Overview

A comprehensive yet practical guide to the prescription of psychotropic medications in patients with medical illness, Clinical Manual of Psychopharmacology in the Medically Ill is designed to be useful to clinicians practicing in a broad range of specialties, from the psychosomatic medicine specialist caring for a delirious patient with cancer to the general medical practitioner prescribing an antidepressant to a diabetic patient who recently had a myocardial infarction. This manual • Provides useful psychotropic...

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Clinical Manual of Psychopharmacology in the Medically Ill

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Overview

A comprehensive yet practical guide to the prescription of psychotropic medications in patients with medical illness, Clinical Manual of Psychopharmacology in the Medically Ill is designed to be useful to clinicians practicing in a broad range of specialties, from the psychosomatic medicine specialist caring for a delirious patient with cancer to the general medical practitioner prescribing an antidepressant to a diabetic patient who recently had a myocardial infarction. This manual • Provides useful psychotropic prescribing protocols that can be employed by primary care physicians, psychiatrists, and other medical professionals.• Reviews fundamental principles of psychotropic drug prescribing across medical specialties.• Educates clinicians regarding the growing evidence base supporting the safety and efficacy of psychopharmacological treatments for a diverse range of psychiatric problems in medically ill patients.• Provides clinically relevant information concerning psychopharmacology in the medically ill, including pharmacokinetic and pharmacodynamic principles, drug-drug interactions, and organ system disease-specific issues.

Clinical Manual of Psychopharmacology in the Medically Ill is divided into two sections. The first supplies fundamental background information for prescribing psychotropics across medical disease states, including discussion of pharmacodynamics and pharmacokinetics, drug-drug interaction principles, major systemic adverse effects of psychotropic drugs, and alternate routes of psychotropic drug administration. The second section addresses psychopharmacological treatment in specific organ system diseases, such as renal and cardiovascular disease, as well as other relevant subspecialty areas, such as critical care, organ transplantation, pain, and substance use disorders. Authored by experts in the field, chapters contain the following: • Key differential diagnostic considerations, including adverse neuropsychiatric side effects of disease-specific medications• Disease-specific pharmacokinetic principles in drug prescribing, including interactions between psychotropic drugs and disease-specific drugs• Useful tables summarizing information on adverse neuropsychiatric side effects of disease-specific medications, adverse disease-specific side effects of psychotropic drugs, and drug-drug interactions• Extensive referencing of source material to allow readers to expand their knowledge in specific areas

This manual, beyond serving as a clinical guide, should become a mainstay of curricula in general psychiatric residency programs, psychosomatic medicine fellowships, and nonpsychiatric residency training programs that prepare physicians to provide safe and effective psychopharmacological treatment for patients with medical illness.

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Editorial Reviews

Doody's Review Service
Reviewer: Daniel McFarland, DO (Rush University Medical Center)
Description: This manual of psychopharmacology focuses on issues pertaining to the use of psychotropic medications in the medically ill.
Purpose: It is intended as an educational tool and a manual of psychopharmacological treatments for patients with a variety of medical illnesses.
Audience: The audience includes specialist and nonspecialist clinicians, consultant psychiatrists on medically ill patients or medically ill psychiatric patients.
Features: This book is divided into two parts. The first part reviews the mechanism of pharmacokinetics, pharmacodynamics, and alternate routes of administration. The second part is a fairly comprehensive review of psychopharmacology in organ systems and specialty areas. The information is user friendly in its accessibility and succinctness. Each chapter has easy-to-read charts and tables with a key summary section of important points. Chapters average around 20-30 pages in length, which makes it easy to review. The outline of each chapter is clear, logical, and easy to follow, yet the information is detailed in terms of what is important for a treating physician making management decisions. References are conveniently located at the end of each chapter.
Assessment: This well-written reference is heavily clinically oriented, but provides historical and relevant basic science information. The outline format allows users to quickly find appropriate material that can be used in a treatment setting, making the book is easier to use than a cumbersome textbook of psychopharmacology. Because it is clinically oriented, it reviews drug-drug interactions and other pertinent prescribing information for treating physicians, but it does not provide in-depth discussions of mechanisms of action with multiple diagrams found in a comprehensive and authoritative textbook of psychopharmacology.
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Product Details

  • ISBN-13: 9781585629428
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 5/20/2010
  • Sold by: Barnes & Noble
  • Format: eBook
  • Pages: 640
  • Product dimensions: 0.55 (w) x 0.82 (h) x 0.12 (d)
  • File size: 9 MB

Meet the Author

Stephen J. Ferrando, M.D., is Professor of Clinical Psychiatry and Public Health and Vice Chair for Psychosomatic Medicine and Departmental Operations at the New York Presbyterian Hospital, Weill Cornell Medical College, Department of Psychiatry, in New York, New York.

James L. Levenson, M.D., is Professor of Psychiatry, Medicine, and Surgery and Vice-Chair of Psychiatry for Clinical Services at the Virginia Commonwealth University School of Medicine in Richmond, Virginia.

James A. Owen, Ph.D., is Associate Professor in the Departments of Psychiatry and of Pharmacology and Toxicology at Queen's University, and Director of the Psychopharmacology Lab, Providence Care Mental Health Services, in Kingston, Ontario, Canada.

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Table of Contents

Part I: General Principles. Pharmacokinetics, pharmacodynamics and principles of drug-drug interactions. Severe drug reactions. Alternate routes of drug administration. Part II: Psychopharmacology in Organ System Disorders and Specialty Areas. Gastrointestinal disorders. Renal and urological disorders. Cardiovascular disorders. Respiratory disorders. Oncology. Central nervous system disorders. Endocrine and metabolic disorders. Obstetrics and gynecology. Infectious diseases. Dermatological disorders. Rheumatological disorders. Surgery and critical care. Organ transplantation. Pain management. Substance use disorders. Index.

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