Managing the Side Effects of Psychotropic Medications

by Joseph F. Goldberg MD MS, Carrie L. Ernst MD, Stephen M. Stahl MD PhD (Foreword by)

Overview

Information about new psychotropic drugs, a summary of advances in knowledge about identifiable risk factors for adverse effects, and updated recommendations on viable "antidote" management strategies -- including novel pharmacotherapies for tardive dyskinesia and newer agents for weight loss -- are among the features of this new, second edition of Managing the Side Effects of Psychotropic Medications.

Where other psychopharmacology textbooks -- and, indeed, most internships and residencies in psychiatry -- lack a solid basis in primary care medicine, this guide bridges that educational gap, offering a thorough examination of all the effects of taking a psychotropic drug as well practical clinical advice on how to manage complications that arise.

The book is divided into three parts: The first deals with global issues that affect the assessment and formulation of possible adverse effects, as well as with pertinent concepts related to basic pharmacology, physiology, and medical monitoring. The second part presents information organized by individual organ systems or specific medical circumstances. The final part focuses on summary recommendations covering all the material presented in the book and is followed by helpful appendixes and self-assessment questions and resources for practitioners.

This new edition includes: • Updated summaries about what psychiatrists should know regarding drug-drug interactions, iatrogenic cardiac arrhythmias, drug pressor effects and orthostatic hypotension, and drug rashes; as well as updated discussions on avoiding lithium nephrotoxicity, handling adverse effect emergencies, and understanding new FDA classifications about drug safety during pregnancy• An expanded discussion on the strengths and limitations of pharmacogenetic testing to predict adverse drug effects, as well as information about new treatments for sexual dysfunction, sleep disturbances, cognitive complaints, and other maladies• Revised summary tables to aid rapid assessment and management• An expanded section on supplemental resources• An updated and expanded self-assessment section with more key questions

Busy clinicians will find in Managing the Side Effects of Psychotropic Medications an accessible reference that provides both scientific and scholarly discussion of the consequences of drug therapies they may prescribe (or avoid), the range of available strategies to effectively manage adverse effects, and the scientific and practical implications of their treatment decisions.

Product Details

ISBN-13:	9781615372034
Publisher:	American Psychiatric Publishing, Incorporated
Publication date:	08/20/2018
Sold by:	Barnes & Noble
Format:	eBook
Pages:	616
Sales rank:	546,799
File size:	2 MB
Age Range:	18 Years

About the Author

Joseph F. Goldberg, M.D., M.S., is Clinical Professor of Psychiatry at the Icahn School of Medicine at Mount Sinai in New York, New York.

Carrie L. Ernst, M.D., is Associate Professor of Psychiatry and Medical Education at the Icahn School of Medicine at Mount Sinai in New York, New York.

Table of Contents

Foreword to the Second EditionPrefaceList of AbbreviationsList of DrugsPART I: General ConsiderationsChapter 1. The Psychiatrist as PhysicianChapter 2. Pharmacokinetics, Pharmacodynamics, and PharmacogenomicsChapter 3. Vulnerable PopulationsChapter 4. Adverse Psychiatric Effects of Nonpsychotropic MedicationsChapter 5. Adverse Psychiatric Effects of Psychiatric MedicationsChapter 6. What Nonmedical Therapists Should Know About Adverse Drug EffectsPART II: Organ SystemsChapter 7. Cardiovascular SystemChapter 8. Dermatological SystemChapter 9. Ear, Nose, and ThroatChapter 10. Electrolyte AbnormalitiesChapter 11. EndocrinopathiesChapter 12. Gastrointestinal SystemChapter 14. Hematological SystemChapter 15. Metabolic Dysregulation and Weight GainChapter 16. Musculoskeletal SystemChapter 17. Neurological SystemChapter 18. Ophthalmological SystemChapter 19. Sleep DisturbancesChapter 20. Systemic ReactionsChapter 21. Pregnancy and the PuerperiumChapter 22. Emergency SituationsPART III: Summary RecommendationsChapter 23. Summary RecommendationsAppendix 1: Summary of Major Adverse Effects and Monitoring/Management ConsiderationsAppendix 2: Self-Assessment Questions and AnswersAppendix 3: Resources for PractitionersReferencesIndex

What People are Saying About This

Roger S. McIntyre

Managing the Side Effects of Psychotropic Medications, 2nd Edition, has uniquely combined the art and science, the pragmatic and theoretical, yet throughout remains organically accessible and acutely relevant to decisions and choices in the clinical ecosystem. This erudite book will be of tremendous interest, and a must have, for all healthcare providers of persons receiving psychotropic agents, students of all levels, as well as individuals who are academically interested/involved.

