Table of Contents

 

 

 

 

Contributors

xix

 

Acknowledgments

xxv

 

Introduction   Stephen J. Ferrando, M.D., James L. Levenson, M.D. and James A. Owen, Ph.D.

xxvii

PART I

GENERAL PRINCIPLES

 

1

Pharmacokinetics, Pharmacodynamics, and Principles of Drug-Drug Interactions   James A. Owen, Ph.D.

3

 

Pharmacodynamics

4

 

Pharmacokinetics

7

 

Drug-Drug Interactions

20

 

Key Clinical Points

25

 

References

27

 

Appendix: Drugs with Clinically Significant Pharmacokinetic Interactions

30

2

Severe Drug Reactions   Stanley N. Caroff, M.D., Stephan C. Mann, M.D., E. Cabrina Campbell, M.D. and Rosalind M. Berkowitz, M.D.

39

 

Central Nervous System Reactions

40

 

Cardiovascular Reactions

49

 

Gastrointestinal Reactions

55

 

Renal Reactions

58

 

Hematological Reactions

64

 

Metabolic Reactions and Body as a Whole

66

 

Key Clinical Points

71

 

References

72

3

Alternate Routes of Drug Administration   James A. Owen, Ph.D.

79

 

Properties of Specific Routes of Administration

80

 

Psychotropic Medications

87

 

Conclusion

94

 

Key Clinical Points

95

 

References

96

PART II

PSYCHOPHARMACOLOGY IN ORGAN SYSTEM DISORDERS AND SPECIALTY AREAS

 

4

Gastrointestinal Disorders   Catherine C. Crone, M.D., Michael Marcangelo, M.D., Jeanne Lackamp, M.D., Andrea F. DiMartini, M.D. and James A. Owen, Ph.D.

103

 

Oropharyngeal Disorders

104

 

Esophageal and Gastric Disorders

106

 

Intestinal Disorders

111

 

Liver Disorders

115

 

Gastrointestinal Side Effects of Psychiatric Drugs

123

 

Psychotropic Drug-Induced Gastrointestinal Complications

126

 

Psychiatric Side Effects of Gastrointestinal Medications

130

 

Drug-Drug Interactions

132

 

Conclusion

132

 

Key Clinical Points

138

 

References

139

5

Renal and Urological Disorders   James A. Owen, Ph.D. and James L. Levenson, M.D.

149

 

Differential Diagnosis

150

 

Pharmacotherapy in Renal Disease

152

 

Psychiatric Adverse Effects of Renal and Urological Agents

161

 

Renal and Urological Adverse Effects of Psychotropics

164

 

Drug-Drug Interactions

166

 

Key Clinical Points

175

 

References

175

6

Cardiovascular Disorders   Peter A. Shapiro, M.D.

181

 

Differential Diagnostic Considerations

182

 

Neuropsychiatric Side Effects of Cardiac Medications

183

 

Alterations in Pharmacokinetics in Heart Disease

184

 

Psychotropic Medication Use in Heart Disease

187

 

Drug-Drug Interactions

199

 

Key Clinical Points

207

 

References

207

7

Respiratory Disorders   Wendy L. Thompson, M.D. and Yvette L. Smolin, M.D.

213

 

Differential Diagnostic Considerations

214

 

Neuropsychiatric Side Effects of Respiratory Drugs

216

 

Alteration of Pharmacokinetics

219

 

Prescribing Psychotropic Medications in Respiratory Disease

220

 

Effects of Psychotropic Drugs on Pulmonary Diseases

225

 

Drug-Drug Interactions

227

 

Key Clinical Points

230

 

References

230

8

Oncology   James A. Owen, Ph.D. and Stephen J. Ferrando, M.D.

237

 

Differential Diagnosis of Psychiatric Manifestations of Cancers

238

 

Psychopharmacological Treatment of Psychiatric Disorders in Cancer Patients

239

 

Adverse Oncological Effects of Psychotropics

244

 

Neuropsychiatric Adverse Effects of Oncology Treatments

247

 

Drug-Drug Interactions

251

 

Key Clinical Points

260

 

References

261

9

Central Nervous System Disorders   Saeed Salehinia, M.D. and Vani Rao, M.D.

