About this trial
The goal of this intervention study is to examine the impact of pharmacist-led interventions in psychiatric patients initiating second-generation antipsychotic treatment. The primary purpose is to assess the impact of intervention on antipsychotic induced metabolic outcomes, such as weight gain and other cardiometabolic risk markers, in patients aged 18 to 60 years who have been diagnosed with chronic mental disorder. Participants will be assigned to either the intervention or the control group. The intervention group will receive educational interventions from the pharmacist at baseline, after 4 weeks, 8 weeks, and 12 weeks along with the standard therapy prescribed by the psychiatrist. On the other hand, the control group will receive only the standard therapy with no intervention from the pharmacist.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 18-60 years.
Diagnosed with schizophrenia, bipolar disorder, or major depressive disorder.
Currently prescribed a second-generation antipsychotic for < 2 months.
Willing to participate in lifestyle and counseling sessions.
Disqualifiers
Patients with severe medical comorbidities.
Pregnant or breastfeeding women.
Patients receiving only first-generation antipsychotics.
Patients taking more than three antipsychotics.
Trial design
Parallel
Treatments tested in this trial
Pharmacist monitoring and counseling to prevent or delay metabolic syndrome
BehavioralPatients will have a 20-30 minutes meetings with a clinical pharmacist at baseline, week 4, 8, and 12. Pharmacist will do metabolic assessments at each visit and individually counsel the patient on diet, physical activity and weight management. He will educate the patient on medication use, metabolic syndrome, cardiovascular risk and weight gain due to second generation antipsychotics. Clinical Pharmacist will assess the following parameters: * Weight * Body mass index (BMI) * Waist circumference * Blood pressure * Fasting blood glucose * Lipid profile
Treatment groups
Trial outcomes
Primary outcomes
Body weight (kg)
Change in body weight (kg) from baseline to 12 weeks
Body Mass Index (kg/m2)
Change in Body Mass Index (kg/m2) from baseline to 12 weeks
Waist circumference (cm)
Change in waist circumference (cm) from baseline to 12 weeks
Secondary outcomes
Fasting blood glucose (mg/dl)
Change in fasting blood glucose (mg/dl) from baseline to 12 weeks
Blood pressure (mmHg)
Change in blood pressure (mmHg) from baseline to 12 weeks
Triglyceride levels ((mg/dL)
Measurement of the change in fasting serum triglyceride concentrations from baseline to 12 weeks
Sponsors and contacts
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University of Lahore
Lead sponsor
Punjab Institute of Mental Health
Collaborator
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