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

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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