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Appropriate use of single-dose injectable aripiprazole lauroxil in the treatment of schizophrenia.
Ment Health Clin
December 2024
(Corresponding author) Associate Professor, Department of Clinical and Administrative Pharmacy, College of Pharmacy, University of Georgia, Athens, GA,
Introduction: Single-dose injectable aripiprazole lauroxil (SDIAL) is used with long-acting injectable (LAI) aripiprazole lauroxil in the treatment of schizophrenia. SDIAL can be used to either initiate treatment or supplement during maintenance when follow-up doses are not given within labeling recommendations. The primary objective was to determine the usage and appropriateness of SDIAL between the initiation and the maintenance supplementation use in a Medicaid database.
View Article and Find Full Text PDFInvoluntary medication treatment of schizophrenia in the inpatient setting.
Ment Health Clin
December 2024
(Corresponding author) Clinical Manager and PGY-2 Residency Program Director, Department of Pharmacy, Center for Behavioral Medicine, Kansas City, Missouri,
Two Supreme Court cases in the United States describe the use of involuntary medication in individuals with mental illnesses. In addition to these legal requirements, clinicians must also incorporate ethics into treating these individuals, including the principles of autonomy and beneficence. Current guidelines do not provide specific recommendations for choosing an antipsychotic for a patient with schizophrenia who is being treated involuntarily.
View Article and Find Full Text PDFBehavioral symptoms and treatment challenges for patients living with dementia: Hospice clinician and caregiver perspectives.
J Am Geriatr Soc
December 2024
Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.
Introduction: Dementia affects one in three older adults over age 85 and individuals with dementia constitute the fastest growing population of patients entering hospice care. While cognitive impairment is the hallmark of dementia, behavioral symptoms are reported in nearly all patients with advanced dementia, contributing to both the complexity of end-of-life care and caregiver burden.
Methods: This qualitative study involved semi-structured interviews with prescribing hospice clinicians and caregivers of patients living with dementia who previously received hospice services.
Outpatient Management of Bipolar Disorder in Older Adults.
Curr Psychiatry Rep
December 2024
Department of Psychiatry and Behavioral Sciences, Dell Medical School, The University of Texas at Austin, AMG Seton Behavioral Health, 1301 W. 38th Street, Suite 700, Austin, TX, 78757, USA.
Article Synopsis
- Older adults with bipolar disorder (OABD) face unique challenges in diagnosis and treatment, particularly in outpatient settings.
- Mood episodes in OABD are similar in frequency and severity to those in younger adults, with depression being more common and mixed symptoms frequent.
- Effective treatment may involve using lower doses of lithium over other medications, and clinicians should focus on managing medical comorbidities and reducing the number of medications prescribed.
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