PSYCHOPHARMACOLOGY AND WORKING WITH PSYCHIATRY PROVIDERS. Juanaelena Garcia, MD Psychiatry Director Institute for Family Health

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "PSYCHOPHARMACOLOGY AND WORKING WITH PSYCHIATRY PROVIDERS. Juanaelena Garcia, MD Psychiatry Director Institute for Family Health"

Transcription

1 PSYCHOPHARMACOLOGY AND WORKING WITH PSYCHIATRY PROVIDERS Juanaelena Garcia, MD Psychiatry Director Institute for Family Health

2 Learning Objectives Learn basics about the various types of medications that are used by psychiatry providers to treat various mental disorders Learn how you can work with psychiatry providers as part of your team

3 Psychiatry providers at IFH Psychiatrists- 4 years medical school after college then 4 years of Psychiatry Residency training Psychiatric Nurse Practitioners-RN s who get advanced training and do special certification in psychiatry Physician s assistants- 3 year training programs, many times affiliated with medical schools, most experience is on the job

4 Psychiatry in an Integrated setting Family practitioners following the IMPACT model of depression care Psychiatry providers working collaboratively with Family practitioners Having family practitioners manage certain cases, increasing access for patients with more complicated psychiatric illness Providing backup and consultation to Family practitioners in their management of psychiatric cases

5 Who can the Family practitioner see and manage New patients/intakes who have not had a history of psychiatric treatment have not had medication trials for depression or anxiety who have been on a regimen of antidepressants and need to be restarted Established patients in psychiatry That have been stable for many months and have had no med changes or adjustments That can have 3 month followup or more Have not had high risk behaviors in 3 months or more, ex suicide, homicide, self injury That are in therapy

6 Who do we want the psychiatrist to see Patients with an extensive psychiatric history, ie multiple hospitalizations and outpatient treatments Patients who are on complicated psychiatric regimens of antipsychotics, mood stabilizers, stimulants, benzodiazepines Actively psychotic Recurrent passive/active suicidal or homicidal ideation or self injury

7 Medication issues that may come up in therapy Side effects Discontinuation of medications Patients who refuse or no longer need medications Monitor in their therapy and refer back to psychiatry provider if symptoms have not improved or worsen

8 Herbal Medications Have chemical effects even though they are herbs Encourage patients to tell their doctor all the medications they are taking including From family members Medication they may have brought in from another country Medication purchased online

9 PSYCHOTROPIC MEDICATION TYPES A small sampling Brand name (Generic name)

10 Antidepressants SSRI s Used also for anxiety, OCD and other conditions, not just depression Prozac (Fluoxetine) Paxil (Paroxetine) Zoloft (Sertraline) Celexa (Citalopram) Lexapro (Escitalopram) The originals Most have generic, covered by plans

11 Antidepressants Dual action medications Serzone (Nefazodone) Remeron (Mirtazapine)-elderly who lose appetite and sleep Effexor XR (Venlafaxine)-anxiety Cymbalta (Duloxetine)-fibromyalgia, pain Viibryd (Vilazodone HCL) Others- Wellbutrin SR, XL (Buproprion)- also for smoking cessation Luvox (Fluvoxamine)- mostly for OCD TCA s (tricyclics) and Neurology- examples are Elavil (Amitryptyline) and Pamelor (Nortryptiline)- diabetic neuropathy Monoamine oxidase inhibitors-dietary restrictions

12 Antidepressant issues with use Discontinuation syndromes Side effects GI Headache Sexual Weight gain

13 Mood Stabilizers Used in Bipolar illness, other conditions with mood instability Examples Lithium carbonate classic bipolar, anti suicide properties Depakote (Valproic Acid)-mixed states Tegretol (Carbamazepine) Trileptal (Oxcarbazepine) Lamictal (Lamotrigine)- bipolar depression Neurontin (Gabapentin)-anxiety and diabetic neuropathy Topamax (Topiramate)- used for weight loss

14 Mood stabilizers issues with use Blood levels Kidney and liver monitoring toxicity

15 Antipsychotics Used for psychotic symptoms in a variety of illnesses Examples First generation- Haldol (Haloperidol) Trilafon (Perphenazine) Prolixin (Fluphenazine) Issues Injectable forms Tardive dyskinesia

16 Antipsychotics Atypicals- Risperdal (Risperidone) Seroquel (Quetiapine) Zyprexa (Olanzapine) Geodon (Ziprasidone) Abilify (Aripiprazole) Clozaril (Clozapine)- blood monitoring Fanapt (Iloperidone) Latuda (Lurasidone)-bipolar depression monotherapy Invega (Paliperidone)

17 Antipsychotics issues with use Atypical issues Expensive Not all formularies cover Metabolic syndrome Weight gain High blood pressure High blood sugar High cholesterol

18 Anti anxiety For symptoms not specific illness Buspar (Buspirone) Hydroxyzine (Atarax) Benzodiazepines- Ativan (Lorazepam) Klonopin (Clonazepam) Valium (Diazepam) Xanax (Alprazolam)

19 Anti anxiety medications- issues with use Benzodiazepines Dependence tolerance Withdrawal Abuse Misuse- xanax Diversion

20 Stimulants For ADD and variants, also augment antidepressant Multiple immediate and long acting preparations, amphetamine salts, combinations Ritalin Concerta Focalin Adderall Adderall XR Methylphenidate

21 Stimulants -issues for use Abuse Diversion Performance enhancement

22 ISTOP law As of 8/27/13, a prescription monitoring program database must be checked before a prescriptions for controlled substances is written Database will show all prescriptions filled, site, method of payment, and prescriber.

