • Pharmacology (medical)

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    Carlson, C., Hornbuckle, K., DeLisle, F., Kryzhanovskaya, L., Breier, A., & Cavazzoni, P. (2006). Diabetes mellitus and antipsychotic treatment in the United Kingdom. European Neuropsychopharmacology, 16(5), 366-375. https://doi.org/10.1016/j.euroneuro.2005.11.002