Alan J. Gelenberg

This is an impressive work. It is a comprehensive, thorough, scholarly, detailed, and practical book for clinicians, a thoughtful balance of art and science. The result is a tour de force that belongs on the bookshelves of psychiatrists and many others.

Richard Balon

As I wrote about the first edition, this is a comprehensive, well organized, and well written volume on a very important part of psychiatric practice. It includes a number of great (although at times overwhelming) tables summarizing the text. More attention (understandably) is paid to newer medications and their side effects. The cautiousness of some advice is understandable given the difficulty of balancing case reports and randomized studies (not many of which are focused on side effects). The book is not perfect (although close to it), but what book is perfect? As noted, there is nothing like this volume available on the market. If you do not have the first edition, you should buy this one. And if you have the first edition, you still should consider buying this one. It is worth the money.

Charles B. Nemeroff

Goldberg and Ernst have updated their very valuable text Managing Side Effects of Psychotropic Medications in this second edition and it is a very welcome addition to the busy practitioner's armamentarium. It provides in a single source important and often hard to find guidance on managing side effects of commonly (and uncommonly) prescribed psychiatric medications. It will be a very, very useful resource for psychiatrists, non-medically trained mental health professionals, nurses and students in a variety of fields. Their vast clinical experience is evident throughout the text.

Editorial Reviews

Reviewer: Aaron John Plattner, MD (Network180 )
Description: Updating the 2012 first edition, the authors distill the vast amount of information regarding potential side effects of medications into a clinically relevant format.
Purpose: The authors built upon a solid foundation of the first edition by using feedback and gathering further research findings to best educate readers on the most common and clinically relevant side effects of psychiatric medications used in clinical practice. Given the multipage drug inserts listing hundreds of potential side effects of a single medication, the objectives of this book are worthy, and the authors meet them via the clear and organized layout of the data.
Audience: The intended audience is clinicians in teaching roles, those who collaborate with colleagues in other specialties, and psychiatrists who desire to build upon their general medicine knowledge base. All of these audiences would benefit from this book. I also would broaden the target audience to anyone who regularly prescribes for or treats patients on psychiatric medications given how much impact psychiatric medications can have on patients. The authors are well suited to write this book based on their areas of expertise as well as the colleagues that they collaborated with for this book.
Features: The first of the book's three main sections reviews the importance of identifying and treating side effects as well as the basics of pharmacology. The second section reviews different organ systems and how they can be affected by medications. The final section provides summary recommendations with helpful appendixes with resources and self-assessment questions. References and an appendix conclude the book. Each chapter contains helpful illustrations.
Assessment: This is an admirable work. It lays a solid foundation of pharmacological knowledge and then builds upon it by reviewing various organ systems. The chapters are clear, concise, and helpful. Readers can be confident that they will be able to identity and manage the various side effects that they will encounter. This is all accomplished without overwhelming readers, which can so often occur when exploring potential side effects of medications. I highly recommend this book. The second edition was necessary given the newer medications as well as the research findings that have emerged since the first edition.

Doody's Review Service

This is an admirable work. It lays a solid foundation of pharmacological knowledge and then builds upon it by reviewing various organ systems. The chapters are clear, concise, and helpful. Readers can be confident that they will be able to identity and manage the various side effects that they will encounter. This is all accomplished without overwhelming readers, which can so often occur when exploring potential side effects of medications. I highly recommend this book. The second edition was necessary given the newer medications as well as the research findings that have emerged since the first edition.

From the Publisher