17 Neurological System Cognitive Complaints General Recommendations Clinicians should carefully evaluate patients to determine whether subjective cognitive complaints reflect true cognitive deficits, psychiatric symptoms, or other deficits (e.g., learning disabilities)….
15 Metabolic Dysregulation and Weight Gain Dyslipidemias General Recommendations Patients who develop dyslipidemias while taking SGAs or some antidepressants may warrant cotherapy with lipid-lowering agents prescribed in conjunction with the…
13 Genitourinary and Renal Systems Dysuria and Urinary Retention General Recommendations Anticholinergic drugs or α2-adrenergic blocking agents, as well as SNRIs and psychostimulants, may in rare cases cause urinary hesitancy…
7 Cardiovascular System Arrhythmias and Palpitations General Recommendations Arrhythmias may occur as a consequence of treatment with all antipsychotics, TCAs, some SSRIs, lithium, stimulants, and anticholinergic drugs, or in the…
APPENDIX 2 Self-Assessment Questions and Answers Select the single best response for each question. Questions The rationale for using metformin to counteract psychotropically induced weight gain involves which of the…
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22 Emergency Situations A number of emergency situations may arise from iatrogenic effects of psychotropic medications. Such situations demand rapid identification. Discontinuation of a suspected causal agent often leads to…
20 Systemic Reactions Allergic Reactions and Angioedema General Recommendations Allergic angioedema is a medical emergency that necessitates airway protection and treatment with antihistamines or possibly steroids. Psychotropic drugs that cause…
21 Pregnancy and the Puerperium Psychotropic adverse effects during pregnancy generally do not differ qualitatively from those that may occur at other times, although pregnancy may be a time of…
19 Sleep Disturbances Hypersomnia and Sleep Attacks General Recommendations Sleep attacks may occur, although rarely, with several psychotropic agents, most notably certain dopamine agonists (e.g., pramipexole, ropinirole) and MAOIs. Antihistaminergic…
