Honorary reader in early psychosis Manchester Uni. Former GP and joint lead on UK EI in Psychosis Programme (2004-10); just my views
Joined June 2013
- Tweets 5,354
- Following 1,123
- Followers 1,790
- Likes 2,334
341 Photos and videos
David_Shiers retweeted
2 Jan 2025
‘Flattened, fattened, and forgotten’: the ‘dis-integrated’ care of patients prescribed #antipsychotics in the UK bjgp.org/content/75/750/9 - a follow up editorial to our recent paper in @BJGPjournal on antipsychotic use in #primarycare UK (bjgp.org/content/75/750/e68) #mentalhealth
4
5
1,024
David_Shiers retweeted
9 Dec 2024
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/schizophren…
A 🧵of the key points
6
17
30
3,415
David_Shiers retweeted
9 Dec 2024
This is the first guideline produced by the PROGRESS research group. Lead by @BNODonoghue and funded by @hrbireland
2
3
6
343
David_Shiers retweeted
9 Dec 2024
The one-page algorithm also lists important prescribing information including dosing instructions, possible side effects and monitoring recommendations
1
3
7
262
David_Shiers retweeted
9 Dec 2024
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
1
3
6
298
David_Shiers retweeted
9 Dec 2024
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
1
2
5
393
David_Shiers retweeted
9 Dec 2024
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
1
2
5
306
David_Shiers retweeted
9 Dec 2024
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.
1
2
4
305
David_Shiers retweeted
9 Dec 2024
Take a screenshot 📸 to save the algorithm to your phone now
1
7
14
632
David_Shiers retweeted
9 Dec 2024
Thank you to all of our collaborators @ucddublin @SJOGMHealth @svuh @hrbireland @BNODonoghue @doloreskeating @RCSIPharmBioMol @HynesCaroline @OSheaHoganLab @FGaughran @JohnLyne9 @KarOConnor @benjmnperry @tobypill @Davidiris1 and many more
1
5
299
David_Shiers retweeted
6 Dec 2024
🚨🚨🚨New guidelines on access to dental care for people with #SevereMentalIllness from @BSSCD_uk, endorsed by @rcpsych
Poor oral health is source of preventable suffering in this population and we can do better.
@JouryEaster @Davidiris1 @DrLadeSmith
bsscd.org/index.php?view=art…
9
14
984
David_Shiers retweeted
27 Nov 2024
Our main Early Youth Engagement (EYE-2) in first-episode psychosis services trial paper is now out. You can read it here cambridge.org/core/journals/… @pfrench123 @EmmanuellPeters @BLennox4 @drlouisecjohns @hambahamba01 @Research_SPFT @NIHRresearch @Sussex_Psych @McPinFoundation
6
7
3,437
David_Shiers retweeted
BJGPLife: Coping with Psychosis and Schizophrenia: Family Stories of Hope and Recovery
bjgplife.com/coping-with-psy…
1
4
4
676
David_Shiers retweeted
Improvements for patients with #psychosis and early intervention in psychosis services are highlighted in this research
doi.org/10.3399/BJGP.2023.05…
@EXTENDEIP @CizCG @Keele_MHRes
#PrimaryCare #EarlyInterventionInPsychosis
Watch the 1-min video
1
4
7
623
David_Shiers retweeted
16 Oct 2024
another reason we should look after the physical health of people w SMI @Davidiris1
15 Oct 2024
Our new paper out @BJGPjournal @juanbazoa @drandyclegg @osborn_ucl @i_petersen @UCL_PCPH @CAPS_UCL @NIHRresearch
2
7
705
David_Shiers retweeted
15 Oct 2024
Our new paper out @BJGPjournal @juanbazoa @drandyclegg @osborn_ucl @i_petersen @UCL_PCPH @CAPS_UCL @NIHRresearch
People over the age of 50 who have severe mental illness are more likely than the general population to experience fragility fractures, but may be less likely to get a diagnosis for osteoporosis, finds a new study led by Dr @CAvgerinou @UCL_IEHC ucl.ac.uk/news/2024/oct/seve…
1
4
10
1,854
David_Shiers retweeted
25 Sep 2024
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
@DrLadeSmith @rcpsych
bjgp.org/content/early/2024/…
12
29
75
8,749
David_Shiers retweeted
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 @northactually.
To wrap up #WorldMentalHealthDay, here's a preview of the conversation⤵️
1
4
9
2,935
David_Shiers retweeted
10 Oct 2024
On 20th September 2024, The Hub for Metabolic Psychiatry officially launched alongside @MHPlatform!
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/p…
2
4
178
David_Shiers retweeted
Dr Juliana Onwumere, Dr @Davidiris1 & Prof Elizabeth Kuipers' have published their book "Coping with Psychosis and Schizophrenia Family Stories of Hope and Recovery", co-authored by family carers⤵️
#Psychosis #Carers @CarersUK @MaudsleyNHS @northactually cambridge.org/core/books/cop…
3
3
722