Pharmacology Tips

Expert Q&A

Considerations When Prescribing Psychotropic Medications

Topics: Child Psychiatry | Pharmacology Tips

CCPR: Thank you for joining us. To start things off, how do you approach using psychotropic medications for children and adolescents? Dr. Chenven: Most parents do not want to start medications. I empathize with them, which then makes it possible to move together toward medications when indicated. I quote Dr. Oliver Wendell Holmes, Sr., who said, “If

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Article

Metformin to Control Antipsychotic-Induced Weight Gain in Children

Topics: Antipsychotics | Child Psychiatry | Pharmacology Tips

Metformin has been used off-label for weight loss in psychiatry for many years, much of it for help with adult weight gain as a side effect of atypical antipsychotics. However, most trials of metformin for weight loss were actually conducted on the child and adolescent population. This article will look at the quality of the data in our pediatric pop

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Article

Tips for Good Medication Practice

Topics: Child Psychiatry | Pharmacology Tips

Good practice using psychotropic medications with children and adolescents requires a psychiatrist to pay attention to a number of elements. The following are some recommendations from child psychiatrist Mark Chenven, MD, of the things you should observe and the rules you might want to follow while prescribing medications: Start low, go slow: Most

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Article

Clozapine: A Fresh Look

Topics: Antipsychotics | Pharmacology Tips | Practice Tools and Tips

Several trials show it to be a superior treatment option, yet clozapine remains the “red-headed stepchild” of antipsychotics. Even though large studies reveal clozapine has impressive efficacy, particularly with treatment-resistant schizophrenia, many of us are reluctant to use it. According to one study, of the 30% of patients who have treatment

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Article

Abilify MyCite: Patient Care Breakthrough or Patent Extender?

Topics: Antipsychotics | Free Articles | Pharmacology Tips | Practice Tools and Tips

You’ve probably heard about a new “digital pill” called Abilify MyCite. The product, which was FDA approved in November 2017, is the first drug in the U.S. with a digital ingestion tracking system. MyCite consists of an aripiprazole pill that contains an embedded tiny sensing device (about the size of a grain of sand) called the ingestible even

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Expert Q&A

Prescribing and Managing Antipsychotics

Topics: Antipsychotics | Pharmacology Tips | Practice Tools and Tips | Registered Articles

TCPR: Dr. Schwartz, there are so many antipsychotics available. How do you choose in your own practice? Dr. Schwartz: Any drugs that have an FDA indication for a particular diagnosis are likely to be effective. I especially like to use those that have less risk of metabolic complications, such as ziprasidone, lurasidone, etc. If we are discussing eff

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Article

Detox: An Overview

Topics: Addiction | Pharmacology Tips | Psychotherapy | Substance Abuse

Detox (also known as “medically supervised withdrawal”) refers to treatment to help patients withdraw from substances that cause physical dependence, such as alcohol, sedative-hypnotics, and opioids. But detox is far more than a several-day process of ridding the body of an addictive substance. It should be considered an important component in the o

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Expert Q&A

Cannabis Use Disorder Treatment

Topics: Addiction | Pharmacology Tips | Psychotherapy | Substance Abuse

CATR: So, what do you feel is the big-picture challenge of treating heavy cannabis users? Dr. Hill: A big challenge is helping heavy users understand that cannabis use disorder is a real thing. It is hard for people to appreciate the risks that are associated with heavy use when they hear about the medical benefits and the recreational aspects of can

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Research Update

How Effective Is Tramadol for Opioid Withdrawal?

Topics: Addiction | Pharmacology Tips | Research Update | Substance Abuse

Review of: Dunn K et al, JAMA Psychiatry 2017. doi:10.1001/jamapsychiatry.2017.1838. [Epub ahead of print] Opioid withdrawal protocols often rely on a buprenorphine taper, but other medications are regularly used either in addition to or in the place of buprenorphine. In particular, tramadol ER, a mild opiate, may be effective and was recently studie

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CME Post-Test

Take The CME Post-Test for Detox, CATR, September/October 2017

Topics: Addiction | Pharmacology Tips | Psychotherapy | Research Update | Substance Abuse

The post-test for this issue is available for one year after the publication date to subscribers only (December 31, 2017). By successfully completing the test you will be awarded a certificate for 2 CME credits. Click here to take your CME test. Note: All of the CME tests are available in the “My Account” section of the site when you are logg

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