23 Sleep aids Desyrel (Trazodone) Restoril (temazepam) The Z drugs Ambien (Zolpidem) Sonata (Zaleplon) Lunesta (Eszopiclone) Issues Tolerance Diversion Abnormal sleep behaviors

24 Questions about your patients meds? Inbasket the psychiatry provider or Psychiatry director

PSYCHOSOMATIC INSTITUTE OF SAN ANTONIO New Patient Information

PSYCHOSOMATIC INSTITUTE OF SAN ANTONIO New Patient Information PSYCHOSOMATIC INSTITUTE OF SAN ANTONIO New Patient Information Name: Last: First: MI: Birth Date: Sex: M F Marital Status: Single Married Divorced Separated Widowed Partnered Other Preferred name: Emergency

More information

Mental Health Intake Form

Mental Health Intake Form Mental Health Intake Form Please complete all information on this form and bring it to the first visit. It may seem long, but most of the questions require only a check, so it will go quickly. You may

More information

Psychiatric Medications: Pearls and Pitfalls. The majority of medications used in patients with psychiatric diagnoses have more than one use.

Psychiatric Medications: Pearls and Pitfalls. The majority of medications used in patients with psychiatric diagnoses have more than one use. Psychiatric Medications: Pearls and Pitfalls Rule #1 The majority of medications used in patients with psychiatric diagnoses have more than one use. Without access to the patient s medical record, to review

More information

Lamictal, lamotrigine Lithium, lithobid, eskalith Depakote, valproate Trileptal, oxcarbazepine Tegretol, equetro, carbamazepine Atypicals (aripiprazole, abilify, olanzapine, zyprexa, invega, risperdal,

More information

Overview of Mental Health Medication Trends

Overview of Mental Health Medication Trends America s State of Mind Report is a Medco Health Solutions, Inc. analysis examining trends in the utilization of mental health related medications among the insured population. The research reviewed prescription

More information

Medications Used in the Management of Disruptive Behavior Disorders

Medications Used in the Management of Disruptive Behavior Disorders The following medication chart is provided as a brief guide to some of the medications used in the management of various behavior disorders, along with their potential benefits and possible side effects.

More information

Early Morning Waking Excessively Orderly or Perfectionistic

Early Morning Waking Excessively Orderly or Perfectionistic COLLEGE OF MEDICINE Jacksonville 580 W 8 th St T-2 6 th Fl Ste 6005 6266 Dupont Station Ct Department of Psychiatry Jacksonville, FL 32209 Jacksonville, Fl 32217 Division of Adult Psychiatry Phone 904-383-1038

More information

PSYCHIATRY. Patient Name: Date: / / Date of Birth: / / Age: Pharmacy Name: Pharmacy Phone #:

PSYCHIATRY. Patient Name: Date: / / Date of Birth: / / Age: Pharmacy Name: Pharmacy Phone #: Patient Name: Date: / / Date of Birth: / / Age: Pharmacy Name: Pharmacy Phone #: Primary Care Physician: Current Therapist/Counselor: How did you hear about us? Internet Insurance Other Providers (specialty):

More information

Same as above. Address on File with Insurance Company: Phones (home): (cell): (work): Address: Referral Source: Name: Phone:

Same as above. Address on File with Insurance Company: Phones (home): (cell): (work):  Address: Referral Source: Name: Phone: Mental Health Intake Information Please complete all information on this form and bring it to the first visit. It may seem long, but most of the questions require only a check, so it will go quickly. You

More information

New Treatments. For Bipolar Disorder. Po W. Wang, MD Clinical Associate Professor Bipolar Disorders Clinic Stanford University School of Medicine

New Treatments. For Bipolar Disorder. Po W. Wang, MD Clinical Associate Professor Bipolar Disorders Clinic Stanford University School of Medicine New Treatments For Bipolar Disorder Po W. Wang, MD Clinical Associate Professor Bipolar Disorders Clinic Stanford University School of Medicine Abbott Laboratories AstraZeneca Bristol-Myers Squibb Corcept

More information

Serenity Psychiatry, LLC Mimi Armellino, DO Of Coastal Counseling Associates. Patient History Form

Serenity Psychiatry, LLC Mimi Armellino, DO Of Coastal Counseling Associates. Patient History Form Serenity Psychiatry, LLC Mimi Armellino, DO Of Coastal Counseling Associates Patient History Form Name Date Age DOB SSN Address City State ZIP Patient s Telephone (H) (W) (Cell) Email Job Title or School

More information

A BRIEF OVERVIEW OF PSYCHOTROPIC MEDICATION USE FOR PERSONS WITH INTELLECTUAL DISABILITIES

A BRIEF OVERVIEW OF PSYCHOTROPIC MEDICATION USE FOR PERSONS WITH INTELLECTUAL DISABILITIES INTRODUCTION A BRIEF OVERVIEW OF PSYCHOTROPIC MEDICATION USE FOR PERSONS WITH INTELLECTUAL DISABILITIES Individuals with intellectual disabilities are not uncommonly prescribed psychotropic medications.

