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Information about new psychotropic drugs, a summary of advances in knowledge about identifiable risk factors for adverse effects, and updated recommendations on viable "antidote" management strategies -- including novel pharmacotherapies for tardive dyskinesia and newer agents for weight loss -- are among the features of this new, second edition of Managing the Side Effects of Psychotropic Medications. Where other psychopharmacology textbooks -- and, indeed, most internships and residencies in psychiatry -- lack a solid basis in primary care medicine, this guide bridges that educational gap, offering a thorough examination of all the effects of taking a psychotropic drug as well practical clinical advice on how to manage complications that arise. The book is divided into three parts: The first deals with global issues that affect the assessment and formulation of possible adverse effects, as well as with pertinent concepts related to basic pharmacology, physiology, and medical monitoring. The second part presents information organized by individual organ systems or specific medical circumstances. The final part focuses on summary recommendations covering all the material presented in the book and is followed by helpful appendixes and self-assessment questions and resources for practitioners. This new edition includes: Updated summaries about what psychiatrists should know regarding drug-drug interactions, iatrogenic cardiac arrhythmias, drug pressor effects and orthostatic hypotension, and drug rashes; as well as updated discussions on avoiding lithium nephrotoxicity, handling adverse effect emergencies, and understanding new FDA classifications about drug safety during pregnancy An expanded discussion on the strengths and limitations of pharmacogenetic testing to predict adverse drug effects, as well as information about new treatments for sexual dysfunction, sleep disturbances, cognitive complaints, and other maladies Revised summary tables to aid rapid assessment and management An expanded section on supplemental resources An updated and expanded self-assessment section with more key questions Busy clinicians will find in Managing the Side Effects of Psychotropic Medications an accessible reference that provides both scientific and scholarly discussion of the consequences of drug therapies they may prescribe (or avoid), the range of available strategies to effectively manage adverse effects, and the scientific and practical implications of their treatment decisions.
This practical reference provides a clinically oriented management guide to the secondary results of all major classes of psychotropic medications used in North America. Practical Management of the Side Effects of Psychotropic Drugs describes the symptoms, frequency, and treatment options to certain drug reactions addresses general issues of side effect management, such as mechanisms of action, differential diagnosis, patient education, quality of life, and potential legal ramifications explores which compounds are tolerated best in patients with dysthymia, post-traumatic stress disorder, and certain personality disorders covers agents applied in the control of alcoholism and drug abuse discusses dealing with special populations, including the elderly, minorities, and medically ill patients and more! With over 900 references and tables, Practical Management of the Side Effects of Psychotropic Drugs is ideally suited for clinical psychiatrists, primary care physicians, internists, neurologists, psychotherapists, pharmacologists, clinical psychopharmacologists, neuropsychopharmacologists, pharmaceutical and behavioral scientists, and graduate and medical school students in these disciplines.
This book is a practical guide for psychiatrists to use when treating patients for medical issues. Over the past 10-20 years, the number of medications prescribed for psychiatric illnesses has steadily increased, and psychiatric practitioners are frequently called upon to manage medical issues and side effects that result from psychotropic treatment. Covering a wide range of conditions from thyroid disorders to cardiac disease, this book is a helpful resource for understanding common adverse medical effects that occur when psychotropic drugs are administered. Presented in a practical format, each chapter discusses management of a particular medical problem or side effect and then provides a summary and flowchart of the major points highlighted in that chapter. Each chapter contains an overview of key medications causing a particular side effect. The book also includes special topics such as psychotropic prescribing in medical illness and tips on electrocardiographic interpretation. This easy-to-reference book aims to bridge the gap between medicine and psychiatry by elaborating on medical conditions seen in routine outpatient psychiatric practice. It serves as an invaluable tool for mental health providers, nurses, health educators, and pharmacologists alike. ​ ​​
