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Internal Medicine

Consultation-Liaison Psychiatry   

Questions discussed in this category

How do you implement antipsychotics in the management of agitation in Alzheimer’s patients?
1 Answer available
What is your approach in counseling a patient with delusions of parasitosis?
3 Answers available
How do you approach managing depression symptoms in patients who have had repeated high risk of bleeding?
When do you determine SSRI therapy is unsafe to pursue in such situations?
2 Answers available
Do you prescribe linezolid to patients who are concomitantly on an SSRI?
7 Answers available
Do you avoid SSRIs in patients with a history of RCVS?
2 Answers available
Would you avoid the use of keppra in patients with TBI due to concerns for worsening agitation?
2 Answers available
In what clinical situation would you consider using benzodiazepines in patients with dementia?
2 Answers available
How do you approach treating patients with delusions of parasitosis who can not tolerate an antipsychotic?
1 Answer available
How would you adjust the steroid dose for steroid-induced psychosis in a patient being treated for secondary HLH with the HLH-94 protocol?
1 Answer available
What work-up do you recommend in patients with early-onset dementia?
Which genetic/other testing should be considered in an early-onset dementia work-up? 
1 Answer available
Is it possible to develop worsening motor features of Parkinson's disease (PD) when using clozapine (for treatment of PD psychosis) above a certain dose?
If so, what is the recommended maximum dose of clozapine for PD patients? 
1 Answer available
What is your approach to using apremilast for psoriatic arthritis in patients with history of depression?
1 Answer available
How would you manage a patient with secondary progressive multiple sclerosis manifesting with increased neuropsychiatric manifestations (ex. psychosis) with no recent changes on brain MRI?
1 Answer available
Are there certain sedatives or anti-epileptic meds to avoid in patients with IDD?
What are your thoughts on the ethics of inpatient use of sedatives in these patients to help with agitation to “protect themselves from harm and...
4 Answers available
How do you treat behavioral disturbances in patients with dementia with Lewy bodies?
How do you treat dangerous behavioral disturbances (aggression, nighttime wandering) in patients with dementia with Lewy bodies (DLB)?
1 Answer available
Do you use pimavanserin to treat psychotic symptoms in Lewy body dementia?
1 Answer available
How do you approach the workup and management of patients with suspected functional neurologic disorders?
What testing do you typically proceed with?
1 Answer available
How do you approach NSAID use in patients on SSRIs?
Do you avoid due to the increased risk of GI adverse events?
1 Answer available


Papers discussed in this category

Journal of psychiatric practice, 2018-11
Association Between Delusions of Infestation and Prescribed Narcotic and Stimulant Use.
Journal of the American Academy of Dermatology, 2019-05
Diagnosis and management of delusional parasitosis.
Med Hypotheses, 2006 Nov 28
Delusional parasitosis and the dopamine transporter. A new insight of etiology?
J Am Acad Dermatol, 2021 Apr 18
Stimulant use in patients presenting with psychocutaneous disorders.
Prog Neuropsychopharmacol Biol Psychiatry,
Effects of pimozide on the psychopathology of delusional disorder.
Antimicrob Agents Chemother, 2008 Nov 17
A small-molecule screen identifies the antipsychotic drug pimozide as an inhibitor of Listeria monocytogenes infection.
Mov Disord Clin Pract, 2022 Oct 23
Clozapine Is Severely Underused in Parkinson's Disease Patients.
JAMA network open, 2022 Dec 01
Association of Linezolid With Risk of Serotonin Syndrome in Patients Receiving Antidepressants.
International journal of antimicrobial agents, 2023 Jun 08
Dose optimisation of linezolid in critically ill patients based on a population pharmacokinetic model: A two-centre prospective interventional study.
Pharmacy (Basel, Switzerland), 2023 Nov 20
The Association of Serotonin Toxicity with Combination Linezolid-Serotonergic Agent Therapy: A Systematic Review and Meta-Analysis.
International journal of antimicrobial agents, 2023 May 07
Real-world evaluation of linezolid-associated serotonin toxicity with and without concurrent serotonergic agents.
The American journal of psychiatry, 2022 Aug
Dementia Is More Than Memory Loss: Neuropsychiatric Symptoms of Dementia and Their Nonpharmacological and Pharmacological Management.
Psychiatry research, 2020 Dec 13
The Psychopharmacology Algorithm Project at the Harvard South Shore Program: An update on management of behavioral and psychological symptoms in dementia.
Journal of psychopharmacology (Oxford, England), 2018 Jan 17
Sequential drug treatment algorithm for agitation and aggression in Alzheimer's and mixed dementia.
Pharmacological research, 2016 Aug 10
Bleeding risk under selective serotonin reuptake inhibitor (SSRI) antidepressants: A meta-analysis of observational studies.
The Annals of pharmacotherapy, 2018 Aug 06
Clinical Management of Bleeding Risk With Antidepressants.

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