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LATEST NEWS: Please note that our July and August issues are combined into one 12-page issue that will be mailed out at the end of July 2009. The topic for this special double issue is The Interface of Psychiatry and Medicine and will include a 2-credit CME post-test.

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Featured ArticleFeatured Articles

Prescribing Atypical Antipsychotics: What are the Risks?
TCPR
March 2009
Over the past several years, the use of antipsychotics has expanded dramatically. Aside from the traditional indication, schizophrenia, various members of this class have received FDA approval for bipolar mania, bipolar depression, major depression, and autism, and increasingly they are used off-label for anxiety, insomnia, and agitation. As with any type of medication that becomes popular quickly, unforseen side effects have emerged. In this article we briefly review some of the more serious potential risks. (Subscription required)  

Psychotropics and Pregnancy: An Update
TCPR
February 2009

On May 28, 2008, the FDA announced a major revision in the labeling of the pregnancy and breast-feeding risk of drugs. With the latest system, package inserts include a short monograph on the pregnancy and lactation risks of each drug. (Subscription required)

Transcranial Magnetic Stimulation is Approved. Now What?
TCPR
January 2009

One year ago we reviewed the status of transcranial magnetic stimulation for depression, and concluded with the following TCPR Verdict: "TMS for depression: Approval is highly unlikely." We were wrong. (Free)

 

 

 

Cymbalta For Pain in Depression
TCPR
December 2008

It has become increasingly clear that depressed patients quite often suffer from some degree of physical pain, which may adversely impact treatment outcome. Eli Lily's popular antidepressant Cymbalta (duloxetine) has been marketed as a treatment that can alleviate both typical depressive symptoms and physical pain. Does the scientific literature support such a notion? (
Free)

Antidepressants and Bipolar Disorder:  An Update
TCPR July/August 2008
Much of what is confusing and controversial in the treatment of bipolar disorder revolves around the role of antidepressants. Are they dangerous or safe? Are they effective or ineffective? Does it matter whether the patient has Bipolar I or II? (Free)


The MoCA:  A Better MMSE?
TCPR May 2008
Most psychiatrists rely on the Folstein Mini Mental State Exam for a rapid, office-based neuropsycholgical assessment.  But a hot new test, called the Montreal Cognitive Assessment (MoCA) appears to work much better.   (Free)

Pristiq vs. Effexor
TCPR April 2008
After many years of trying, Wyeth finally received FDA approval for its new antidepressant, Pristiq (desvenlafaxine).  Don't get too excited though-Pristiq is simply the active metabolite of Effexor... (Free)

Practical Advice on Treating Alcohol Problems
TCPR March 2008
The National Institute on Alcohol Abuse and Alcoholism has recently posted a practical guide for professional interested in improving their skills in evaluating and treating patients with alcohol problems.  Learn more here… (Free)

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This Month's
Issue:

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Vol. 7, No. 6   June 2009
 
Focus of the Month:
Generic Medications in Psychiatry

Generics in Psychiatry: Sorting Through the Evidence
 
L-Methylfolate for Depression: The Real Deal?

Research Updates
 
Expert Q & A:
Aaron S. Kesselheim, MD: Brand-Names vs. Generics: A Meta-Analysis

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Drug Metabolism in Psychiatry: A Clinical Guide
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