Managing Side Effects of Psychotropic Medications

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Managing the Side Effects of Psychotropic Medications provides comprehensive, pragmatic information on anticipating and countering adverse drug effects when they occur. Cowritten by a research psychopharmacologist and a consultation-liaison psychiatrist, this book fills a void in the literature, helping mental health practitioners assess the risks and benefits of specific psychotropic medications and undertake strategies for managing adverse effects.

This volume includes a wealth of information relevant to clinical psychiatrists, psychiatric residents, and psychiatric nurses, as well as medical students engaged in a psychiatry rotation. Highlights include: • A review of fundamental concepts from internal medicine relevant to psychopharmacology across all major organ systems affected by antidepressants, antipsychotics, mood stabilizers, stimulants, sedative-hypnotics, and other major psychotropic classes• Practical discussion of the strengths and weaknesses of viable antidote strategies for common adverse drug effects, including weight gain, metabolic dysregulation, sexual dysfunction, sleep disorders, skin rashes, movement disorders, and cognitive disturbances. Readers will understand the scientific rationale and evidence base behind available methods to counteract adverse drug effects• An entire section on vulnerable populations, including children, the medically ill, and older adults, including the special considerations in prescribing and intervening when adverse effects arise• Guidance for managing emergency situations, beginning with how to determine whether such a situation — e.g., allergic reaction or overdose — exists. Easy-to-use tables provide critical information needed to respond rapidly and appropriately to emergency situations including overdoses, neurotoxicities, and systemic reactions• A 25-question, multiple-choice self-assessment that employs a combination of case studies and straightforward questions on mechanisms of action, key symptoms, and medication selection, providing the reader with an effective way to measure learning• A series of appendices that distill complex information into readily-comprehensible form on vital topics including commonly reported adverse effects, common psychotropic drug interactions, resources for practitioners, and rating scales for measuring adverse drug effects.

Most valuable of all, Managing the Side Effects of Psychotropic Medications provides concise, bottom-line summary recommendations that synthesize all available empirical and anecdotal information on psychotropic medications. Mental health practitioners will appreciate its comprehensiveness and wise counsel.

American Psychiatric Publishing

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Editorial Reviews

Richard Balon
This volume provides a comprehensive, scholarly, thoughtful coverage of the topic. It includes excellent general chapters that help teach the reader to be a primary care psychiatrist. Numerous useful tables as well as good appendices are included… This is a very valuable, important book that belongs in the office of every practicing psychiatrist. No other book like this is available on the market at present.

(M.D., Journal of Psychiatric Practice May 2013)

Doody's Review Service
Reviewer: Marcos Modiano-Esquenazi, MD (Rush University Medical Center)
Description: This important book addresses why psychotropic medications cause side effects and how to manage them.
Purpose: Principle objectives of this book are to provide information that is otherwise unavailable in psychopharmacology textbooks and to demonstrate ways to anticipate, identify, and manage drug side effects.
Audience: The audience is primarily clinicians, both primary care physicians and psychiatrists, residents, and medical students who are involved in prescribing psychotropic drugs.
Features: Part I of the book's three parts encompasses global issues that are part of the assessment and formulation of possible adverse events and basic concepts of pharmacology (pharmacokinetics, pharmacodynamics) and physiology. The chapters in part II are organized by organ system or a specific medical condition (e.g. gastrointestinal side effects, neurological system, etc.) and provide recommendations on management of side effects. Part III focuses on recommendations and includes two appendixes. Black-box warnings for certain drugs appear throughout the book. Tables appear in most of the chapters, and references are provided at the end of the book.
Assessment: This is a valuable addition to the psychiatric literature, since no other book helps clinicians understand the pathophysiology and management of psychotropic side effects. Most psychopharmacology books enumerate side effects, but rarely do they suggest treatment strategies for these common reactions.
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Product Details

  • ISBN-13: 9781585624027
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 4/17/2012
  • Pages: 532
  • Sales rank: 294,763
  • Product dimensions: 6.00 (w) x 8.90 (h) x 1.30 (d)

Meet the Author

Joseph F. Goldberg, M.D., M.S., is Associate Clinical Professor of Psychiatry at Mount Sinai School of Medicine in New York, New York, and Director of the Affective Disorders Research Program at Silver Hill Hospital in New Canaan, Connecticut.

Carrie L. Ernst, M.D., a consultation-liaison psychiatrist, is Assistant Professor of Psychiatry and Assistant Director of the Psychosomatic Medicine Fellowship Program at the Mount Sinai School of Medicine, New York, New York.

American Psychiatric Publishing

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Table of Contents

Preface. Foreword. Introduction. List of abbreviations. List of drugs. Part I: General Considerations. The psychiatrist as physician. Pharmacokinetics, pharmacodynamics and pharmacogenomics. Vulnerable populations. Adverse psychiatric effects of nonpsychotropic medications. Adverse psychiatric effects of psychiatric medications. What nonmedical therapists should know about adverse drug effects. Part II: Organ Systems. Cardiovascular system. Dermatological system. Ear, nose and throat. Electrolyte abnormalities. Endocrinopathies. Gastrointestinal system. Genitourinary and renal systems. Hematological system. Musculoskeletal system. Neurological system. Ophthalmological system. Sleep disturbances. Systemic reactions. Pregnancy and the puerperium. Emergency situations. Part III: Summary Recommendations. The future. Appendix 1: self-assessment quetsions and answers. Appendix 2: resources for practitioners. References. Index.

American Psychiatric Publishing

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