Psychiatry Ask The Experts Index

 
 
  • Atypical Antipsychotics and Bipolar Disorder Are olanzapine, quetiapine, ziprasidone, aripiprazole, and risperidone mood stabilizers? For how long can these atypical antipsychotics prevent relapses? When are relapses most likely to occur?
  • Antidepressants in the Pipeline What drugs act as agonists at the neurokinin (NK) level? How are they useful? When might they be approved by the FDA?
  • Does Combining Duloxetine and Amitriptyline Raise the Risk for Seizures? Each drug has an associated risk for seizures, but what about in combination?
  • Correct Stimulant Dose for Adults; Interactions Between SSRIs and Stimulants? Are higher doses of stimulants really more effective for adults with ADHD? Are they safe?
  • Sex and Antidepressants How often do SSRIs cause sexual dysfunction? When reducing the dosage does not help, what can you do? What options are best for which kinds of patients?
  • Bipolar Depression Why is it seemingly more difficult to treat bipolar depression than bipolar mania? Why does it seem so hard to get the FDA to approve medications for bipolar depression?
  • Managing the Side Effects of Clozapine What are the potential side effects of clozapine? Why? What pharamacologic and nonpharmacologic solutions can you offer your patients?
  • New Methods for the Administration of Psychiatric Medication How has the pharmacokinetic profile of some pills improved? What old drugs may be reformulated for lingual or nasal administration? What new techniques minimize metabolism by liver enzymes?
  • The New "Blue Light" Intervention for Seasonal Affective Disorder (SAD) How does light therapy work? What are its strengths and weaknesses? What 2 promising alternatives affect the circadian systems that mediate response to bright full-spectrum light?
  • Clozapine in Schizophrenia How many patients do not respond adequately to antipsychoptics? When should clozapine be used to treat them? What is an adequate dose? What should you do if a patient does not respond to that dose?
  • ADHD Related to Fetal Alcohol Syndrome As many as 41% of children with fetal alcohol syndrome (FAS) have ADHD. Are stimulants safe in this population? How does their response to treatment differ from that of children with non-FAS ADHD?
  • Suicide and Bipolar Disorder Who is more likely to attempt suicide: a person with bipolar I or bipolar II? Who is more likely to succeed: a person with bipolar vs unipolar mood disorder? Why do the data seem puzzling at first?
  • New Medications Which antidepressant is likely to come to market next? What 5HT1A, M1/M2, NK1, NK2, and other agonists are waiting in the wings? What triple reuptake inhibitors may be here in 2010?
  • How Can I Distinguish ADHD From Bipolar Disorder at an Early Stage? Up to 93% of children with bipolar disorder also have ADHD, yet the bipolar diagnosis frequently is overlooked. What behaviors should tip you off? Which rating scales support this diagnosis?
  • Improving Adherence to Antidepressant Medication What 4 strategies can you use to improve adherence among your patients with depression?
  • ADHD Symptoms Worsen After Years of Stable Stimulant Dose What 4 factors should you consider when ADHD treatment gains start eroding?
  • Testing for ADHD What neuropsychological evaluations reliably identify ADHD? Where does the TOVA fit among other criteria for this diagnosis?
  • Treatment of ADHD in Children With Seizure Disorders Can stimulants lower the seizure threshold? Can they cause seizures? How do antiepileptic drugs interact with medications for ADHD?
  • Stimulant Treatment for a Child With Aortic Regurgitation After blood pressure is stabilized, which medications are best?
  • Manic and Compulsive Symptoms in a 7-Year-Old on Methylphenidate Which 2 classes of drugs can trigger disinhibition and agitation in susceptible children? Can a child with a co-occurring mood disorder receive adequate treatment for ADHD?
 
 
 
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