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Home » Topics » General Psychiatry

General Psychiatry
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Conventionals: Not only cheaper than atypicals, but more effective?

January 1, 2007
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
The latest results from the CATIE trial indicate that treatment with Trilafon (perphenazine) is not only much cheaper than treatment with SGAs (second generation antipsychotics), but leads to superior overall quality of life for patients.
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Should We Still use Atypicals for Alzheimer’s Disease?

January 1, 2007
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
David Fassler, MD
Only after thinking long and hard about it, according to the long anticipated results from the CATIE-AD trial. In this study, 421 patients with Alzheimer’s Disease were randomized to double-blind treatment with Zyprexa (mean dose, 3.2 mg/day), Seroquel (34.1 mg/day), Risperdal (0.7 mg/day), or placebo.
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Suicidality and Antidepressants

January 1, 2007
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
David Fassler, MD
Another study has been published on the controversial issue of whether antidepressants increase the risk of suicidality in children.
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Acupuncture for depression? Not

January 1, 2007
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
David Fassler, MD
In the largest ever randomized controlled trial of acupuncture for depression, the treatment did no better than “non-specific” needling; in fact, it did somewhat worse.
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It’s Official: Topamax doesn’t work for Bipolar Disorder

January 1, 2007
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
David Fassler, MD
It’s been a bad, bad year for Topamax (topiramate). First, the results of four controlled trials of Topamax as monotherapy for mania showed that it outperforms placebo in only two ways: more paresthesia and more weight loss (Kushner et al, Bipolar Disorders 2006;8:15-27).
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Deciphering Antidepressant Research

January 1, 2007
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
I know that you published a famous meta-analysis several years ago in which you compared the remission rates of patients on venlafaxine with SSRIs and placebo. Can you remind us of what that study showed?
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Learning Objectives, Antidepressant Round-up 2007, TCPR, January 2007

January 1, 2007
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
After reading these articles, you should be able to…
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Handheld Drug Information: Which Software Works Best?

December 1, 2006
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
It's another hectic day in the office. You are evaluating a complicated new patient, who presents with multiple medical and psychiatric problems. Over the next 50 minutes, you're going to have to make a number of medication decisions, and you don't have the time to dig around in your bookcase, nor have you spent enough time in the gym to be able to heave around your PDR. You need all the relevant information in one spot, and you'd prefer to access it while you are sitting and talking to your patient.
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E-prescribing: The Time is Now!

December 1, 2006
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Electronic prescribing allows you to write prescriptions from your computer, and either print them or, in some areas, transmit them directly to a pharmacy. There are many advantages to the practitioner and the patient.
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Internet Resources for Psychiatrists

December 1, 2006
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
You’ve probably heard that looking for something on the internet is like taking a drink from a fire hydrant…. We’ve made it a bit easier by describing a few of our favorite websites.
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