clinical

Global Clinical Impression Assessment

HI List, I am looking for the Global Clinical Impression assessment.  If you have it, or a site where I can obtain it, I would be so grateful. Thanks, Jean Tschampa, PharmD, LPC, CADC Lifecare

Thoughts on Levetiracetam (Keppra) as a mood stabilizer

Greetings,   I am interested in hearing anyone’s thoughts on using levetiracetam (Keppra) as a mood stabilizer.  Specifically, our patient is a 38 yo male patient with a diagnosis of Schizoaffective disorder was recently ...

Lamotrigine and OC's

Hello list,   To clarify, my question (attached below) was prompted by the following from Lexicomp drug interactions:   Contraceptives (Progestins): LamoTRIgine may decrease the serum concentration of Contraceptives (Progestins). ...

clozapine stoppage question

46 y/o M with a 15 yr hx of schizoaffective admitted for SI, on Clozapine 250 mg and on it for a long while. Other than the SI ,no other neg or pos symptoms . The attending determines the client should not ...

Stavzor

Due to his severe mental illness, dangerousness to himself & to others this patient has been court committed, is a ward of the state, and on a medication override – all of this means he has been deemed unable to give informed consent by ...

Antidepressant QT Prolongation

Hi All,   I was requested to make a suggestion on the following – any specific recommendations evidence based   14 year old female adolescent who has prolonged QT interval. Her cardiologist recommended that Zoloft ...

Stavzor

Good day list, We have recently started a patient on the newer delayed release gel cap valproic acid version Stavzor.  I recommended trying this drug because the patient flatly refuses to take any form of Depakote.  He has a long & ...

Does this patient with liver disease have cirrhosis?

Udell JA, Wang CS, Tinmouth J, FitzGerald MJ, Ayas NT, Simel DL, et al. Does this patient with liver disease have cirrhosis?. JAMA. 2012;307(8):832-42. doi: 10.1001/jama.2012.186. PubMed PMID: 22357834.