The Carlat Psychiatry Podcast
Tapering Antipsychotics
Feb 26, 2024
Exploring challenges of using antipsychotics in children, emphasizing safe tapering. Considerations for dosage, non-pharmacologic interventions. Importance of patient/family input during tapering. Addressing medication changes, side effects, reduced usage in late teens. Necessity of close medical supervision to limit antipsychotic use.
19:23
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Quick takeaways
- Balancing symptom relief with minimizing side effects is crucial in pediatric antipsychotic treatment.
- Tapering antipsychotics requires careful monitoring, consideration of stability, and potential medication switches for better outcomes.
Deep dives
Challenges with Antipsychotic Medications in Children and Adolescents
The use of antipsychotic medications in children and adolescents presents challenges due to potential side effects and off-label usage. About 65% of these medications are used off-label, with limited data on their long-term effectiveness. Antipsychotics can lead to neurologic and metabolic side effects, and at high doses, they have been linked to higher mortality rates in youths.
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