More information

Medication Side Effects:

Medication Side Effects: Medication Side Effects: Staying Healthy While on Psychotropic Medications Megan Maroney PharmD, BCPP Clinical Assistant Professor Ernest Mario School of Pharmacy Rutgers the State University of New Jersey

More information

Antipsychotics and the Nursing Home

Antipsychotics and the Nursing Home Antipsychotics and the Nursing Home Lisa M. O Hara, PharmD, CGP Corporate Director of Clinical Services The State Operations Manual Part 1: F329 Unnecessary Drugs Medication Management Defined Helps promote

More information

Medication Side Effects

Medication Side Effects Medication side effects All meds All medications have side effects. Side effects for any given medication may vary from person to person. As we look at the following medications and their side effects,

More information

Psychotropic Medication Reference Chart

Psychotropic Medication Reference Chart Psychotropic Medication Reference Chart Appendix 4.14 This chart is not an all-inclusive list of medications. If you have a question regarding the classification of a medication you may consult websites

More information

Medicines for Treating Depression. A Review of the Research for Adults

Medicines for Treating Depression. A Review of the Research for Adults Medicines for Treating Depression A Review of the Research for Adults Is This Information Right for Me? Yes, if: A doctor or other health care professional has told you that you have depression. Your doctor

More information

Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include:

Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include: Bipolar Disorder What is bipolar disorder? Bipolar disorder, or manic depression, is a medical illness that causes extreme shifts in mood, energy, and functioning. These changes may be subtle or dramatic

More information

BIPOLAR DISORDER A GUIDE FOR INDIVIDUALS AND FAMILIES FOR THE TREATMENT OF BIPOLAR DISORDER IN ADULTS

BIPOLAR DISORDER A GUIDE FOR INDIVIDUALS AND FAMILIES FOR THE TREATMENT OF BIPOLAR DISORDER IN ADULTS BIPOLAR DISORDER A GUIDE FOR INDIVIDUALS AND FAMILIES FOR THE TREATMENT OF BIPOLAR DISORDER IN ADULTS A publication of the Massachusetts Department of Mental Health and the Massachusetts Division of Medical

More information

Medications for Huntington s Disease Vicki Wheelock, M.D.

Medications for Huntington s Disease Vicki Wheelock, M.D. Medications for Huntington s Disease Vicki Wheelock, M.D. Director, HDSA Center of Excellence at UC Davis June 4, 2013 Outline Introduction and disclaimers Medications for cognitive symptoms Medications

More information

MOOD DISORDERS PART II BIPOLAR AFFECTIVE DISORDER (BAD) Todd Stull, M.D. James Sorrell, M.D.

MOOD DISORDERS PART II BIPOLAR AFFECTIVE DISORDER (BAD) Todd Stull, M.D. James Sorrell, M.D. MOOD DISORDERS PART II BIPOLAR AFFECTIVE DISORDER (BAD) Todd Stull, M.D. James Sorrell, M.D. BIPOLAR AFFECTIVE DISORDER (BAD) General Assessment is challenging Input important Change in level of functioning

More information

Mental Health Medications

Mental Health Medications Mental Health Medications National Institute of Mental Health U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Contents Mental Health Medications..............................................................1

More information

Handout 2 List of medications used to treat mental illness

Handout 2 List of medications used to treat mental illness Navigating Boundaries: Setting Sail With A Mentally Ill Client Handout 2 List of medications used to treat mental illness Information synthesized from www.drugs.com. Additional Information: CR following

More information

SECTION M BEHAVIORAL HEALTH SERVICES

SECTION M BEHAVIORAL HEALTH SERVICES Phoenix Health Plan s (PHP) goal for its members is to ensure that behavioral health services are readily available for Title XIX (Medicaid) and the Title XXI (KidsCare) members. Comprehensive behavioral

More information

Medications A detailed booklet that describes mental disorders and the medications for treating them includes a comprehensive list of medications.

Medications A detailed booklet that describes mental disorders and the medications for treating them includes a comprehensive list of medications. A detailed booklet that describes mental disorders and the medications for treating them includes a comprehensive list of medications. 2014 Contents Introduction: Mental Health Medications...1 What are

More information

Diagnostic Challenges: Bipolar Disorders and Other Mood Disorders. Po W. Wang, M.D.

Diagnostic Challenges: Bipolar Disorders and Other Mood Disorders. Po W. Wang, M.D. Diagnostic Challenges: Bipolar Disorders and Other Mood Disorders Po W. Wang, M.D. Objectives 1. Recognize different episodes and subtypes of bipolar disorders 2. Understand potential differences between

More information

POPULAR DEPRESSION MEDICATIONS

POPULAR DEPRESSION MEDICATIONS Popular Depression Medications A Helpful Guide to Antidepressant Drugs POPULAR DEPRESSION MEDICATIONS A Helpful Guide to Antidepressant Drugs Popular Depression Medications A Helpful Guide to Antidepressant

More information

University of Florida & Shands Adult Psychiatry Outpatient Clinic Intake Form

University of Florida & Shands Adult Psychiatry Outpatient Clinic Intake Form University of Florida & Shands Adult Psychiatry Outpatient Clinic Intake Form Date Name Age Address Home phone Work phone Cell phone What issue(s) bring(s) you to the Psychiatry Clinic? What has been stressing

More information

Psychiatric Evaluation Intake Form

Psychiatric Evaluation Intake Form Psychiatric Evaluation Intake Form 1. Patient Contact Information Patient Name Preferred Name Last First MI Address_ Best contact phone number: Email address: Primary Care Physician Tel Fax Pharmacy Phone

More information

Psychotropic Medication

Psychotropic Medication Page 1 T I P S F O R P R A C T I C E Psychotropic Medication Psychotropic medications are symptomatic medications that affect attention, emotions, or behaviors. Communication between the physician, NDHHS

More information

EMORY CLINIC, INC. Brain Health Center 12 Executive Park Dr. Atlanta, GA 30329 404-728-6302

EMORY CLINIC, INC. Brain Health Center 12 Executive Park Dr. Atlanta, GA 30329 404-728-6302 New Patient Packet 03/10/2015 EMORY CLINIC, INC. Brain Health Center 12 Executive Park Dr. Atlanta, GA 30329 404-728-6302 Thank you for allowing us to assist in your care. We look forward to meeting you.

