Abstract:
Schizophrenia is a psychiatric disorder that requires antipsychotics
therapy. Antipsychotics cause many side effects, including orthostatic
hypotension. The study aimed to describe the incidence of orthostatic
hypotensive side effects experiences by schizophrenia patients at the
Sambang Lihum Mental Health Hospital, South Kalimantan. This
research was observational description research with data sampling
by medical records. This research was conducted to 300 medical
records of patient’s period January-December 2018 which received
antipsychotics medication and data analyzed by univariate analysis.
The results showed the number of patients who experienced
orthostatic hypotension was 98 patients (32.67%) and no experienced
were 202 patients (67.33%). Incidence of orthostatic hypotension in
haloperidol 54.35% (N=46); trifluoperazine 100% (N=1); clozapine
84.62% (N=13); olanzapine 100% (N=1); haloperidol-chlorpromazine
27.27% (N=11); haloperidol-haloperidol 42.86% (N=7); clozapinerisperidone 16.67% (N=6); haloperidol-clozapine 15.05% (N=93);
haloperidol-olanzapine 50% (N=2); haloperidol-risperidone 31.82%
(N=22); trifluoperazine-olanzapine 100% (N=1); trifluoperazineclozapine 22.22% (N=9); trifluoperazine-risperidone 5.56% (N=18);
chlorpromazine-haloperidol-haloperidol 33.3% (N=3);
chlorpromazine-haloperidol-trifluoperazine 100% (N=3); haloperidoltrifluoperazine-chlorpromazine 100% (N=1); chlorpromazinehaloperidol-clozapine 42.86% (N=7); chlorpromazine-trifluoperazineclozapine 100% (N=1); chlorpromazine-trifluoperazine-olanzapine
100% (N=1); chlorpromazine-trifluoperazine-risperidone 50% (N=2);
trifluoperazine-haloperidol-risperidone 100% (N=4); haloperidoltrifluoperazine-risperidone 100% (N=1); trifluoperazine-haloperidolclozapine 40% (N=5); haloperidol-haloperidol-clozapine 80% (N=5);
clozapine-risperidone-trifluoperazine 100% (N=4); risperidoneclozapine-haloperidol 20% (N=10). The conclusion from this study
was the percentage of orthostatic hypotension on schizophrenia
patients at the Sambang Lihum Mental Health Hospital was 32.67%
(N=98).
Keywords:Antipsychotic Postural hypotension Psychosis disorder
