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Depakote Formulations

Recognizing the difference between Depakote formulations can be challenging. We often get asked which one to use. This info should help. We will discuss Tuesday AM. Learning objectives: So, what’s the deal with all these Depakote formulations??? What is the difference between “Valproate” and “Divalproex”? What is the difference between divalproex DR and ER? WhatContinue reading “Depakote Formulations”

SIAD (aka SIADH)

I’m going to take a stab at explaining a somewhat complex but clinically relevant topic: Hyponatremia. This matters for us because several psychiatric medications can cause SIAD (syndrome of inappropriate antidiuresis). You may have learned it as SIADH. The preferred term now is SIAD, because not all cases involve elevated measurable ADH levels. Psychiatric Medications That Can Cause SIAD MostContinue reading “SIAD (aka SIADH)”

Neuroleptic Malignant Syndrome

Here is an overview of NMS. Learning objectives -Recognize the tetrad of sx of NMS during patient care -Diagnose NMS in practice -Make recommendations to the team when suspecting NMS Definition Typical Labs Evaluation DDx Management Possible complications Prognosis Restarting antipsychotics Richa Vijayvargiya, MD Psychiatry Service Director, UF Shands Associate Program Director, UF Psychiatry Residency AssistantContinue reading “Neuroleptic Malignant Syndrome”

Steroid-Induced Mental Status Changes

Steroid-induced mental status changes are very common in the CL setting. Here is some teaching info to give you a general overview. We can discuss this during teaching tomorrow: Source: Open-Evidence Steroid-Induced Mental Status Changes Which steroids can cause mental status changes? At what doses? -Any systemic glucocorticoid can cause neuropsychiatric effects –Common culprits Steroids are often discussed inContinue reading “Steroid-Induced Mental Status Changes”

Hypnagogic Hallucinations

On CL, we frequently get consulted for new-onset hallucinations. Often, we find that these are due to delirium. However, there is a subset of patients who have something called hypnagogic hallucinations. Here is a brief overview: Hypnagogic Hallucinations Definition: Hallucinations at sleep onset (during transition from wake to sleep) -Due to a REM intrusion into wakefulness Epidemiology Severity -Most casesContinue reading “Hypnagogic Hallucinations”