A highlight from Deprescribing Part 1

Automatic TRANSCRIPT

You can read an entire textbook of psychopharmacology and learn close to nothing about how to stop psychiatric medications but not all psychiatric disorders chronic and not all psychiatric medications have long-term preventative effects. So knowing when and how to stuff a psych. Med is as important as knowing how to start them like on. Some is where the continuing prescription these medications without re radovich that was dr swap neal gupta a co author of the first psychiatric textbook on days prescribing. This month carl features an interview with dr gupta. And we'll pull some of the highlights to dr gupta. There are a lot of books about coming off psychiatric medications but most of them are from the anti psychiatry movement. What makes your book different. I think that none of the authors of this book will Police for psychotropic medication Situations they can be extremely beneficial. I think that's the biggest distinction clean. Our book can the work that has salt Poly pharmacy has been on the rise. Was that part of what inspired you to write this book to some extent. Yes i have been more and more combinations of advice Carbonation zoff admirable lessons with second second-generation autism Clearly we need to be talking about stopping orbis configuration at the time of prescribing. For instance over the past five years That if i prescribe it s assad ride for first episodes of depression. I wanna talk about the difficulties. Producing necessar- is scotty doing. Because i think it's a party factors that be the decision do actually started as this guy. What are some areas where we keep patients on medications too long. I think there are some areas. Which could be considered audio hockey. For instance at the economy. Jake's let's do control extra Dems rising at a psychotic. Those medications that could be the doors could actually be reduced after six to eight months or or even discontinued and even though in maybe average irving burst. They might not have. Cd's side there are small side effects. That game actually. Abbott and reduce quality of for instance does drag mount having to carry water body with you all done. It's a hassle and the abuses. Want the other area other medications again. Which would be easier to be. Prescribed would be something like i just drugs. Benadryl benadryl after bags which we use very often things like travel which end up being for sleep. Despite the fact that it's pretty effective dressing and then moving on to slightly more complicated things like on the nation's will we don't know if the combination really needed beyond a certain time and we look at the evidence base. We certainly don't have evidence the nation's except for perhaps at searches on that medication to edge does off Dr gupta was referring there to antipsychotic poly pharmacy and schizophrenia. Where augmentation with era pip resolve ability. Fai has been shown to reduce metabolic side effects and hyper lacked. Anemia plaza subpoena also has some evidence. Antipsychotic combinations where it reduced hospitalization rates. But when it comes to unnecessary poly pharmacy. Another area. that. Dr gupta highlighted was the use of depakote. Dive pro x in schizophrenia. I think another area is. Let's added to the cardi- in clinical practice. We see that happening. When patients had admittedly bishop units and in those situations that outbreaks has been seemed to have south by factor controlling aggressive behaviors. The mass of on medication is again cadets. Double that a Multiple studies on. That is one cochrane review that i understand that all of us ought Debunk evidence for efficacy of moss. Shots fact right. Nothing seems to work in a cochrane review. Is your point here. The dial pro x may be useful for the term control of aggression during a hospital. Stay but that. It doesn't have a role in the long term management of schizophrenia being out in mexico sometimes with nokia basin. Awful a clear actually

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