Psychopharmacology for neurologists.
Psychiatric disorders are common in neurological patients, and psychopharmacological agents are frequently used to treat agitation and other problems in neurological practice. Antidepressants are effective for depression caused by neurological illness, but they can interact with other medications. Antianxiety drugs can aggravate cognitive disorders and should be used cautiously in this context. Antipsychotic drugs can be useful for acute agitation, but they are being found to be neither effective nor safe for chronic nonpsychotic agitation. Other agents such as beta blockers and serotonergic agents are being found to be more useful. Uses, doses, adverse effects, and interactions of psychiatric medications in neurology are summarized in this article, and suggestions are provided for the practical application of these treatments.
Dubovsky
Steven L
SL
Department of Psychiatry, University at Buffalo, Buffalo, New York 14215, USA. dubovsky@buffalo.edu
Dubovsky
Amelia N
AN
D014150:Antipsychotic Agents / Q000627:therapeutic use*; D004565:Electroconvulsive Therapy / Q000379:methods; D006801:Humans; D001523:Mental Disorders / Q000188:drug therapy* / Q000209:etiology*; D009422:Nervous System Diseases / Q000150:complications* / Q000188:drug therapy; D011600:Psychopharmacology / Q000379:methods*
D014150:Antipsychotic Agents