More information

CO-OCCURRING DISORDERS In Substance Abuse

CO-OCCURRING DISORDERS In Substance Abuse CO-OCCURRING DISORDERS In Substance Abuse Part III: Treatment of COD, with focus on psychotropic medications A Workshop for Alameda County SUD Treatment Providers March 25, 2016 Rob Lee, MD Some Addiction

More information

Arizona Department of Health Services/ Division of Behavioral Health Services Behavioral Health Drug List Effective 1/1/2014

Arizona Department of Health Services/ Division of Behavioral Health Services Behavioral Health Drug List Effective 1/1/2014 Arizona Department of Health Services/ Division of Behavioral Health Services Behavioral Health Drug List Effective 1/1/2014 The Arizona Department of Health Services, Division of Behavioral Health Services,

More information

Family Guide To Understanding Antipsychotic Medications Prescribed For Persons With Mental Retardation and Developmental Disabilities

Family Guide To Understanding Antipsychotic Medications Prescribed For Persons With Mental Retardation and Developmental Disabilities Family Guide To Understanding Antipsychotic Medications Prescribed For Persons With Mental Retardation and Developmental Disabilities What are Psychotic Symptoms? Antipsychotic medications are powerful,

More information

ADULT FEMALE NEW PATIENT INFORMATION FORM

ADULT FEMALE NEW PATIENT INFORMATION FORM The Fort Christian Psychiatric Center Shaw Wendi Fortuchang, M.D., P.C. ADULT FEMALE NEW PATIENT INFORMATION FORM How were you referred to our office? Patient s Full Name Age: Date of Birth: Gender: Email

More information

Oral Fluid Drug Testing March 23 rd, 2015

Oral Fluid Drug Testing March 23 rd, 2015 Oral Fluid Drug Testing March 23 rd, 2015 Drug Testing Options Breath Blood Meconium Vitreous Hair Sweat Urine Oral Drug Testing Options Oral Fluid and Blood and Breath Actual levels (immediate use, up

More information

New Patient Information. Address: City: State: Zip: Ph#: Cell#:

New Patient Information. Address: City: State: Zip: Ph#: Cell#: Patient Information: Last Name: New Patient Information First Name: Address: City: State: Zip: Ph#: Cell#: S.S.N: Email: May we contact you by email? Yes No Date of Birth: May we send you information about

More information

ANTIDEPRESSANT MEDICINES. A GUIDE for ADULTS With DEPRESSION

ANTIDEPRESSANT MEDICINES. A GUIDE for ADULTS With DEPRESSION ANTIDEPRESSANT MEDICINES A GUIDE for ADULTS With DEPRESSION August 2007 FAST FACTS ON ANTIDEPRESSANTS The antidepressants in this guide work for treating depression. Most people can find one that makes

More information

What are the best treatments?

What are the best treatments? What are the best treatments? Description of Condition Depression is a common medical condition with a lifetime prevalence in the United States of 15% among adults. Symptoms include feelings of sadness,

More information

INNOVATIONA IN MODEL PROGRAMS: Empowered for Life Home Treatment for Behavioral Health Conditions

INNOVATIONA IN MODEL PROGRAMS: Empowered for Life Home Treatment for Behavioral Health Conditions INNOVATIONA IN MODEL PROGRAMS: Empowered for Life Home Treatment for Behavioral Health Conditions Mary Lynn Stewart, RN, BSN, MSN Amedisys Home Health Care Learning Objectives: Identify key components

More information

Update on Iowa Medicaid s Preferred Drug List

Update on Iowa Medicaid s Preferred Drug List Update on Iowa Medicaid s Preferred Drug List Michael Flaum, MD Iowa Consortium for Mental Health University of Iowa Carver College of Medicine Presented at Iowa Mental Health Conference Ames, Iowa October

More information

What is Bipolar Disorder?

What is Bipolar Disorder? What is Bipolar Disorder? We all get excited by new ideas, pursue our goals with passion, have times when we want to party with our friends and enjoy life to its fullest. There will also be times when

More information

North Pacific Epilepsy Research 2311 NW Northrup Street Suite #202 Portland, Oregon Tel: Fax:

North Pacific Epilepsy Research 2311 NW Northrup Street Suite #202 Portland, Oregon Tel: Fax: Panic Disorder North Pacific Epilepsy Research 2311 NW Northrup Street Suite #202 Portland, Oregon 97210 Tel: 503-291-5300 Fax: 503-291-5303 Panic disorder is a type of anxiety disorder. When panic attacks

More information

ATYPICALS ANTIPSYCHOTIC MEDICATIONS

ATYPICALS ANTIPSYCHOTIC MEDICATIONS The atypical antipsychotics are a class of drugs that are used to treat a number of behavioral health disorders, including schizophrenia, other psychotic disorders, mood disorders, and behavioral agitation

More information

Depression is a common biological brain disorder and occurs in 7-12% of all individuals over

