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Related Concept Videos

Drug Therapy01:28

Drug Therapy

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The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
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Combined Effects of Drugs: Synergism01:27

Combined Effects of Drugs: Synergism

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Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
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Psychosis: Goals of Pharmacotherapy01:26

Psychosis: Goals of Pharmacotherapy

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Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
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Factors Affecting Drug Response: Overview01:21

Factors Affecting Drug Response: Overview

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When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
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Rational Dosage Regimen: Maintenance Dose and Loading Dose01:24

Rational Dosage Regimen: Maintenance Dose and Loading Dose

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A rational dosage regimen considers a drug's pharmacokinetics, including its absorption, distribution, metabolism, and elimination from the body. By understanding these factors, the appropriate dosage can be determined, and the dosing schedule can be designed to achieve and maintain the desired therapeutic effect while minimizing adverse effects.
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
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Dosage Regimen: Fixed Dose01:01

Dosage Regimen: Fixed Dose

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Fixed-dose regimens are a common approach to administer drugs to achieve and maintain desired levels of the drug in the body. In this dosing strategy, a specific amount of medication is given at regular intervals, often multiple times a day, to ensure a consistent drug concentration in the bloodstream.
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
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Diagonal Method to Measure Synergy Among Any Number of Drugs
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[Choosing Wisely in Patients with Polypharmacy].

Stefan Neuner-Jehle1

  • 1Institut für Hausarztmedizin, Universität und Universitätsspital Zürich, Zürich, Schweiz.

Praxis
|January 4, 2023
PubMed
Summary

Deprescribing, or reducing medications, is vital for patient well-being. A stepwise approach involving shared decision-making and careful drug evaluation ensures safe and effective medication management for patients with polypharmacy.

Keywords:
Choosing WiselyDeprescribingPatientenwertePolypharmaciePolypharmacyPolypharmazieShared Decision Makingdeprescribingdécision communepatient valuesvaleurs des patients

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Area of Science:

  • Geriatrics
  • Pharmacology
  • Patient Safety

Context:

  • Polypharmacy and potentially inappropriate medication use negatively impact patient health outcomes.
  • Deprescribing is essential for improving patient well-being and managing complex medication regimens.

Purpose:

  • To outline a successful stepwise approach for deprescribing in patients with polypharmacy.
  • To emphasize the importance of shared decision-making and individualized medication review.

Summary:

  • The approach involves patient medication reconciliation, shared decision-making, and a thorough evaluation of each drug's indication, benefit-harm balance, side effects, and dosage.
  • Prioritizing patient values, preferences, and goals is key to deciding on deprescribing, followed by monitoring and follow-up.

Impact:

  • Implementing this structured deprescribing strategy can lead to improved patient outcomes and enhanced quality of life.
  • Deprescribing is as critical as medication prescribing for maintaining patient health and well-being.