Psychopharmacology and Psychiatry Updates
By Psychopharmacology Institute
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Practical psychopharmacology updates for mental health clinicians. Useful for psychiatry / mental health professionals. Expert interviews and soundbites from CME presentations. Practical and free of commercial bias. Not sponsored by any pharmaceutical company.
||CleanHow to Manage Adverse Effects of Clozapine – Part 2||Today’s question is: How to manage the non-hematological adverse effects of clozapine? Here is a summary of this episode: Clozapine can commonly cause a benign fever. If a patient is feverish, do a workup to exclude infections, myocarditis,...||3/8/2019||Free||View in iTunes|
||CleanHow to Manage Adverse Effects of Clozapine – Part 1||Today’s question is: How to manage the non-hematological adverse effects of clozapine? Here is a summary of this episode: For sialorrhea start with local agents like sublingual atropine drops or mouth ipratropium spray. If that fails, systemic...||2/21/2019||Free||View in iTunes|
||CleanDo SSRIs Increase Bleeding Risk?||Today’s question is: Do SSRIs increase the risk of bleeding? Here is a summary of this episode: Prescribe SSRIs with caution in patients with a defect in platelet number or function and those with H.pylori infection. Concomitant SSRI and NSAID use...||2/6/2019||Free||View in iTunes|
||CleanYour Guide to Treating PTSD Comorbidities||Today’s question is: How to manage the comorbidities of PTSD? Here is a summary of this episode: Screen for substance use and avoid prescription drugs like benzodiazepines. Desipramine and topiramate might help with comorbid alcohol use disorder....||1/25/2019||Free||View in iTunes|
||CleanHow to Treat PTSD-Related Sleep Disturbances?||Today’s question is: How to treat sleep disturbances in patients with PTSD? Here is a summary of this episode: Prazosin is recommended as a first-line agent in sleep disturbances in PTSD with an average dose for men at 16 mg and for...||1/9/2019||Free||View in iTunes|
||CleanPrescribing Psychotropics in the Medically Ill||Here is a summary of this episode: In patients with liver impairment, it is better to use drugs that are metabolized by phase II enzymes or drugs that are not metabolized by the liver at all. Patients with severe renal impairment may also have liver...||12/28/2018||Free||View in iTunes|
||CleanPsychotropics and Gastrointestinal Conditions: Prescribe with the Gut in Mind||Here is a summary of this episode: Always ask about over-the-counter drugs like antacids, antiemetics, and spasmolytics as they may interfere with drug absorption. In patients who have undergone gastric bypass, use immediate release formulations, or...||12/14/2018||Free||View in iTunes|
||CleanClinical Pearls in Geriatric Psychopharmacology||Here is a summary of this episode: Geriatric Psychopharmacology Today’s topic is geriatric psychopharmacology. Do one thing at a time. Start low and go slow with medication titration and avoid PRN prescribing. Avoid medications on the Beers list...||11/29/2018||Free||View in iTunes|
||CleanTreatment-Resistant Depression: Clinical Conundrum||Today’s question is: How to manage treatment-resistant depression? Here is a summary of this episode: The first step in the management of treatment-resistant depression (TRD) is adequate history taking and assessment for comorbidities and bipolar...||11/15/2018||Free||View in iTunes|
||CleanHow to Manage an Agitated Patient?||Today’s question is: How to manage an agitated patient? Here is a summary of this episode: Antipsychotics are the mainstay of treatment; addressing psychotic agitation as well as treating delirium. Haloperidol is best combined with a...||10/30/2018||Free||View in iTunes|
||CleanWhen to Discontinue Antipsychotics? Reviewing the Evidence||Today’s question is: When is the right time to discontinue an antipsychotic in the treatment of schizophrenia? We reviewed the evidence as well as consulting Dr. Ira Glick to help us answer this question. Here is the summary of the...||10/2/2018||Free||View in iTunes|
||CleanAre Drug Interaction Warnings Influenced by Drug Company Promotion? An Interview with Dr. Jeffery Mattes||Dr. Jeffrey Mattes, psychiatrist in Princeton, New Jersey speaks about drug interaction warnings that appear during electronic prescribing and how these warnings may be influenced by drug company promotion. This interview is part of a series covering...||8/27/2018||Free||View in iTunes|
||CleanPsilocybin for Treatment-Resistant Depression - Dr. Robin Carhart-Harris||Dr. Robin Carhart-Harris speaks about the use of psilocybin for treatment-resistant depression. Here are some key points from this interview: - Psilocybin, a psychedelic, is a 5-HT2A agonist. Stimulation of the 5-HT2A receptor promotes...||7/29/2018||Free||View in iTunes|
||CleanAre Psychopharm Algorithms Bad for You?||At the 2018 Annual Meeting of the American Psychiatric Association, Dr. Robert Patterson (psychiatrist at McLean Hospital Boston) spoke about the benefits of following a structured approach to psychopharmacology. In this episode, Dr. Patterson...||7/29/2018||Free||View in iTunes|
Great for clinicians!
Awesome listen on the way to work, gets the mind going in short segments and adds new ideas while I’m actively seeing patients.