Cover image for Breakthroughs in antipsychotic medications : a guide for consumers, families, and clinicians
Breakthroughs in antipsychotic medications : a guide for consumers, families, and clinicians
Weiden, Peter J.
First edition.
Publication Information:
New York : W. W. Norton, [1999]

Physical Description:
207 pages : illustrations ; 26 cm
General Note:
"A publication of the National Alliance for the Mentally Ill"--Half t.p. verso.
Added Author:
Format :


Call Number
Material Type
Home Location
Item Holds
RC514 .B6835 1999 Adult Non-Fiction Central Closed Stacks

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Yet, older medications have serious side effects, do not completely alleviate the psychotic symptoms, and rarely affect other symptoms like lethargy.The new antipsychotics have several advantages over the older medications, and are transforming the lives of many people, but they are not for everyone: They also have side effects and the cost can be prohibitive. Breakthroughs in Antipsychotic Medications helps consumers and their families weigh the pros and cons of switching medications and guides them through the process of switching. With clear, simple language, the book answers such questions as: What are antipsychotic medications and what do they do? What kinds of antipsychotic are available and how are they different? How do I know if switching might (or might not) be a good idea? When is the best time to switch? Which medication should I switch to? How do I make the switch? What will happen after I switch? How can I afford the cost of the new antipsychotics?The book also gives clinicians technical details on the new medications and their side effects. For example, eight "medication fact sheets" and seven "side effect fact sheets" are included, as well as a discussion of the switching process, assessing the patient's response to the switch, and the long-term issues after switching antipsychotics. A clear and authoritative map for the road to recovery, Breakthroughs in Antipsychotic Medications is a valuable resource for consumers, families, and clinicians.

Author Notes

Peter J. Weiden, M.D., is director of the Neurobiologic Disorders Service in the Department of Psychiatry at St. Luke's-Roosevelt Hospital, New York.
Patricia L. Scheifler, M.S.W., is director of Partnership for Recovery, Birmingham, Alabama.
Ronald J. Diamond, M.D., is professor at the University of Wisconsin Medical School at Madison.
Ruth Ross, M.A., is managing editor of the Journal of Practical Psychiatry and Behavioral Health, and was the science writer of the DSM-IV.

Table of Contents

Laurie Flynn
Forewordp. 9
The Keys to Recoveryp. 11
Acknowledgmentsp. 12
Introductionp. 13
Part I. Consumer Guidep. 19
1. What Are Antipsychotic Medications and What Do They Do?p. 21
2. What Kinds of Antipsychotic Medications Are Available and How Are They Different?p. 28
3. How Do I Know If Switching Might Be a Good Idea for Me?p. 35
4. How Do I Know If Switching Might Not Be a Good Idea for Me?p. 38
5. When Is the Best Time to Switch?p. 43
6. Which Medication Should I Switch To?p. 46
7. The Six Steps in Making the Switchp. 50
8. What Will Happen After I Switch?p. 63
9. Getting Betterp. 73
10. Getting On with Lifep. 77
11. Final Thoughtsp. 86
Part II. Technical Informationp. 91
12. Antipsychotic Medicationsp. 93
Medication Fact Sheet: Conventional Antipsychoticsp. 94
Medication Fact Sheet: Summary of the Newer Antipsychotic Medicationsp. 95
Medication Fact Sheet: Comparing Conventional and Atypical Antipsychoticsp. 96
Medication Fact Sheet: Clozapine (Clozaril)p. 97
Medication Fact Sheet: Risperidone (Risperdal)p. 99
Medication Fact Sheet: Olanzapine (Zyprexa)p. 100
Medication Fact Sheet: Quetiapine (Seroquel)p. 101
Medication Fact Sheet: Ziprasidone (Zeldox)p. 102
Medication Fact Sheet: Medications for Extrapyramidal Side Effectsp. 103
Medication Fact Sheet: Adjunctive Medicationsp. 104
13. Common Side Effectsp. 106
Side Effect Fact Sheet: Extrapyramidal Side Effects (EPS)p. 107
Side Effect Fact Sheet: Tardive Dyskinesia and Withdrawal Dyskinesiap. 109
Side Effect Fact Sheet: Anticholinergic Side Effectsp. 110
Side Effect Fact Sheet: Sedation and Insomniap. 111
Side Effect Fact Sheet: Weight Gainp. 112
Side Effect Fact Sheet: Sexual Difficultiesp. 113
Side Effect Fact Sheet: Amenorrhea and Galactorrheap. 114
14. Switching Medicationsp. 115
Optimizing Current Medicationsp. 117
Indications for Switching Medicationsp. 118
Risks of Switchingp. 120
The Decision-Making Processp. 121
Switching When There Is Illicit Drug or Alcohol Usep. 122
Switching When the Person Denies Having an Illnessp. 123
Timing the Switchp. 124
Choosing Among the Atypical Antipsychoticsp. 125
Switching Safelyp. 126
15. Assessing the Response to Switchingp. 130
How to Evaluate the Responsep. 131
When the New Medication Works Betterp. 132
Avoiding Unnecessary Polypharmacyp. 133
When the New Medication Is Not Workingp. 134
Postpsychotic Depression and Suicidal Behaviorp. 136
16. Long-Term Issues After Switchingp. 137
Emotional Reactions to Symptom Improvementsp. 138
Changes in Relationshipsp. 140
Other Problemsp. 141
Rehabilitationp. 142
Academic and Work Functioningp. 143
Newer Medications and Life Expectancyp. 145
17. Summary of Technical Informationp. 146
Part III. Paying for Medicationsp. 151
Part IV. Glossaryp. 161
Part V. Resourcesp. 183
Part VI. Handoutsp. 193
Overview of the Treatment of Schizophreniap. 195
Choosing an Antipsychoticp. 199
Noncompliance with Antipsychotic Medicationsp. 201
Sample Medication Calendarp. 203
Blank Medication Calendarp. 204
Knowledge Assessmentp. 205