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PODCAST

Psychopharmacology and Psychiatry Updates

Psychopharmacology Institute

Practical psychopharmacology updates for mental health clinicians. Useful for psychiatry / mental health professionals. Expert interviews and soundbites from CME presentations. Practical and free of commercial bias. Not sponsored by any pharmaceutical company.

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All Episodes

08:43

Prescribing Lithium During Pregnancy

Psychopharmacology and Psychiatry Updates ·

2021/02/12

How does pregnancy affect lithium pharmacokinetics? How do lithium levels fluctuate across the first, second, and third trimesters? How often should you monitor lithium blood levels? Should you stop lithium prior to labor? Faculty: Wendy Marsh, M.D. Hosts: Jessica Diaz, M.D; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: Clinical Management of Bipolar Disorder in Pregnancy Prescribing Lithium During Pregnancy: Pharmacokinetics, Dosing, and Monitoring

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07:21

Using E-Cigarettes: What Clinicians Must Know

Psychopharmacology and Psychiatry Updates ·

2021/02/07

Can e-cigarettes help in smoking cessation? What are the main disadvantages of e-cigarettes? What is a dual user? Faculty: Joji Suzuki, M.D. Hosts: Jessica Diaz, M.D; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME: The Clinical Guide On Tobacco Use Disorder Using E-Cigarettes: What Clinicians Must Know

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09:25

Premenstrual Mood Syndromes: Oral Contraceptives in...

Psychopharmacology and Psychiatry Updates ·

2021/02/02

Should psychiatrists prescribe oral contraceptives? What is the role of oral contraceptives in the treatment of PMDD? How do oral contraceptives work in premenstrual syndromes? Faculty: Lauren Osborne, M.D. Hosts: Jessica Diaz, M.D; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME- "Premenstrual Mood Syndromes" Hormonal Treatments for Premenstrual Syndromes: Oral Contraceptives, GnRH Agonists, and Oophorectomy

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08:53

Antidepressants for Bipolar Depression

Psychopharmacology and Psychiatry Updates ·

2021/01/28

What can we conclude from 9 international guidelines addressing the role of antidepressants in the treatment of bipolar depression? Can antidepressants induce treatment resistance? Some authoritative authors say, maybe. Research editor: James Phelps, M.D. Hosts: Jessica Diaz, M.D; Flavio Guzman, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 16 Evaluating the Efficacy and Safety of Antidepressants in Patients With Bipolar Disorder

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08:59

PMS and PMDD: Intermittent Antidepressant Dosing?

Psychopharmacology and Psychiatry Updates ·

2021/01/23

Which antidepressant class is effective for the premenstrual syndromes PMS and PMDD? How can you use antidepressants intermittently to relieve PMS symptoms (luteal-phase and symptom-onset dosing)? Should you prescribe only antidepressants that have been approved by the FDA for PMDD? Faculty: Lauren Osborne, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME- "Premenstrual Mood Syndromes" Psychopharmacology for PMS and PMDD: Luteal Phase Dosing

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05:32

Atomoxetine for Adult ADHD

Psychopharmacology and Psychiatry Updates ·

2021/01/18

Atomoxetine is the only non-stimulant medication approved by the FDA for the treatment of ADHD in adults. We discuss: Its most common and not-so-common side effects. What other non-stimulants you can use. Faculty: Oscar Bukstein, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME- "The Clinical Guide to Adult ADHD" Nonstimulant Treatments for Adult ADHD: Atomoxetine, Bupropion, Alpha Agonists, and Others

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09:53

Premenstrual Mood Syndromes: How to Assess?

Psychopharmacology and Psychiatry Updates ·

2021/01/13

What is the most helpful and accurate way of understanding premenstrual mood symptoms? What is the preferred scale available? Does it have any limitations? Are period tracking apps useful for diagnosing PMDD? Faculty: Lauren Osborne, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME- "Premenstrual Mood Syndromes" Clinical Assessment and Diagnosis of Premenstrual Mood Syndromes and Prospective Rating Scales

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09:21

Adult ADHD: Using Psychostimulans

Psychopharmacology and Psychiatry Updates ·

2021/01/08

What is preferred: Long-acting or short-acting formulations? What are the general prescribing principles for all psychostimulants? What are their most common side effects? What side effects you should monitor? Faculty: Oscar Bukstein, M.D. Hosts: Jessica Diaz, M.D.; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME- "The Clinical Guide to Adult ADHD" Psychostimulants for Adult ADHD: Formulations, Prescribing Tips, Adverse Effects and Monitoring

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07:16

Smoking and Psychotropic Use: Effects on Blood Levels

Psychopharmacology and Psychiatry Updates ·

2021/01/03

Can smoking affect psychotropic levels? What are the two antipsychotics most commonly affected by smoking? Which is the antidepressant most commonly affected by smoking? Faculty: Joji Suzuki, M.D. Hosts: Jessica Diaz, M.D. ; Flavio Guzman, M.D. Learn more about our memberships here Earn 1 CME- "The Clinical Guide to Tobacco Use Disorder" Watching out for Tobacco–Drug Interactions: Pharmacokinetics, Pharmacodynamics and Deinduction

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13:51

Lithium: Sexual Side Effects and Cognitive Impairment

Psychopharmacology and Psychiatry Updates ·

2020/12/29

In this episode, we discuss cognitive impairment and sexual problems with lithium. Here are some question we cover: How should you discuss cognitive complaints with your patients? What does neuropsychological testing tell us about cognitive impairment with lithium? What strategies can you use to mitigate the sexual side effects of lithium? Faculty: David Osser, M.D. Learn more about our memberships here Earn 1.5 CMEs - "Lithium: How to Manage Dosage and Side Effects and Persuade Patients to

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23:48

Top 10 Drug Combinations in Major Depressive...

