David_Shiers (@davidiris1) 's Twitter Profile
David_Shiers

@davidiris1

Honorary reader in early psychosis Manchester Uni. Former GP and joint lead on UK EI in Psychosis Programme (2004-10); just my views

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calendar_today19-06-2013 21:22:42

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The British Journal of General Practice (@bjgpjournal) 's Twitter Profile Photo

Improvements for patients with #psychosis and early intervention in psychosis services are highlighted in this research doi.org/10.3399/BJGP.2… The EXTEND EIP study ProfessorCarolynCG Keele Mental Health #PrimaryCare #EarlyInterventionInPsychosis Watch the 1-min video

Ed Beveridge (@dredbeveridge) 's Twitter Profile Photo

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 Lade Smith CBE Royal College of Psychiatrists bjgp.org/content/early/…

Adam Jameson (@adamjameson96) 's Twitter Profile Photo

Thrilled to share that the systematic review conducted as part of my PhD has been published! 🎉 A big thank you to all my supervisors and collaborators who supported me along the way. Check it out here: mdpi.com/2075-4426/14/1… Here are our key findings…

Hub for Metabolic Psychiatry (@hubmetpsych) 's Twitter Profile Photo

On 20th September 2024, The Hub for Metabolic Psychiatry officially launched alongside UKRI Mental Health Platform! In our inaugural blog post for #worldmentalhealthday 🌍 we share some highlights from the event as well as some of our Hub's key aims. Read more 👇 metabolicpsychiatryhub.com/post/world-men…

Institute of Psychiatry, Psychology & Neuroscience (@kingsioppn) 's Twitter Profile Photo

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 Professor Sally Marlow. To wrap up #WorldMentalHealthDay, here's a preview of the conversation⤵️

Ed Beveridge (@dredbeveridge) 's Twitter Profile Photo

🚨🚨🚨New guidelines on access to dental care for people with #SevereMentalIllness from British Society of Special Care Dentistry, endorsed by Royal College of Psychiatrists Poor oral health is source of preventable suffering in this population and we can do better. Easter Joury David_Shiers Lade Smith CBE bsscd.org/index.php?view…

Aoife Carolan (@carolanaoife) 's Twitter Profile Photo

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

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
Aoife Carolan (@carolanaoife) 's Twitter Profile Photo

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.

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.
Aoife Carolan (@carolanaoife) 's Twitter Profile Photo

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

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
Aoife Carolan (@carolanaoife) 's Twitter Profile Photo

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

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
Aoife Carolan (@carolanaoife) 's Twitter Profile Photo

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

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
Aoife Carolan (@carolanaoife) 's Twitter Profile Photo

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

The one-page algorithm also lists important prescribing information including dosing instructions, possible side effects and monitoring recommendations
Frances Mair (@francesmair) 's Twitter Profile Photo

‘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 The British Journal of General Practice on antipsychotic use in #primarycare UK (bjgp.org/content/75/750…) #mentalhealth