Prescribing psychotropics in brain injury

Small doses—start low, go slow

Only continue treatment if definite evidence of effect

Drug profile—choose drugs with less potential for:

• lowering seizure threshold—avoid chlorpromazine and clozapine

• anticholinergic activity—to minimize potential for increasing confusion

• extrapyramidal side-effects—especially akathisia, parkinsonism, and neuroleptic malignant

• Enzyme induction or other pharmacodynamic interaction with other drugs


Regular medication with long-acting drugs, compared with short-acting drugs as required, is less

likely to produce:

• withdrawal syndrome

• development of addiction

• reinforcement of unwanted behaviour

Break Free From Passive Aggression

Break Free From Passive Aggression

This guide is meant to be of use for anyone who is keen on developing a better understanding of PAB, to help/support concerned people to discover various methods for helping others, also, to serve passive aggressive people as a tool for self-help.

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