Cochrane Review Finds No Evidence for “PRN” Drugs in Mental Health Treatment

Justin Karter
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It is common for “as required” or PRN (Pro re nata) medications to be prescribed during inpatient mental health visits. The most likely drugs prescribed “as needed” include benzodiazepines, antipsychotics, and sleeping pills. A newly updated Cochrane review finds, however, that “there is no good evidence” for this practice.

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5 COMMENTS

  1. Whats wrong with PRN ? This makes no sense to me.

    As needed is much better than steady state drugging.

    Anxiety and insomnia were my complaints and why would I want to do zombie anhedoinia pills all day instead of treating the problem as needed ?

    • Because the alleged pros thought this came from some mysterious brain malfunction. Proper treatment would involve more examination directing a course of treatment without drugs. Alas, the PRN drugs for your difficulties are likely to be addictive.

  2. “The most likely drugs prescribed “as needed” include benzodiazepines, antipsychotics, and sleeping pills.”

    As needed by who? The patient or the staff? Because I was surprised to find out that refusing to take a fist full of benzos and anti psychotics “as needed” constituted an “emergency” under the Mental Health Act (despite saying I would become ill as a result) and that you are then surrounded by a dozen staff and forcefully injected.

    I neither wanted or needed these drugs, and yet “no” means “yes”?