Depression is a common biological brain disorder and occurs in 7-12% of all individuals over Depression is a common biological brain disorder and occurs in 7-12% of all individuals over the age of 65. Specific groups have a much higher rate of depression including the seriously medically ill (20-40%),

More information

Objectives. Depression and Anxiety: Latest in treatment recommendations. At the conclusion of this presentation the attendee will be able to:

Objectives. Depression and Anxiety: Latest in treatment recommendations. At the conclusion of this presentation the attendee will be able to: Depression and Anxiety: Latest in treatment recommendations Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC President, Fitzgerald Health Education Associates, Inc., North Andover, MA Family

More information

Antipsychotic Medicines for Children and Teens. A Review of the Research for Parents and Caregivers

Antipsychotic Medicines for Children and Teens. A Review of the Research for Parents and Caregivers Antipsychotic Medicines for Children and Teens A Review of the Research for Parents and Caregivers Is This Information Right for the Child I Care For? Yes, if: A doctor has said your child (ages 1 through

More information

Psychotropic Medications

Psychotropic Medications Psychotropic Medications Medicating children and adolescents for psychiatric problems or learning disabilities continues to be an area of controversy. There are currently two opposing poles in this discussion.

More information

Objectives. The use of Psychotropics in Children

Objectives. The use of Psychotropics in Children Objectives The use of Psychotropics in Children Ashley E. Little, Pharm.D. Psychopharmacology Resident Nova Southeastern University College of Pharmacy Dade County Pharmacy Association To understand current

More information

The following is a sample of psychotropic drug warnings that drug regulatory agencies

The following is a sample of psychotropic drug warnings that drug regulatory agencies Chronology of International Drug Regulatory Agency Warnings about Psychotropic Drugs The following is a sample of psychotropic drug warnings that drug regulatory agencies around the world have issued.

More information

Phone: (Men s Recovery) 205.428.8449 ext. 49 Fax: 205.428.6999 www.thefoundryonline.org

Phone: (Men s Recovery) 205.428.8449 ext. 49 Fax: 205.428.6999 www.thefoundryonline.org Thank you for your interest in The Foundry Rescue Mission and Recovery Center. Our mission is to restore hope and rebuild the lives of the addict, the ex- inmate, and the homeless through Christ- centered

More information

Medication Management: ADHD

Medication Management: ADHD Medication Management: ADHD March 6, 2004 Pacific Northwest Neuropsychological Society Samuel H. Zinner, M.D. Developmental/Behavioral Pediatrics University of Washington ADHD - Etiology Neurobiology Neurotransmitters

More information

PSYCHIATRIC MEDICATION USE DURING PREGNANCY AND BREASTFEEDING

PSYCHIATRIC MEDICATION USE DURING PREGNANCY AND BREASTFEEDING E-Resource May 2014 PSYCHIATRIC MEDICATION USE DURING PREGNANCY AND BREASTFEEDING Psychotropic medication use during pregnancy may have adverse effects, however, there is a growing body of evidence that

More information

MEDICATIONS AND TOURETTE S DISORDER: COMBINED PHARMACOTHERAPY AND DRUG INTERACTIONS. Barbara Coffey, M.D., Cheston Berlin, M.D., Alan Naarden, M.D.

MEDICATIONS AND TOURETTE S DISORDER: COMBINED PHARMACOTHERAPY AND DRUG INTERACTIONS. Barbara Coffey, M.D., Cheston Berlin, M.D., Alan Naarden, M.D. MEDICATIONS AND TOURETTE S DISORDER: COMBINED PHARMACOTHERAPY AND DRUG INTERACTIONS Barbara Coffey, M.D., Cheston Berlin, M.D., Alan Naarden, M.D. Introduction Tourette Syndrome (TS) or Tourette s Disorder

More information

A few general principles regarding medications are important to consider before initiating therapy in individuals diagnosed with a dementia

A few general principles regarding medications are important to consider before initiating therapy in individuals diagnosed with a dementia MEDICATIONS USED FOR THE MANAGEMENT OF DEMENTIA AND RELATED BEHAVIORIAL COMPLICATIONS* R.Ron Finley, B.S Pharm, R.Ph,CGP, Aimee Loucks, Pharm. D., Gil D. Rabinovici, M.D The following is intended to be

More information

Medications for bipolar disorder

Medications for bipolar disorder Medications for bipolar disorder Findings from Australian National Survey of Mental Health and Wellbeing (Mitchell et al, 2004) In 12 months, only one-third saw a mental health professional 40% received

More information

remeron user reviews remeron medicine remeron suicide

remeron user reviews remeron medicine remeron suicide Overdose symptoms may occur using therapeutic dosages, antidepressants remeron the risk of side effects to FDA at 1-800-FDA-1088. The most common lorazepam side effects. This material is provided for educational

More information

PSYCHOTROPIC MEDICATIONS FOR BEHAVIORAL & EMOTIONAL DISORDERS

PSYCHOTROPIC MEDICATIONS FOR BEHAVIORAL & EMOTIONAL DISORDERS PSYCHOTROPIC MEDICATIONS FOR BEHAVIORAL & EMOTIONAL DISORDERS A GUIDE FOR PARENTS AND FAMILY MEMBERS, RESOURCE FAMILIES, YOUTH AND SOCIAL WORKERS June 2013 Table of Contents Page 3 How this Guide Can Help

More information

Medicines for Treating Mental Health Conditions. A Review of the Research for Adults and Caregivers

Medicines for Treating Mental Health Conditions. A Review of the Research for Adults and Caregivers Medicines for Treating Mental Health Conditions A Review of the Research for Adults and Caregivers Is This Information Right for Me? This information is for you if: A doctor has suggested one of these

More information

Medication Management of Depressive Disorders in Children and Adolescents. Satya Tata, M.D. Kansas University Medical Center

Medication Management of Depressive Disorders in Children and Adolescents. Satya Tata, M.D. Kansas University Medical Center Medication Management of Depressive Disorders in Children and Adolescents Satya Tata, M.D. Kansas University Medical Center First Line Medications SSRIs Prozac (Fluoxetine): 5-605 mg Zoloft (Sertraline):

More information

Sigita Plioplys, M.D.