Psychopharmacology and Psychiatry Updates ·

2020/12/24

This interview discusses the use of lithium, thyroid hormone, second-generation antipsychotics, newer antidepressants, and ketamine/esketamine as adjunctive agents in managing major depressive disorder. Faculty: Michael Thase, M.D. Learn more about our memberships here Earn 0.75 CMEs - "Top 10 Drug Combinations in MDD - Interview with Prof. Michael E. Thase"

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30:36

Top 10 Drug Combinations in Major Depressive...

Psychopharmacology and Psychiatry Updates ·

2020/12/19

This interview discusses the use of MAOIs and tricyclic antidepressant combinations, adjunctive benzodiazepines and trazodone, and the use of psychostimulants as adjunctive agents in managing major depressive disorder. Faculty: Michael Thase, M.D. Learn more about our memberships here Earn 0.75 CMEs - "Top 10 Drug Combinations in MDD - Interview with Prof. Michael E. Thase"

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08:10

Managing Tardive Dyskinesia: Clinical Pointers

Psychopharmacology and Psychiatry Updates ·

2020/12/14

Today's episode is about the management of tardive dyskinesia. Here are some questions we cover in this episode: What is the best way to approach tardive dyskinesia? This episode will discuss an algorithm with levels of evidence for each treatment option. What is the evidence level for second-generation VMAT-2 inhibitors, such as deutetrabenazine and valbenazine? Is there evidence for prescribing anticholinergics in tardive dyskinesia? Should you use them? What options do you have if a VMAT

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14:23

Lithium: How to Manage Weight Gain and GI Side Effects

Psychopharmacology and Psychiatry Updates ·

2020/12/09

In this episode, we discuss weight gain and GI side effects due to lithium. Here are some questions we cover: What are the causes of weight gain from lithium? How should you help patients manage their weight gain? What are the most common gastrointestinal side effects? How should you manage patients’ gastrointestinal side effects? Faculty: David Osser, M.D. Learn more about our memberships here Earn 1.5 CMEs - "Lithium: How to Manage Dosage and Side Effects and Persuade Patients to Take It"

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08:08

Liver Function Tests in Psychiatry: Practical...

Psychopharmacology and Psychiatry Updates ·

2020/12/04

This episode will offer practical guidance and answer questions about how to interpret abnormal liver function tests in a patient taking psychotropic medications. Faculty: Sandra Jacobson, M.D. Learn more about our memberships here Earn 0.75 CMEs: Laboratory Testing in the Practice of Psychopharmacology Interpreting Liver Function Tests

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07:30

Managing Extrapyramidal Symptoms: Clinical Pointers

Psychopharmacology and Psychiatry Updates ·

2020/11/29

In this episode, we discuss the diagnosis and management of extrapyramidal symptoms. Here are some questions Dr. Pontone addresses: Are there any biomarkers or neuroimaging studies that help us differentiate drug-induced EPS from Parkinson’s disease? What can you do after you identify extrapyramidal symptoms? What should be your first step? Is it okay to use anticholinergic agents prophylactically? What is the prognosis for extrapyramidal symptoms? How long does it typically take for extrapyramidal

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10:31

Postpartum Bipolar Disorder and Psychosis: How to Treat?

Psychopharmacology and Psychiatry Updates ·

2020/11/24

Today's episode is about treatment strategies for postpartum bipolar disorder and psychosis. Here are some questions we cover in this episode: What is the role for lithium in postpartum psychosis? What do we know about mood stabilizers and breastfeeding? Is it possible for women who are using lithium to breastfeed in a safe manner? If your patient is already on a mood stabilizer, should she switch medications specifically for breastfeeding? Faculty: Marlene Freeman, M.D. Learn more about our

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14:41

Lithium: How to Dose and Baseline Testing

Psychopharmacology and Psychiatry Updates ·

2020/11/19

Here are some practical things you’ll learn if you listen to this entire episode: Specific tests that you need to order before prescribing lithium (baseline testing). How to start lithium. The best way to distribute dosing to prevent kidney damage. The most relevant drug interactions that may affect lithium levels. Faculty: David Osser, M.D. Learn more about our memberships here Earn 1.5 CMEs - "Lithium: How to Manage Dosage and Side Effects and Persuade Patients to Take It" Baseline Testing

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10:58

Antipsychotic-Induced Weight Gain: Practical Lessons...

Psychopharmacology and Psychiatry Updates ·

2020/11/14

Antipsychotic-induced weight gain is a huge problem. Today's episode will remind you of some important concepts from the general medicine perspective. This episode will help you be more systematic about the diagnosis of metabolic syndrome in your clinical practice. It will also give you a framework for monitoring metabolic side effects when you prescribe second-generation antipsychotics. Faculty: Sandra Jacobson, M.D. Learn more about our memberships here Earn 0.75 CMEs: Laboratory Testing in the

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11:10

Akathisia: Tips for Psychiatrists

Psychopharmacology and Psychiatry Updates ·

2020/11/09

In this episode, we discuss the diagnosis and management of akathisia. Here are some questions Dr. Pontone addresses: Why is akathisia important? For differential diagnosis, what are the most common conditions that can mimic akathisia? What is pseudoakathisia? What can you do to treat akathisia before adding any new medication? If you need to add a medication, which one should you choose? Faculty: Greg Pontone, M.D. Learn more about our memberships here Earn 1.25 CMEs: "Drug-Induced Movement

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