Psychopharm Commandments 8A: Polypharmacy Makeover

The Carlat Psychiatry Podcast

Pocket Psychiatry: A Carlat Podcast

Health & Fitness, Mental Health, Medicine, Alternative Health

4.8 • 440 Ratings

🗓️ 1 May 2023

⏱️ 20 minutes

🔗️ Recording | iTunes | RSS

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Summary

How to reduce unnecessary polypharmacy, and when it makes sense to keep it goingCME: Take the CME Post-Test for this Episode (https://thecarlatcmeinstitute.com/mod/quiz/view.php?id=3274)Published On: 05/01/2023Duration: 20 minutes, 19 secondsChris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcript

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0:00.0	Fresh from Mount Sinai, we bring you the eighth PsychoFarm Commandment.
0:04.6	Avoid unwise polypharmacy.
0:12.0	Welcome to the Carlet Psychiatry Podcast, keeping psychiatry honest since 2003.
0:17.5	I'm Chris Aiken, the editor-in-chief and the author of The Depression and Bipolar Workbook.
0:22.7	And I'm Kelly Newsom, a psychiatric MP and a dedicated reader of every issue.
0:28.4	Before we venture into the weeds of polypharmacy, here's a preview of the CME quiz for this episode.
0:43.5	Music CME quiz for this episode. One.
0:44.8	Recently, a large randomized controlled trial tested the antipsychotic Brepspiprosol as an add-on
0:51.6	to stimulants in ADHD.
0:54.0	What was the result?
0:55.5	A. Brexpiprosol improved symptoms of ADHD.
0:59.7	B. Bexpiprosol worsened symptoms of ADHD.
1:04.0	C.
1:05.0	Brexpepresol did not change symptoms of ADHD.
1:08.4	D.
1:09.4	Brexpiprizo, reduced stimulant side effects.
1:13.0	Enter your answer and earn CME credits through the link in the show notes.
1:25.0	Long ago, there were only five classes of psychiatric medications, antipsychotics, mood stabilizers,
1:33.1	antidepressants, stimulants, and gabaergic sedatives like barbiturates and benzodiazepines.
1:40.3	That was in the 1950s, but today, psychiatry has advanced, well, maybe not.
1:48.4	For the most part, we are still laboring with the same five classes.
1:53.1	What has changed is that these psychotropics have become more tolerable, if not more effective.
	...

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