Managing the Side Effects of Psychotropic Medications by Joseph F. Goldberg, Carrie L. Ernst
By Joseph F. Goldberg, Carrie L. Ernst
"Managing the uncomfortable side effects of Psychotropic drugs presents complete, pragmatic info on watching for and countering opposed drug results once they ensue. Cowritten via a study psychopharmacologist and a consultation-liaison psychiatrist, this booklet fills a void within the literature, aiding psychological overall healthiness practitioners investigate the dangers and advantages of particular psychotropic medicinal drugs and adopt suggestions for handling hostile effects."
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Extra resources for Managing the Side Effects of Psychotropic Medications
Sex, driving, gambling, drugs, spending) Psychomotor Agitation or pacing, energy, retardation, tremor, gait, balance, motor stiffness or rigidity, restless legs Speech Fluency, prosody, dysarthria, slurring ments, discovering reasons for discontinuation, gauging an individual patient’s capacity to tolerate medically benign side effects, and recognizing potential patterns or sensitivities that may heighten expectations about future potential side-effect susceptibilities or concerns. Finally, and perhaps most obviously, an awareness of particular side-effect sensitivities or concerns can and should inform joint deliberations between prescriber and patient about possible future treatments.
The use of combination drug therapy regimens has become increasingly commonplace, informed at least theoretically by complementary mechanisms of action, potential pharmacodynamic synergies, and concepts such as “breadth of spectrum” to describe psychotropic drugs in analogous fashion to antimicrobials or antineoplastics. Yet, despite the fervor with which psychiatrists often devise complex drug regimens or undertake novel pharmacotherapies for conditions that respond poorly to traditional agents, many practitioners are often remarkably uncomfortable confronting and managing unintended drug effects.
The presence of certain medical comorbidities may pose relative (if not absolute) contraindications to the use of specific psychotropic agents. Representative examples are summarized in Table 1–1. Appropriate medical monitoring of psychotropic agents involves an awareness of abnormalities detectable by history or physical examination, as well as pertinent laboratory parameters. Table 1–2 provides a summary of laboratory measures that warrant monitoring or consideration in the course of treatment with specific psychotropic compounds.