Clinical Manual of Geriatric Psychopharmacology,
Sandra A. Jacobson, M.D.
In the 7 years since the first edition of Clinical Manual of Geriatric Psychopharmacology was published, dozens of new drugs have been released, and older medications have been marketed in different formulations. In addition, research on pharmacokinetics, pharmacodynamics and mechanism of action, potential interactions, and other critical topics has proceeded apace, rendering much of the information in existing guides obsolete. This new volume is both comprehensive and completely up to date, offering information unavailable elsewhere.
- New drugs covered include asenapine, paliperidone, iloperidone, lurasidone, desvenlafaxine, vilazodone, long-acting trazodone, milnacipran, armodafinil, extended-release valproate, rotigotine transdermal, tetrabenazine, dextromethorphan, long-acting gabapentin, and transdermal buprenorphine.
- Each chapter has a standardized format, with topics including pharmacokinetics, pharmacodynamics and mechanism of action, drug interactions, clinical use (which addresses choice of drug, alternative formulations/routes, pre-treatment evaluation, dose and dose titration, PRN use, monitoring treatment, drug levels, managing treatment resistance, switching drugs, duration of treatment, discontinuation, and overdose), adverse effects, and treatment of selected syndromes and disorders.
- Dozens of tables, boxes, and figures organize and present complex material, such as practice guidelines, in a straightforward manner that is easy to understand and apply, and the concise, bulleted text facilitates reading and comprehension in the clinical setting.
- "Specific Drug Summaries"—one-page summaries of prescribing information for individual drugs —provide fast access to critical information in a simple format.
Designed for residents, fellows, and all clinicians in psychiatry and medicine who diagnose and treat psychiatric and neuropsychiatric conditions affecting geriatric patients, this clinical reference can be used across all treatment settings (inpatient, outpatient, day hospital, consultation, and nursing home). Meticulously referenced and grounded in the latest research, Clinical Manual of Geriatric Psychopharmacology, Second Edition, is the definitive guide to psychotropic use in elderly patients. Clinicians can rely confidently on its up-to-date coverage and authoritative counsel.
Preface. Principles and practice of geriatric psychopharmacology. Antipsychotics. Antidepressants. Mood stabilizers. Anxiolytic and sedative-hypnotic medications. Treatment of substance-related disorders. Treatment of movement disorders. Medications to treat neurocognitive disorders. Medications to treat pain. References. Index.
"In the second edition of her unique and useful manual, Dr. Jacobson lays out the art as well as the science of geriatric psychopharmacology and teaches us what we need to know to start low and go slow. In the spirit of 'first do no harm,' she advocates a 'lean medication regime.' Good advice in this era of promiscuous prescribing."—Marshal Folstein, M.D., Professor of Psychiatry Emeritus, Tufts University; Voluntary Professor of Psychiatry, University of Miami
"The second edition of this manual could aptly be called 'geriatric psychopharmacology at your fingertips.' From the concise overview in Chapter 1 to the more comprehensive, yet accessible, discussions in the following chapters, this book should be on the desk of every psychiatrist working with older adults. I have rarely reviewed or used a book which is so accurately, yet so effortlessly, provides the information I need for prescribing to my patients."—Dan G. Blazer M.D., MPH, Ph.D., JP Gibbons Professor of Psychiatry and Behavioral Sciences, Professor of Community and Family Medicine, Duke University School of Medicine, Durham, North Carolina
"Having assisted with the first edition of this text, I am happy to see that Dr. Jacobson has continued and enhanced the text’s many helpful features. The second edition provides concise yet comprehensive coverage of virtually all the important neuropsychiatric conditions in geriatric psychopharmacology. The generous use of ‘boxed’ text, tables, and bullet points helps the busy clinician focus on critical elements of diagnosis and treatment, with maximum efficiency. The advice given is wise, balanced, nuanced, and always aimed at enhancing the safety and well-being of the elderly patient."—Ronald Pies, M.D., Professor of Psychiatry, SUNY Upstate Medical University, Syracuse; Clinical Professor of Psychiatry, Tufts USM, Boston
Sandra A. Jacobson, M.D., is a Research Associate Professor at the University of Arizona College of Medicine, Phoenix and Research Physician at Banner Sun Health Research Institute in Sun City, AZ.