Savvy Psychopharmacology
Savvy Psychopharmacology
Antipsychotics for obsessive-compulsive disorder: Weighing risks vs benefits
Consider the potential physical risks of long-term antipsychotic treatment, such as weight gain and extrapyramidal side effects.
Savvy Psychopharmacology
Using pharmacogenetics guidelines when prescribing: What’s available
Having an understanding of the resources available to guide pharmacogenomics into practice is critical, because the FDA now lists >160...
Savvy Psychopharmacology
Lithium-induced bradycardia: A rare but serious adverse effect
This case demonstrates the importance of regular vital sign measurements to be able to detect the incidence of bradycardia, which is a rare but...
Savvy Psychopharmacology
When should you consider combining 2 long-acting injectable antipsychotics?
Ms. S, age 39, with a 15-year history of schizophrenia and severe paranoid delusions, is admitted after physically assaulting a staff member at a...
Savvy Psychopharmacology
Treating comorbid posttraumatic stress disorder and cardiovascular disease
Mr. S, 64, has a history of posttraumatic stress disorder (PTSD), which has been well controlled for the past 15 years with cognitive-processing...
Savvy Psychopharmacology
Herb–drug interactions: Caution patients when changing supplements
Ms. X, age 41, has a history of bipolar disorder and presents with extreme sleepiness, constipation with mild abdominal cramping, occasional...
Savvy Psychopharmacology
How you can simplify your patient’s medication regimen to enhance adherence
Ms. S, age 53, has bipolar disorder, dyslipidemia, and drug-induced tremor and presents to the clinic complaining of increasing depressive...
Savvy Psychopharmacology
Ruling out delirium: Therapeutic principles of withdrawing and changing medications
Ms. M, age 71, was diagnosed with Alzheimer’s disease several months ago and her clinical presentation and Mini-Mental Status Exam score of 22...
Savvy Psychopharmacology
When to prescribe antidepressants to treat comorbid depression and pain disorders
Ms. C, age 44, has a history of hypertension, chronic shoulder pain associated with a motor vehicle accident almost 2 decades ago, and major...
Savvy Psychopharmacology
Managing clozapine-induced neutropenia and agranulocytosis
Mr. S, age 43, has schizophrenia and been stable on clozapine for 6 years after several other antipsychotic regimens failed. Mr. S also has a...