Sigita Plioplys, M.D. Psychiatric Issues in Dravet Syndrome: Focusing on Medications Sigita Plioplys, M.D. Head, Pediatric Neuropsychiatry Clinic Dep. of Child and Adolescent Psychiatry Ann and Robert H. Lurie Children s Hospital

More information

Formulary for mental health medications

Formulary for mental health medications Formulary for mental health medications The Medicines Management Committee has approved this list of formulary medicines with links to national and local prescribing guidelines. If a medicine for a mental

More information

Using Antipsychotics to Treat: Depression. Comparing Effectiveness, Safety, and Price

Using Antipsychotics to Treat: Depression. Comparing Effectiveness, Safety, and Price Using Antipsychotics to Treat: Depression Comparing Effectiveness, Safety, and Price Our Recommendations Although antipsychotics were developed to treat schizophrenia, newer ones are sometimes used to

More information

A PARENTS GUIDE TO THE MEDICAL TREATMENT OF ADHD WHEN THERE IS ALSO AUTISM OR ASPERGER SYNDROME

A PARENTS GUIDE TO THE MEDICAL TREATMENT OF ADHD WHEN THERE IS ALSO AUTISM OR ASPERGER SYNDROME A PARENTS GUIDE TO THE MEDICAL TREATMENT OF ADHD WHEN THERE IS ALSO AUTISM OR ASPERGER SYNDROME EDWARD B. AULL, M.D. 13450 N. MERIDIAN SUITE 354 CARMEL, INDIANA 46032 317 582 7654 FAX 317 582 7660 BEHAVIORAL

More information

I. The Positive Symptoms...Page 2. The Negative Symptoms...Page 2. Primary Psychiatric Conditions...Page 2

I. The Positive Symptoms...Page 2. The Negative Symptoms...Page 2. Primary Psychiatric Conditions...Page 2 SUTTER PHYSICIANS ALLIANCE (SPA) 2800 L Street, 7 th Floor Sacramento, CA 95816 SPA PCP Treatment & Referral Guideline Assessment & Treatment of Psychosis Developed March 1, 2003 Revised September 21,

More information

Welcome to Who Wants to be an APNA Millionaire!

Welcome to Who Wants to be an APNA Millionaire! Welcome to Who Wants to be an APNA Millionaire! Drug-Drinks Interactions Drug-Drug Interactions Mary Gutierrez, PharmD, BCPP Clinical Professor of Pharmacy Practice (Psychiatry) Chapman University, School

More information

Behavioral Health Diagnoses, Symptoms, and Interventions for Children Ages 4 and older

Behavioral Health Diagnoses, Symptoms, and Interventions for Children Ages 4 and older Diagnosis Typical symptoms Behavioral interventions known to work (Evidence-informed; Manualized) *Descriptions provided below Trauma-related disorders Post-traumatic stress disorder --------------------------

More information

Algorithm for Initiating Antidepressant Therapy in Depression

Algorithm for Initiating Antidepressant Therapy in Depression Algorithm for Initiating Antidepressant Therapy in Depression Refer for psychotherapy if patient preference or add cognitive behavioural office skills to antidepressant medication Moderate to Severe depression

More information

State of Louisiana. Department of Health and Hospitals Bureau of Health Services Financing

State of Louisiana. Department of Health and Hospitals Bureau of Health Services Financing Bobby Jindal GOVERNOR State of Louisiana Department of Health and Hospitals Bureau of Health Services Financing Kathy H. Kliebert SECRETARY The purpose of this memo is to advise you that effective September

More information

TREATMENT OF BIPOLAR DISORDERS: A Guide for Patients and Families

TREATMENT OF BIPOLAR DISORDERS: A Guide for Patients and Families TREATMENT OF BIPOLAR DISORDERS: A Guide for Patients and Families Sources: David A. Kahn, M.D., Ruth Ross, M.A., David J. Printz, M.D., and Gary S. Sachs, M.D., DSMIV, DBSA Bipolar disorder (also known

More information

Pharmacotherapy of BPSD. Pharmacological interventions. Anti-dementia drugs. Abhilash K. Desai MD Medical Director Alzheimer s Center of Excellence

Pharmacotherapy of BPSD. Pharmacological interventions. Anti-dementia drugs. Abhilash K. Desai MD Medical Director Alzheimer s Center of Excellence Pharmacotherapy of BPSD Abhilash K. Desai MD Medical Director Alzheimer s Center of Excellence Pharmacological interventions Reducing medication errors. Reducing potentially inappropriate medication prescription.

