Clinical Manual of Geriatric Psychopharmacology / Edition 2

by Sandra A. Jacobson MD

Overview

In the 7 years since the first edition of Clinical Manual of Geriatric Psychopharmacology was published, dozens of new drugs have been released, and older medications have been marketed in different formulations. In addition, research on pharmacokinetics, pharmacodynamics and mechanism of action, potential interactions, and other critical topics has proceeded apace, rendering much of the information in existing guides obsolete. This new volume is both comprehensive and completely up to date, offering information unavailable elsewhere.

• New drugs covered include asenapine, paliperidone, iloperidone, lurasidone, desvenlafaxine, vilazodone, long-acting trazodone, milnacipran, armodafinil, extended-release valproate, rotigotine transdermal, tetrabenazine, dextromethorphan, long-acting gabapentin, and transdermal buprenorphine.• Each chapter has a standardized format, with topics including pharmacokinetics, pharmacodynamics and mechanism of action, drug interactions, clinical use (which addresses choice of drug, alternative formulations/routes, pre-treatment evaluation, dose and dose titration, PRN use, monitoring treatment, drug levels, managing treatment resistance, switching drugs, duration of treatment, discontinuation, and overdose), adverse effects, and treatment of selected syndromes and disorders.• Dozens of tables, boxes, and figures organize and present complex material, such as practice guidelines, in a straightforward manner that is easy to understand and apply, and the concise, bulleted text facilitates reading and comprehension in the clinical setting.• "Specific Drug Summaries"—one-page summaries of prescribing information for individual drugs —provide fast access to critical information in a simple format.

Designed for residents, fellows, and all clinicians in psychiatry and medicine who diagnose and treat psychiatric and neuropsychiatric conditions affecting geriatric patients, this clinical reference can be used across all treatment settings (inpatient, outpatient, day hospital, consultation, and nursing home). Meticulously referenced and grounded in the latest research, Clinical Manual of Geriatric Psychopharmacology, Second Edition, is the definitive guide to psychotropic use in elderly patients. Clinicians can rely confidently on its up-to-date coverage and authoritative counsel.

Product Details

ISBN-13:	9781585624546
Publisher:	American Psychiatric Association Publishing
Publication date:	02/12/2014
Edition description:	Second Edition
Pages:	544
Product dimensions:	5.40(w) x 8.20(h) x 1.00(d)
Age Range:	18 Years

About the Author

Sandra A. Jacobson, M.D., is a Research Associate Professor at the University of Arizona College of Medicine, Phoenix and Research Physician at Banner Sun Health Research Institute in Sun City, AZ.

Table of Contents

PrefaceChapter 1. Principles and Practice of Geriatric PsychopharmacologyChapter 2. AntipsychoticsChapter 3. AntidepressantsChapter 4. Mood StabilizersChapter 5. Anxiolytic and Sedative-Hypnotic MedicationsChapter 6. Treatment of Substance-Related DisordersChapter 7. Treatment of Movement DisordersChapter 8. Medications to Treat Neurocognitive DisordersChapter 9. Medications to Treat PainReferencesIndex

What People are Saying About This

Marshal Folstein

In the second edition of her unique and useful manual, Dr. Jacobson lays out the art as well as the science of geriatric psychopharmacology and teaches us what we need to know to start low and go slow. In the spirit of 'first do no harm,' she advocates a 'lean medication regime.' Good advice in this era of promiscuous prescribing.

Ronald Pies

Having assisted with the first edition of this text, I am happy to see that Dr. Jacobson has continued and enhanced the text's many helpful features. The second edition provides concise yet comprehensive coverage of virtually all the important neuropsychiatric conditions in geriatric psychopharmacology. The generous use of 'boxed' text, tables, and bullet points helps the busy clinician focus on critical elements of diagnosis and treatment, with maximum efficiency. The advice given is wise, balanced, nuanced, and always aimed at enhancing the safety and well-being of the elderly patient.

Dan G. Blazer M.D.

The second edition of this manual could aptly be called 'geriatric psychopharmacology at your fingertips.' From the concise overview in Chapter 1 to the more comprehensive, yet accessible, discussions in the following chapters, this book should be on the desk of every psychiatrist working with older adults. I have rarely reviewed or used a book which is so accurately, yet so effortlessly, provides the information I need for prescribing to my patients.

Editorial Reviews

Reviewer: Michael Schrift, DO (University of Washington School of Medicine)
Description: At the risk of sounding like a curmudgeon, it remains unfortunate for the field of psychiatry that treatments haven't changed much since 2007. Yes, there may be a few new "me-too" drugs on the market, but really no better treatments have emerged for the past several decades. Certainly, there have been advances in the understanding of the dementias — in particular, frontotemporal dementia — but there have been no new treatments. Neither have the principles and practice of geriatric psychopharmacology changed. Although this manual is expertly written and updated, it is unclear to me that the field needs a rehash of the same old stuff.
Purpose: The purpose is ostensibly to provide an update of the field, but since the field of geriatric psychopharmacology has not really had any great leaps forward, certainly since the first edition in 2007, the publisher may have had other motives.
Audience: The target audience is geriatric psychiatrists, geriatricians, and primary care physicians who care for elderly patients.
Features: The book covers the principles and practice of geriatric psychopharmacology, antipsychotics, antidepressants, mood stabilizers, anxiolytics, treatment of substance-related disorders, movement disorders, and neurocognitive disorders, and medications to treat pain. Each chapter ends with a useful summary of the pertinent points. The reference section contains timely citations of the relevant scientific literature.
Assessment: Although this is a well-written second edition that candidates for board certification might find useful for studying for the examination, it is not clear to me that a second edition was really necessary.

Doody's Review Service

You will find this one of the finest texts extant on the subspecialty. It is complete, comprehensive, well written, and exceedingly worth the $79.oo price. It will enhance your work and live on your desk as a reference book, and the pages (particularly the charts) will become worn and frayed. You will visit it often and be grateful to the authors.

Worth reading by anyone who intends to teat elderly patients, the text expertly summarized current clinical controversies, recommendations, and options.

Psychiatric times

This is a very useful reference for those treating geriatric patients. Each section contains discussions of each class of medication used in psychiatry and the special considerations for the geriatric population. Other manuals focus on special considerations in diagnosing psychiatric conditions, where this manual goes the next step, focusing on special considerations in medication prescription and on recognizing adverse effects.

Doddy Enterprises

This is a book that has the potential to be helpful to a wide range of clinical who treat psychiatric disorders in children and adolescents. But perhaps what is most valuble about this book is the fact that it offers medication management strategies that are based on the authors' experience are wisdom. With some effort and a good library, facts, studies and general knowledge are relatively easy to obtain. However, to be able have the equivalent of immediate supervision from these very experienced clinicians is truly a special contribution to this filed.

Journal of Child and Adolescent Psychopharmacology

The manual is throughout and up-to-date enough to include very constructed book with many useful tables and other supplemental material that accompanies a very readable text. This is a text at a reasonable cost that you will want to keep handy for quick reference to many important topics.

Journal of the American Medical Association