Psychiatry

Polypharmacy in Psychiatry Practice, Volume II: Use of by Peter F. Buckley M.D. (auth.), Michael S. Ritsner (eds.)

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By Peter F. Buckley M.D. (auth.), Michael S. Ritsner (eds.)

Although monotherapy is mostly prompt because the remedy of selection, remedy resistance of sufferers with psychosis, cognitive, temper and anxiousness issues represents an important medical challenge. during this context, augmentation and mix ideas are mostly hired to deal with this challenge. even if a number of medicine use universal in psychiatric perform, purposes, efficacy and protection for polypharmacy, and augmentative suggestions have remained doubtful. It continues to be uncertain if there's an explanation base to aid polypharmacy. in addition, over the top and beside the point use of psychotropic medicines has been well-known as a public illness. This quantity is the 1st complete, clinically orientated, reference at the a number of medicine use to regard psychotic, cognitive, temper and anxiousness disorders.

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Pediatrics 128(6):e1459–e1466 31. Constantine RJ, Boaz T, Tandon R (2010) Antipsychotic polypharmacy in the treatment of children and adolescents in the fee-for-service component of a large state Medicaid program. Clin Ther 32(5):949–959 32. Lehman AF, Kreyenbuhl J, Buchanan RW, Dickerson FB, Dixon LB, Goldberg R, Green-Paden LD, Tenhula WN, Boerescu D, Tek C, Sandson N, Steinwachs DM (2004) The Schizophrenia Patient Outcomes Research Team (PORT): updated treatment recommendations 2003. K. T. Vernon 33.

Physicians tailor the medications to symptom clusters of each diagnosis, resulting in APP. Thus quetiapine and ariprazole may be used to treat depression and mood symptoms, while haloperidol, risperidone or olanzapine may be prescribed for positive psychosis, in the same patient. Similarly, one antipsychotic such as quetiapine may be prescribed to target manic symptoms of excitement, irritability and hyperactivity while another such as haloperidol or risperidone may be prescribed to target psychosis.

Joukamaa M, Heliövaara M, Knekt P, Aromaa A, Raitasalo R, Lehtinen V (2006) Schizophrenia, neuroleptic medication and mortality. Br J Psychiatry 188:122–127 53. Khan A (2010) Antipsychotic polypharmacy is not associated with increased mortality from natural causes in patients with schizophrenia compared to monotherapy. Evid Based Ment Health 13(3):90, No abstract available. PMID: 20682830 2 Antipsychotic Polypharmacy in USA 29 54. Finnerty MT, Kealey E, Leckman-Westin E, Gupta N, White TM, Engel GM, Opler LA (2011) Psychiatric Services and Clinical Knowledge Enhancement System initiated in 3 phases in NYSOMH network of 18 psychiatric hospitals Long-term impact of web-based tools, leadership feedback, and policies on inpatient antipsychotic polypharmacy.

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