More information

Recognition and Treatment of Depression in Parkinson s Disease

Recognition and Treatment of Depression in Parkinson s Disease Recognition and Treatment of Depression in Parkinson s Disease Web Ross VA Pacific Islands Health Care System What is depression? Depression is a serious medical condition that affects a person s feelings,

More information

Pharmacological Treatment of Depression in the Elderly Nursing Home Resident DEMENTIA EDUCATION & TRAINING PROGRAM 1-800-457-5679

Pharmacological Treatment of Depression in the Elderly Nursing Home Resident DEMENTIA EDUCATION & TRAINING PROGRAM 1-800-457-5679 Depression is a biological brain disorder that is common in nursing home residents and occurs in 7-12% of all individuals over the age of 65. Specific groups have a much higher rate of depression including

More information

Issued and entered this day of June 2010 by Ken Ross Commissioner ORDER I BACKGROUND

Issued and entered this day of June 2010 by Ken Ross Commissioner ORDER I BACKGROUND In the matter of STATE OF MICHIGAN DEPARTMENT OF ENERGY, LABOR & ECONOMIC GROWTH OFFICE OF FINANCIAL AND INSURANCE REGULATION Before the Commissioner of Financial and Insurance Regulation XXXXX Petitioner

More information

PSYCHIATRIC MEDICATIONS AND HIV ANTIRETROVIRALS ADULT MANAGEMENT Winter 2013 ADRUGINTERACTIONGUIDEFORCLINICIANS

PSYCHIATRIC MEDICATIONS AND HIV ANTIRETROVIRALS ADULT MANAGEMENT Winter 2013 ADRUGINTERACTIONGUIDEFORCLINICIANS PSYCHIATRIC MEDICATIONS AND HIV ANTIRETROVIRALS ADULT MANAGEMENT Winter 2013 ADRUGINTERACTIONGUIDEFORCLINICIANS Psychiatric Medications and HIV Antiretrovirals: A Drug Interaction Guide for Clinicians

More information

Why is medication recommended as part of the treatment for mental illness?

Why is medication recommended as part of the treatment for mental illness? Medications for Psychiatric Disorders Introduction This article discusses medications for psychiatric disorders. Information is provided about the effects of medications, including their advantages and

More information

Melissa D. Carter, JD Barton Child Law & Policy Center Brent Wilson, MD Child Welfare Collaborative

Melissa D. Carter, JD Barton Child Law & Policy Center Brent Wilson, MD Child Welfare Collaborative Melissa D. Carter, JD Barton Child Law & Policy Center Brent Wilson, MD Child Welfare Collaborative Scope of the Problem Legal and Policy Considerations Social Work and Medical Practices Advocacy Opportunities

More information

Clinical Practice Guideline: Depression in Primary Care, Adult 4 Taft Court Rockville, MD 20850 www.mamsi.com

Clinical Practice Guideline: Depression in Primary Care, Adult 4 Taft Court Rockville, MD 20850 www.mamsi.com Clinical Practice Guideline: Depression in 4 Taft Court Rockville, MD 20850 www.mamsi.com 40 05 17 035 3/03 Once a primary care patient presents with depressive symptoms, the primary care physician makes

More information

MEDICATIONS USED FOR BEHAVIORAL & EMOTIONAL DISORDERS

MEDICATIONS USED FOR BEHAVIORAL & EMOTIONAL DISORDERS MEDICATIONS USED FOR BEHAVIORAL & EMOTIONAL DISORDERS A GUIDE FOR PARENTS, FOSTER PARENTS, FAMILIES, YOUTH, CAREGIVERS, GUARDIANS, AND SOCIAL WORKERS Final May 10, 2010 Overview This booklet is a guide

More information

Psychopharmacology in the Treatment of OCD, Tics and Related Disorders

Psychopharmacology in the Treatment of OCD, Tics and Related Disorders Psychopharmacology in the Treatment of OCD, Tics and Related Disorders Matthew Hopperstad, MD May 21 st, 2016 Topics Today 1. Evaluation of OCD in children and adolescents 2. Review the treatments for

More information

Family Guide. West S p ring s Hos p ital

Family Guide. West S p ring s Hos p ital Family Guide West S p ring s Hos p ital Dear Family Members, We are appreciative of the opportunity to take care of your loved one at this difficult time. Please know that our objective is to provide

More information

cymbalta and cold meds muscle pain cymbalta cymbalta samples cymbalta smell cost of cymbalta cymbalta mini mal seisures, is cymbalta a stimulant,

cymbalta and cold meds muscle pain cymbalta cymbalta samples cymbalta smell cost of cymbalta cymbalta mini mal seisures, is cymbalta a stimulant, cymbalta and cold meds muscle pain cymbalta cymbalta samples cymbalta smell cost of cymbalta cymbalta mini mal seisures, is cymbalta a stimulant, cymbalta addiction and withdrawal side effects. how to

More information

Primary Care Guide For Prescription Of Anxiolytic Medications For Persons With Mental Retardation and Developmental Disabilities (MR/DD)

Primary Care Guide For Prescription Of Anxiolytic Medications For Persons With Mental Retardation and Developmental Disabilities (MR/DD) Primary Care Guide For Prescription Of Anxiolytic Medications For Persons With Mental Retardation and Developmental Disabilities (MR/DD) Overview of Prescription The DD/MR patient may develop symptoms

More information

Treatment of Bipolar Disorder: A Guide for Patients and Families

Treatment of Bipolar Disorder: A Guide for Patients and Families TREATMENT OF BIPOLAR DISORDER 2004 Treatment of Bipolar Disorder: A Guide for Patients and Families David A. Kahn, M.D., Paul E. Keck, Jr., M.D., Roy H. Perlis, M.D., Michael W. Otto, Ph.D., Ruth Ross,

