Response 592128071

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Your details

Please select from below which best describes you.

Please select one item
(Required)
Individual who takes clozapine
Whānau, family and/or caregiver of an individual who takes clozapine
Medical doctor
Pharmacist
Nurse
Other healthcare professional

We intend to publish the submissions from this survey, but we will only publish your submission if you give permission. We will remove personal details such as email addresses and the names of individuals, and any other information that you tell us to remove. If you do not want your submission published, please let us know below.

Please select one item
(Required)
You may publish this submission.
Do not publish this submission.

Pharmacist - general questions

Please describe your current role (Click all that apply).

Please select all that apply
Pharmacist working on a hospital ward
Pharmacist working in an inpatient hospital pharmacy
Pharmacist working in an outpatient clinic
Pharmacist working in a community pharmacy
Pharmacist working in general practice
Pharmacist working in rest homes
Other role: please comment below role and location (including intern pharmacist)

Approximately, how long have you been looking after people who take clozapine?

Duration (years)
27

Approximately, how many people who are on clozapine do you currently dispense and/or review prescriptions for (including inpatient medicine charts)?

Please select one item
1 – 10
11 – 20
21 – 30
> 31
Not applicable or other: please provide further information below
Please provide your answer below
1.Review medication charts for 1 -10 people.
2. Answer queries for other health professionals, who have patients on clozapine > 31

Of these people, approximately what proportion have been treated with clozapine for over 1 year on a continuous basis?

Please select one item
0 - 10%
11 - 20%
21 - 50%
> 51%
Not applicable

Which resources do you use for information about clozapine in your everyday role? (Click all that apply)

Please select all that apply
Data sheet
Hospital protocols or guidelines
National protocols or guidelines
International protocols or guidelines
Peer-reviewed journal articles
Hospital medicine information services
Ask colleagues (pharmacists/pharmacy team)
Ask colleagues (other healthcare professionals)
Clozapine patient education resources (e.g., Consumer Medicines Information leaflet, Healthify (formerly Health Navigator))
Clozapine Patient Monitoring Services provided by pharmaceutical company
Other resources: please provide further information below
Please provide your answer below
Clinical Handbook of Psychotropic Drugs http://chpd.hogrefe.com/

Procyshyn RM, Bezchlibnyk-Butler KZ, Jeffries JJ, (Eds)
Clinical Handbook of Psychotropic Drugs 23rd Edition
Hogrefe Publishing, Massachusetts, 2019

aylor DM, Barmes TRE & Young AH
The Maudsley Prescribing Guidelines in Psychiatry 14th Edition
Wiley Blackwell, Hoboken, New Jersey, 2021

CareLink PLUS Clozaril Resource Book: For Psychiatrists; Mental Health Staff, General Practitiners and Pharmacists Mylan NZ, Auckland, February 2018

Bazire S
Psychotropic Drug Directory 2020/21: The professionals’ pocket handbook & aide memoire
Lloyd-Reinhold Publications Ltd, London, 2020

Meyer JM & Stahl SM, The Clozapine Handbook, Cambridge University Press, UK, 2020

Pharmacist - clozapine side effects

In general, how often do you ask patients if they are experiencing any potential side effects of clozapine? (you may select more than one option)

Please select all that apply
Weekly
4-weekly
12-weekly
Ward rounds/ward visits
When medicines are collected from the pharmacy
Not applicable or other: please provide further information below
Please provide your answer below and/or any additional comments to the above question if necessary
Annotate med charts, request monitoring in clinical notes. Check that the local monitoring protocol is being followed.

Which clozapine side effects do you usually ask about? (Click all that apply)

Please select all that apply
Constipation
Symptoms of infection
Cardiovascular conditions
Sedation
Hypersalivation
Other side effect: please provide further information below
Please provide your answer below
OCD
Seizures

In general, how are potential clozapine side effects identified? (Click all that apply)

Please select all that apply
Patients proactively inform you
Asking patients directly
Routine monitoring
Not applicable or other

If your patients have an adverse reaction to clozapine, do you report it to the Centre for Adverse Reactions Monitoring (CARM) New Zealand?

Please select one item
Yes
No
Not applicable or other
If you would like to provide any additional information, please provide this below
Also reported to Clozaril CareLink Plus

Pharmacist - constipation

Approximately, what proportion of your patients experience constipation with clozapine?

Please select all that apply
0 - 10%
11 - 20%
21 - 50%
>51%
Not applicable or other: please provide further information below

Do you routinely recommend (or prescribe) laxatives for patients taking clozapine?

Please select one item
Yes: regular laxative to be taken at least daily
Yes: laxative to be taken if required
No: please provide further information below
Not applicable or other: please provide further information below

Pharmacist - haematological monitoring

Please tell us more about your role in haematological monitoring of clozapine (if applicable).

Please provide your answer below
Check blood test results for ward patients.

Follow up CareLink notifications for out of range for clozapine patients in the community, forRedacted text region as needed

Approximately, what proportion of your current clozapine patients are on weekly, fortnightly, or 4-weekly haematological monitoring?

Weekly %
>75%
Not applicable or other: please comment
Only able to comment on inpatients.