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Valproic Acid Levels

Hello all,   We have a patient with Bipolar DO on Divalproex ER weighing 92 kg.  On 1500 mg/day his blood level was 60.  On 2000 mg / day the blood level was about 70. The goal for this patient is a blood level of 90 – 100 ...

TIMA Question

I wonder if one of you TIMA experts could comment: Does the TIMA schizophrenia treatment algorithm now include a preference for risperidone over other second-generation antipsychotics as a first line intervention in naive patients?   If not, why ...

Substitute Metronidazole for Antabuse

Here is an odd one in my opinion.   One of our psychiatrists had a local pharmacy suggest substituting Metronidazole for Antabuse in a patient with no insurance coverage.   The reason was Antabuse would cost the patient $112 ...

Chantix

Hello everyone, Just curious if people are using a lot of Chantix out there?  Some of our doctors on the medical side like to use it, but are now starting to pull back, I'm assuming they have started hearing more and more about the ...

Acute Agitation Algorithm

Hello, Our hospital is trying to come up with some sort of algorithm that addresses acute agitation/chemical restraints.  We want to use this as a teaching tool for our psychiatry residents as they will order 5 mg haloperidol and 2 mg ...

Announcement: Austin Psych Update 10/19-20/2007

Title: Announcement: Austin Psych Update 10/19-20/2007 As Scientific Chair of the Conference Committee, I am pleased to inform you of the outstanding program that has been put together for the 19 th Annual Psychiatric Pharmacotherapy Update that will ...

Clozapine Formulation

I have heard a rumor that Alamo Pharmaceuticals is developing a new formulation of clozapine, allegedly one that will enhance patient adherence. Does any one know anything about this? Alamo Pharmaceuticals is a company started by Neil Cutler and John ...

Current state of Atypical Diabetes Warning

Hello, There has been some confusion here in South Dakota regarding the FDA's suggestion to add the diabetes warning to the atypicals PI. I have heard numerous contradicting statements from multiple sources. Does anyone know the current state of this ...