More information

Comorbid Problems in Children and Adults with ADHD: Current Medication Interventions

Comorbid Problems in Children and Adults with ADHD: Current Medication Interventions Comorbid Problems in Children and Adults with ADHD: Current Medication Interventions CANP State Conference March 22, 2013 Monterey, CA Susan R. Opas, PhD, CPNP, CPMHS Workshop Objectives Review defining

More information

Disclosures Christer Allgulander

Disclosures Christer Allgulander How Patients With Generalized Anxiety Disorder (GAD) Are Treated in Specialized Care: A Pharmacoepidemiological Case Register Study in Sweden Christer Allgulander MD, Karolinska Institutet, Sweden Jan

More information

ALTACE 5 MG CAPSULE $3.88 RAMIPRIL 5 MG CAPSULE $ $23.94 DILTIAZEM 24HR CD 120 MG CAP $29.35 DILTIAZEM 24HR CD 180 MG CAP

ALTACE 5 MG CAPSULE $3.88 RAMIPRIL 5 MG CAPSULE $ $23.94 DILTIAZEM 24HR CD 120 MG CAP $29.35 DILTIAZEM 24HR CD 180 MG CAP National (NADAC) Retail Pharmacies in the US Paid for Brand Name and Generic Medications in Based on the NADAC list for 9, Brand Name Medication ACTOS 15 MG $11.03 PIOGLITAZONE HCL 15 MG ACTOS 30 MG $16.80

More information

Drug Class Review Drugs for Fibromyalgia

Drug Class Review Drugs for Fibromyalgia Drug Class Review Drugs for Fibromyalgia Final Original Report April 2011 The Agency for Healthcare Research and Quality has not yet seen or approved this report. The purpose of the is to summarize key

More information

Treatment of Behavioral Health Disorders in Adolescents: Depression, Bipolar Disorder, Schizophrenia

Treatment of Behavioral Health Disorders in Adolescents: Depression, Bipolar Disorder, Schizophrenia Treatment of Behavioral Health Disorders in Adolescents: Depression, Bipolar Disorder, Schizophrenia ELINORE F. MCCANCE-KATZ, MD, PHD CHIEF MEDICAL OFFICER SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

More information

Medication Glossary Drug Classes and Medications

Medication Glossary Drug Classes and Medications Understanding Lewy Body Dementia Lewy body dementia (LBD) is a brain disorder that impairs thinking, movement, sleep and behavior. It also affects autonomic body functions, such as blood pressure control,

More information

Mood Disorders.

Mood Disorders. Mood Disorders Shamim Nejad, MD Director, Adult Burns & Trauma Psychiatry Division of Psychiatry and Medicine Medical Director, Addiction Consultation Team MGH Center for Addiction Medicine Massachusetts

More information

Stacia Wilhelm, PharmD, BCPS

Stacia Wilhelm, PharmD, BCPS Stacia Wilhelm, PharmD, BCPS 1 The presenter has no actual or potential conflict of interest in relation to this program. 2 } Specialty rehabilitation of TBI and SCI patients } Ranked in the Top 10 rehabilitation

More information

Depression. Medicines To Help You

Depression. Medicines To Help You Medicines To Help You Depression Use this guide to help you talk to your doctor, pharmacist, or nurse about your medicines for depression. The guide lists all of the FDA-approved products now available

More information

Depression Flow Chart

Depression Flow Chart Depression Flow Chart SCREEN FOR DEPRESSION ANNUALLY Assess for depression annually with the PHQ-9. Maintain a high index of suspicion in high risk older adults. Consider suicide risk and contributing

More information

1/23/2014 TOPICS PHARMACOLOGY: UPDATES AND REVIEW. Elizabeth Reeve MD HealthPartners Medical Group Gillette Children s Specialty Heath Care

1/23/2014 TOPICS PHARMACOLOGY: UPDATES AND REVIEW. Elizabeth Reeve MD HealthPartners Medical Group Gillette Children s Specialty Heath Care PHARMACOLOGY: UPDATES AND REVIEW Elizabeth Reeve MD HealthPartners Medical Group Gillette Children s Specialty Heath Care TOPICS General pharmacology concepts when prescribing for children and adults When

More information

Disclosure Statement. Nursing Facility Regulations and Psychotropic Medication Use. Learning Objectives (Cont) Learning Objectives

Disclosure Statement. Nursing Facility Regulations and Psychotropic Medication Use. Learning Objectives (Cont) Learning Objectives Nursing Facility Regulations and Psychotropic Medication Use Jeffrey C. Reist PharmD, BCPS College of Pharmacy The University of Iowa December 2010 Disclosure Statement I, Jeffrey Reist, PharmD, BCPS do

More information

Moody Kids, Bipolar Disorder, and Medication Treatment Strategies. Learning Objectives. Mood Episodes. Irritability and Anger are Nonspecific Symptoms

Moody Kids, Bipolar Disorder, and Medication Treatment Strategies. Learning Objectives. Mood Episodes. Irritability and Anger are Nonspecific Symptoms Moody Kids, Bipolar Disorder, and Medication Treatment Strategies May 6, 2016 Dara Sakolsky, MD, PhD Associate Medical Director, STAR Clinic Assistant Professor of Psychiatry University of Pittsburgh Medical

More information

Patient Depression Treatment History

Patient Depression Treatment History Scott Aaronson, MD Sheppard Pratt Health System Patient, Mr. G, is a 50 year old married white male Father of three, executive Patient suffers from recurrent severe Major Depressive Disorder Three prior

More information