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The Maudsley Prescribing Guidelines in Psychiatry

The Maudsley Prescribing Guidelines in Psychiatry

by David Taylor, Carol Paton, Shitij Kapur

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Helps with complex prescribing needs

The evidence base for drug treatments in psychiatry ranges from meta-analyses and randomised controlled clinical trials to single case reports, and from NICE guidelines to individual SPCs.  Where do you look for information when transferring a patient from one drug to another?  Where do you find a clear


Helps with complex prescribing needs

The evidence base for drug treatments in psychiatry ranges from meta-analyses and randomised controlled clinical trials to single case reports, and from NICE guidelines to individual SPCs.  Where do you look for information when transferring a patient from one drug to another?  Where do you find a clear overview when dealing with a complex patient (e.g, with co-morbid epilepsy or liver disease or HIV infection)?   Where can you seek advice on prescribing psychotropics during pregnancy?  The Maudsley Prescribing Guidelines in Psychiatry! The leading clinical reference for handling prescribing problems as encountered in daily practice and for formulating prescribing policy. 

Evidence-based and written by experts

This book is the essential guide for anyone responsible for prescribing, dispensing or administering drugs for patients with mental health disorders.  All the evidence has been reviewed and summarized succinctly by an expert team of psychiatrists and pharmacists. 

New content and improved format

This new edition makes greater use of tables and boxes to facilitate quick reference and includes new sections on cytochrome-mediated interactions and psychiatric side effects of non-psychotropic drugs.

Clinically relevant

Chapters address plasma monitoring, schizophrenia, bipolar disorder, depression and anxiety, children and adolescents, substance abuse and special patient groups.  Each section has a full reference list.  The book covers prescribing drugs outside their licensed indications and their interaction with substances such as alcohol, nicotine and caffeine.

Useful for all levels of experience

Trainees will gain important information regarding the rational, safe and effective use of medications for patients with mental illness.  Experienced clinicians will find excellent guidance regarding more complex issues that they may not encounter regularly. 

Why the Maudsley Prescribing Guidelines in Psychiatry?

Long recognized as an international trailblazer in mental health care, the Maudsley Hospital earned its reputation for excellence in both in-patient and community care.  It is highly regarded for its research, and pioneered the use of clinical neuroscience. You can trust The Maudsley Prescribing Guidelines in Psychiatry to be scientifically sound and clinically effective.

Editorial Reviews

Doody's Review Service
Reviewer: Daniel McCarthy, MD (Pine Rest Christian Mental Health Services)
Description: These guidelines endeavor to give clinicians clear and concise advice on psychiatric medications. The previous edition was published in April 2012.
Purpose: This is designed as a clinical resource for information on prescribing psychiatric medications. It succinctly reviews current data and provides broad guidelines and recommendations on the use of these medications for specific psychiatric disorders. It is a reliable and quick reference that can help reinforce or reevaluate a treatment plan.
Audience: The intended audience is anyone prescribing psychiatric medications, with the focus on psychiatry residents and practitioners, although the book could be used by any clinician who cares for patients who are mentally ill. It meets the needs of its intended audience with a few caveats. It is a great guide for managing medications day to day. However, it is a concise and clinical book and thus more in-depth pharmacological information should be sought from the provided references or through other resources.
Features: The book is organized by psychiatric illness, with further subdivisions into the treatment options available, the evidence for the best supported options, side effects that can result, other special considerations for prescribing, and available alternative treatments. It also has succinct and practical information on the formulations, dosages, precautions, monitoring, and costs of the various treatments. A number of quite informative summary tables and flowcharts give easy to follow guidelines. The information is based on extensive literature review and on actual clinical practices. Each section also includes an extensive list of references so that readers can further review the information. The format lends itself to clinical use: i.e. seeing a patient, determining a diagnosis, and then considering treatment options. One drawback to the format is that information on some medications with utility in different illnesses is spread across chapters.
Assessment: This is a valuable book for clinicians caring for the mentally ill. It is succinct in its presentation and guidelines, but broad in its scope of coverage. It is easy to follow and easy to read. It also provides extensive references. This edition offers updated guidelines which incorporate prescribing information and data that has accumulated since the prior edition. Additionally, it has new and/or expanded areas such as plasma level monitoring and depot medications. All of these updates justify replacing the previous edition. Stahl's Essential Psychopharmacology: Prescriber's Guide, 5th edition, Stahl (Cambridge University Press, 2014), is comparable, but these two books have very different approaches. Maudsley is more clinically concerned with the "how" of these medications, while Stahl's is more pharmacologically oriented to the "why" of the medications; thus they complement each other. One caveat is that Stahl's is a British book, but the authors are aware of the book's use outside of the U.K. and thus cover a broad formulary. Overall, it offers evidence-based information in clear and concise guidelines which follow NICE prescribing guidelines.

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Meet the Author

David Taylor is Director of Pharmacy and Pathology at the South London and Maudsley NHS Foundation Trust, and Professor of Psychopharmacology at King’s College London. The lead author of all editions of the Maudsley Prescribing Guidelines, Professor Taylor is the author of several other texts and editor of Therapeutic Advances in Psychopharmacology.

Carol Paton is Chief Pharmacist at Oxleas NHS Foundation Trust, London: she is also joint Head of the Prescribing Observatory for Mental Health and an Honorary Research Fellow at Imperial College London.

Shitij Kapur is Professor of Schizophrenia, Imaging and Therapeutics and the Dean and Head of School at the Institute of Psychiatry, King's College London.

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