271

 

Dementia

272

 

Stroke

275

 

Traumatic Brain Injury

.276

 

Multiple Sclerosis

278

 

Parkinson's Disease

280

 

Huntington's Disease

282

 

Epilepsy

283

 

Symptoms and Syndromes Common Across Neurological Disorders

285

 

Adverse Neurological Effects of Psychotropic Drugs

286

 

Adverse Psychiatric Effects of Neurological Drugs

289

 

Drug-Drug Interactions

291

 

Key Clinical Points

296

 

References

297

10

Endocrine and Metabolic Disorders   Stephen J. Ferrando, M.D. and Jennifer Kraker, M.D., M.S.

305

 

Diabetes Mellitus

306

 

Thyroid Disorders

309

 

Pheochromocytoma

311

 

Antidiuretic Hormone

311

 

Reproductive Endocrine System Disorders

312

 

Hypogonadal Disorders

312

 

Endocrinological Side Effects of Psychiatric Medications

313

 

Psychiatric Side Effects of Endocrine Treatments

320

 

Drug-Drug Interactions

324

 

Key Clinical Points

328

 

References

328

11

Obstetrics and Gynecology   Margaret Altemus, M.D. and Mallay Occhiogrosso, M.D.

339

 

Differential Diagnosis

340

 

Pharmacotherapy of Premenstrual Mood Symptoms

342

 

Pharmacotherapy of Menopause-Related Depression, Anxiety, and Insomnia

343

 

Psychopharmacology in Pregnancy and Breastfeeding

343

 

Adverse Obstetric and Gynecological Reactions to Psychotropic Drugs

354

 

Psychiatric Adverse Effects of Obstetric and Gynecological Agents and Procedures

355

 

Drug-Drug Interactions

358

 

Key Clinical Points

361

 

References

362

12

Infectious Diseases   Stephen J. Ferrando, M.D., James L. Levenson, M.D. and James A. Owen, Ph.D.

371

 

Bacterial Infections

372

 

Viral Infections

374

 

Parasitic Infections: Neurocysticercosis

393

 

Adverse Psychiatric Effects of Antibiotics

393

 

Drug-Drug Interactions

394

 

Key Clinical Points

395

 

References

396

13

Dermatological Disorders   Madhulika A. Gupta, M.D., F.R.C.P.C. and James L. Levenson, M.D.

405

 

Differential Diagnosis

406

 

Pharmacotherapy of Specific Disorders

409

 

Adverse Cutaneous Drug Reactions to Psychotropic Agents

415

 

Adverse Psychiatric Effects of Dermatological Agents

420

 

Drug-Drug Interactions

422

 

Key Clinical Points

423

 

References

424

14

Rheumatological Disorders   James L. Levenson, M.D. and Stephen J. Ferrando, M.D.

431

 

Treatment of Psychiatric Disorders

432

 

Psychiatric Side Effects of Rheumatological Medications

433

 

Rheumatological Side Effects of Psychotropic Medications: Psychotropic Drug-Induced Lupus

434

 

Drug-Drug Interactions

435

 

Key Clinical Points

435

 

References

436

15

Surgery and Critical Care   Stephen J. Ferrando, M.D., James L. Levenson, M.D. and James A. Owen, Ph.D.

439

 

Delirium

440

 

Psychotropic Drugs in the Perioperative Period

447

 

Treatment of Preoperative Anxiety

449

 

Acute and Posttraumatic Stress in the Critical Care Setting

451

 

Adverse Neuropsychiatric Effects of Critical Care and Surgical Drugs

453

 

Drug-Drug Interactions

454

 

Key Clinical Points

460

 

References

462

16

Organ Transplantation   Andrea F. DiMartini, M.D., Catherine C. Crone, M.D. and Marian Fireman, M.D.

469

 

Posttransplant Pharmacological Considerations

470

 

Psychotropic Medications in Transplant Patients

475

 

Drug-Specific Issues

484

 

Conclusion

491

 

Key Clinical Points

491

 

References

492

17

Pain Management   Michael R. Clark, M.D., M.P.H. and James A. Owen, Ph.D.

501

 

Psychiatric Comorbidity

502

 

Pain Description and Management

504

 

Pharmacological Treatment

510

 

Drug-Drug Interactions

522

 

Key Clinical Points

524

 

References

525

18

Substance Use Disorders   José Maldonado, M.D., F.A.R.M., F.A.C.F.E., Andrea F. DiMartini, M.D. and James A. Owen, Ph.D.

537

 

Drugs for Substance Intoxication

538

 

Drugs for Substance Use Disorders

539

 

Psychiatric Adverse Effects of Drugs Used in Substance Use Disorders

547

 

Drug-Drug Interactions

547

 

Key Clinical Points

549

 

References

552

 

Index

557