This is the second edition of this book, massively expanded from the first edition that was published in 2014.Side effects are not a side issue! Adverse effects or side effects are of the greatest importance because they cause considerable suffering and are the leading cause of nonadherence to medications. That is why side effects can be called "The Other Side of Suffering" or "The Other Half of Psychopharmacology." More attention needs to be paid to preventing side effects, developing strategies to systematically assess these side effects, and for managing them. This book focuses on some of the commonest side effects of psychiatric medications and is jam-packed with highly clinically useful, practical information to help deal with them. The numerous practical strategies described will be useful to both the beginner and to the experienced clinician. The book will appeal to psychiatrists, other physicians, nurse practitioners, nurses, etc. TABLE OF CONTENTS 1. General principles: What's the big deal? Knowledge is power. Sensitive to medications. 2. Blood: Bleeding 3. Blood pressure: Dizziness (Orthostatic hypotension). 4. Ears: Tinnitus. 5. Electrolytes: Hyponatremia. Metabolic acidosis. 6. Endocrine glands: Diabetes Insipidus (see Polyuria/Diabetes insipidus). Hyperparathyroidism. Hyperprolactinemia. Thyroid dysfunction. 7. Eyes: Blurred vision. Glaucoma. 8. Gastrointestinal tract; Constipation. Diarrhea. Loss of appetite (Anorexia). Nausea. Pancreatitis. .9. Genitals/Sexuality: Sexual dysfunction. 10. Heart: Myocarditis. QT prolongation and other ECG changes. 11. Blood sugar: Hyperglycemia. 12. Kidneys: Kidney stones. Polyuria/ Diabetes Insipidus. 13. Liver: Hyperammonemia (elevated serom ammonia level). 14. Mouth: Bruxism . Dry mouth (Xerostomia). Hypersalivation (Sialorrhea). 15. Nervous system: Akathisia. Headache. Insomnia (See Sleep). Parkinsonism. Seizures. Tardive dyskinesia . Tremors. 16. Skin: Acne. Excessive sweating (Hyperhidrosis). Hair loss (Alopecia.) Skin reactions. 17. Sleep: Insomnia. 18. Weight: Weight gain. Weight loss (see Loss of Appetite). 19. Other side effects: Antidepressant discontinuation (withdrawal). Edema.
An invaluable guide to psychiatric presentation, diagnosis and treatment in a primary care setting.
This issue of the Psychiatric Clinics, edited by Dr. Rajnish Mago, will cover a variety of side effects of Psychopharmacotherapy. The topics discussed include principles of evaluation and management; sexual dysfunction; adverse effects on pregnancy due to bipolar medications; metabolic adverse effects of antipsychotics; adverse effects of psychotropic medications on sleep; antidepressants and suicide; and adverse effects of electroconvulsive therapies, among others.
"This book has been divided into three main sections. Part I deals with global issues that bear on the assessment and formulation of possible adverse effects and with pertinent concepts related to basic pharmacology, physiology, and medical monitoring. The chapters in Part II present information organized by individual organ systems or specific medical circumstances rather than by drugs or drug classes. This approach seems to provide a logical and comprehensible format that allow readers to search out information as referenced by a particular side effect (and its varied potential causes) and to locate a discussion of practical management strategies. Part III focuses on summary recommendations covering all the material presented in the book and is followed by helpful appendixes on self-assessment questions and resources for practitioners. The book is meant to serve as a ready reference that simultaneously provides scientific and scholarly discussion of available treatment options and presents their scientific rationales."--page xx.
Side effects are not a side issue! Adverse effects or side effects are of the greatest importance because they cause considerable suffering and are the leading cause of nonadherence to medications. That is why side effects can be called "The Other Side of Suffering" or "The Other Half of Psychopharmacology." More attention needs to be paid to preventing side effects, developing strategies to systematically assess these side effects, and for managing them. This book focuses on some of the commonest side effects of psychiatric medications and is jam-packed with highly clinically useful, practical information to help deal with them. The numerous practical strategies described will be useful to both the beginner and to the experienced clinician. The book will appeal to psychiatrists, other physicians, nurse practitioners, nurses, etc.
This succinct handbook provides students and practitioners with clinically relevant psychotropic drug information. The Eighth Edition is designed as a reference text that also teaches by delivering informative narrative text under standard headlines with references. Its focus goes beyond drug information to cover pharmacotherapy applications. The book provides detailed, well-referenced, evidence-based information on a wide range of psychotropic drugs, including mood stabilizers, antidepressants, and antianxiety agents. This edition has new chapters on pediatric and geriatric psychopharmacotherapy; new content on antipsychotics, hypnotics, medications used in treating alcoholism and substance dependence, and electroconvulsive therapy; and new algorithms, appendices, and tables.