By Michael Robertson
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1 – 8 sec. Both the MECTA and Thymatron ECT machines provide the operator the ability to vary the ‘charge’ (25 – 504mC) and these variables are automatically computed by the machine. Recent research has suggested that using an ultra brief pulse width with ECT may greatly reduce cognitive side effects, while maintaining efficacy67, and this method is used in some specialized Kohen D. Psychotropic medication and breast-feeding. Advances in Psychiatric Treatment. 2005);11:371-379. 66. Loo C, Sheehan P, Pigot M, Lyndon W.
All NSAIDS (now over-the-counter) can do this, with the exception of aspirin, and should be avoided. Warn the patient to check all prescription medications for interactions before commencing them. Thiazide diuretics (not loop diuretics such as frusemide) can increase lithium levels into toxic range. 5. L ithium toxicity can result in acute or chronic renal failure, seizures, coma, permanent neurotoxicity (especially cerebellar damage) or death. 0mmol/L. Symptoms include worsening tremor, worsening metallic taste in the mouth, nausea and fatigue, confusion, worsening polyuria and dehydration.
Kane J, Honigfield G, Singer J, et al. Clozapine for the treatment-resistant schizophrenic; results of a US multicenter trial. Psychopharmacol. 1989;99:560-63. 41. Lieberman JA, Safferman AZ, Pollack S, et al. Clinical effects of clozapine in chronic schizophrenia: response to treatment and predictors of outcome. American Journal Psych. 1994;151:1744-52. 42. Treatments 2 The initiation of clozapine therarpy (“Day 1”) requires close monitoring of pulse, blood pressure, and temperature. 5mg). This usually results from massive vasodilation.
Acute Psychiatric Management by Michael Robertson