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Journal Article

Citation

Gupta A, Chadda RK. BJPsych Adv. 2016; 22(5): 325-334.

Copyright

(Copyright © 2016, Royal College of Psychiatrists)

DOI

10.1192/apt.bp.115.015735

PMID

unavailable

Abstract

Patients presenting to psychiatrists frequently have comorbid medical conditions for which they are receiving treatment. A range of medications used for treatment of these conditions can have adverse effects resembling psychiatric symptoms. This article presents the results of our review of the literature on psychiatric adverse effects of various non-psychotropic medications, and discusses the mechanisms of such effects, their assessment and management. Among the commonly prescribed drugs found to have psychiatric adverse effects are corticosteroids, anti-Parkinsonian drugs, anti-epileptics, antiretrovirals, antibiotics, anticancer drugs, analgesics, drugs targeting endocrine and cardiovascular disorders, immunosuppressants, skeletal muscle relaxants and bronchodilators. Some adverse effects are predictable and dose dependent, whereas others are rare and idiosyn- cratic, and psychiatrists need to be aware of them for accurate diagnosis and appropriate treatment. © 2016, Royal College of Psychiatrists. All rights reserved.


Language: en

Keywords

disability; human; suicide; insomnia; psychiatry; suicidal ideation; depression; anxiety; psychosis; behavior change; addiction; polypharmacy; risk factor; fatigue; analgesic agent; anticonvulsive agent; antiinfective agent; antiparkinson agent; differential diagnosis; pathological gambling; cognitive defect; drug induced disease; sedation; anxiety disorder; sleep disorder; steroid; drug safety; delirium; antihistaminic agent; corticosteroid; mania; agitation; antibiotic agent; antineoplastic agent; muscle relaxant agent; anesthetic agent; antiretrovirus agent; cardiovascular agent; immunosuppressive agent; euphoria; Article; bronchodilating agent; immunomodulating agent; bibliographic database; clinical trial (topic); oral antidiabetic agent; meta analysis (topic); mental irritation; respiratory tract agent

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