Neuroleptic drug use in the nursing home: the impact of OBRA.

In 1990 the new OBRA legislation affecting nursing home care went into effect. This legislation and the regulations written to interpret it introduce specific rules concerning the use of neuroleptic medication in the care of nursing home residents. This article examines this legislation and the new regulations, and reviews neuroleptic drug use, including appropriate indications, side effects and prescribing guidelines. Physicians who care for nursing home patients should be familiar with the regulations.