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33 - Psychopharmacological treatment in liaison psychiatry

from Part IV - Treatment

Published online by Cambridge University Press:  10 December 2009

Geoffrey Lloyd
Affiliation:
Priory Hospital, London
Elspeth Guthrie
Affiliation:
University of Manchester
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Summary

There is still limited systematic research on the effectiveness of psychotropic drugs used in liaison psychiatry settings. All drugs available in clinical psychiatry for the treatment of psychiatric disorders can be used in liaison settings. However, before choosing a specific drug, liaison psychiatrists must address additional important issues beyond those related to the indication for a psychotropic drug. Most psychotropic drugs used today are aimed at g-protein coupled receptors such as serotonergic (5HT). The availability of psychotropic drugs varies to some extent between countries within the European Union. This chapter discusses the most frequently used drugs. Depressive disorders accompanying physical illness should be treated to improve quality of life and treatment adherence. The main indications in liaison psychiatry settings are behavioural disorders caused by organic brain dysfunction including temporal lobe epilepsy, acute mania, pain disorders and prophylactic treatment of bipolar disorders.
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Chapter
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Publisher: Cambridge University Press
Print publication year: 2007

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References

Cipriani, A., Barbui, C. and Geddes, J. R. (2005). Suicide, depression and antidepressants. British Medical Journal, 330, 373–4.Google Scholar
Cole, M. G. and Bellavance, F. (1997). Depression in elderly medical inpatients: a metaanalysis of outcomes. Canadian Medical Association Journal, 157, 1055–60.Google Scholar
Dmochowski, R. R., Miklos, J. R., Norton, P. A., et al.; Duloxetine Urinary Incontinence Study Group. (2003) Duloxetine versus placebo for the treatment of North American women with stress urinary incontinence. Journal of Urology, 170, 1259–63.Google Scholar
Fenton, M., Coutinho, E. S. F. and Campbell, C. (2003). Zuclopenthixol acetate in the treatment of acute schizophrenia and similar serious mental illnesses (Cochrane Review). In: The Cochrane Library, Issue 4. Chichester: John Wiley & Sons.
Gill, D. and Hatcher, S. (2003). Antidepressants for depression in medical illness (Cochrane Review). In: The Cochrane Library, Issue 4. Chichester: John Wiley & Sons.
Hammerness, P., Basch, E., Ulbricht, C., et al. Natural Standard Research Collaboration. (2003). St John's wort: a systematic review of adverse effects and drug interactions for the consultation psychiatrist. Psychosomatics, 44, 271–82.Google Scholar
Harrigan, E. P., Miceli, J. J., Anziano, R., et al. (2004). A randomized evaluation of the effects of six antipsychotic agents on QTc, in the absence and presence of metabolic inhibition. Journal of Clinical Psychopharmacology, 24, 62–9.Google Scholar
Huyse, F. J., Touw, D. J., Schijndel, R. S., et al. (2006). Psychotropic drugs and the perioperative period; a proposal for a guideline in elective surgery. Psychosomatics, 47, 8–22.Google Scholar
Isojarvi, J. I. (2003). Reproductive dysfunction in women with epilepsy. Neurology, 61(Suppl. 2), S27–34.Google Scholar
Jin, Y., Desta, Z., Stearns, V., et al. (2005). CYP2D6 genotype. Antidepressant use and tamoxifen metabolism during adjuvant breast cancer treatment. Journal of the National Cancer Institute, 97, 30–9.Google Scholar
Kuhn, K. U., Quednow, B. B., Thiel, M., et al. (2003). Antidepressive treatment in patients with temporal lobe epilepsy and major depression: a prospective study with three different antidepressants. Epilepsy Behaviour, 4, 674–9.Google Scholar
Leucht, S., Barnes, T. R., Kiesling, W., et al. (2003). Relapse prevention in schizophrenia with new generation antipsychotics: a systematic review and exploratory meta-analysis of randomized controlled trials. American Journal of Psychiatry, 160, 1209–22.Google Scholar
Lingjærde, O., Jørgensen, J., Støren, R., et al. (1995). A double-blind comparison of moclobemide and doxepin in depressed general practice patients. Acta Psychiatrica Scandinavica, 92, 125–31.Google Scholar
Malt, U. F., Robak, O. H., Madsbu, H.-P., et al. (1999). The Norwegian naturalistic treatment study of depression in general practice (NORDEP) – I: Randomised double-blind study. British Medical Journal, 318, 1180–4.Google Scholar
Misri, S. and Kostaras, X. (2002). Benefits and risks to mother and infant of drug treatment for postnatal depression. Drug Safety, 25, 903–11.Google Scholar
Moretti, M. E., Koren, G., Verjee, Z., et al. (2003). Monitoring lithium in breast milk: an individualized approach for breast-feeding mothers. Therapeutic Drug Monitoring, 25, 364–6.Google Scholar
Oberlander, T. F., Misri, S., Fritzgerald, C. F., et al. (2004). Pharmacologic factors associated with transient neonatal symptoms following prenatal psychotropic medication exposure. Journal of Clinical Psychiatry, 65, 230–7.Google Scholar
Reisberg, B., Doody, R., Stoffler, A., et al. (2003) and the memantine study group. Memantine in moderate-to-severe Alzheimer's disease. New England Journal of Medicine, 348, 1333–41.Google Scholar
Richmond, R. and Zwar, N. (2003). Review of bupropion for smoking cessation. Drug and Alcohol Review, 22, 203–20.Google Scholar
Rodriguez-Landa, J. F. and Contreras, C. M. (2003). A review of clinical and experimental observations about antidepressant actions and side effects produced by Hypericum perforatum extracts. Phytomedicine, 10, 688–99.Google Scholar
Sa, D. S., Kapur, S. and Lang, A. E. (2001). Amoxapine shows an antipsychotic effect but worsens motor function in patients with Parkinson's disease and psychosis. Clinical Neuropharmacology, 24, 242–4.Google Scholar
Scott, A. I. F. (2005). College guidelines on electroconvulsive therapy: an update for prescribers. Advances in Psychiatric Treatment, 11, 150–6.Google Scholar
Skrobik, Y. K., Bergeron, N., Dumont, M., et al. (2004). Olanzapine vs haloperidol: treating delirium in a critical care setting. Intensive Care Medicine, 30, 444–9.Google Scholar
Soares, K. V. S. and McGrath, J. J. (2003). Vitamin E for neuroleptic-induced tardive dyskinesia (Cochrane Review). In: The Cochrane Library, Issue 4, Chichester: John Wiley & Sons.
Spigset, O. and Hägg, S. (1998). Excretion of psychotropic drugs into breast milk. CNS Drugs, 9, 111–34.Google Scholar
Strain, J. J., Chiu, N. M., Sultana, K., et al. (2004). Psychotropic drug versus psychotropic drug update. General Hospital Psychiatry, 26, 87–105.Google Scholar
Temple, R., Aldridge, V., Greenwood, R., et al. (2003). Association between outcome of pregnancy and glycaemic control in early pregnancy in type 1 diabetes: population-based study. British Medical Journal, 325, 1275–6.Google Scholar
Williams, J. H. and Hepner, D. L. (2004). Risperidone and exaggerated hypotension during a spinal anesthetic. Anesthesia and Analgesia, 98, 240–1.Google Scholar
Wynn, Z. J. and Cummings, J. L. (2004). Cholinesterase inhibitor therapies and neuropsychiatric manifestations of Alzheimer's disease. Dementia and Geriatric Cognitive Disorders, 17, 100–8.Google Scholar

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