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cl:psychiatric-side-effects-of-medications [on April 21, 2020]
cl:psychiatric-side-effects-of-medications [on February 7, 2022] (current)
psychdb [Depression]
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 ====== Psychiatric Side Effects of Medications and Substances ====== ====== Psychiatric Side Effects of Medications and Substances ======
 +{{INLINETOC}}
 ===== Primer ===== ===== Primer =====
-Medications and recreational substances can have profound ​psychiatric ​symptoms ​for patients.+Medications and recreational substances can sometimes induce ​psychiatric ​syndromes, including depression, anxiety, mania/​hypomania,​ sleep, and cognitive impairment. Thus, it is important to ensure that these iatrogenic effects are not mistaken ​for a "​primary"​ psychiatric disorder.
  
-== Medications with Depression as a Side Effect ​== +===== Offending Agents ===== 
-  * [[https://​www.ncbi.nlm.nih.gov/​pmc/​articles/​PMC3181628/|TangoRC. (2003). Psychiatric side effects ​of medications prescribed in internal medicineDialogues in clinical neuroscience5(2), 155.]] +  * Individuals may experience changes in mood, cognition, memory, or behaviour during glucocorticoid treatment or withdrawal.[([[https://​www.ncbi.nlm.nih.gov/​pubmed/25272344|JuddLL., Schettler, P. J., Brown, E. S., Wolkowitz, O. M., Sternberg, E. M., Bender, B. G., ... & Joëls, M. (2014). Adverse consequences ​of glucocorticoid medication: psychological,​ cognitive, and behavioral effectsAmerican Journal of Psychiatry171(10), 1045-1051.]])
-  * [[https://jamanetwork.com/journals/jama/​fullarticle/​2684607|QatoD. M., OzenbergerK., & Olfson, M. (2018). Prevalence of Prescription Medications With Depression as a Potential ​Adverse ​Effect Among Adults in the United StatesJAMA319(22), 2289-2298.]] +    Severe neuropsychiatric sequelae including suicide, suicide attempts, psychosis, mania, depression, panic disorder, delirium, confusion, and disorientation have also been reported.[([[https://www.ncbi.nlm.nih.gov/pubmed/25272344|JuddL. L., Schettler, P. J., Brown, E. S., Wolkowitz, O. M., SternbergE. M., Bender, B. G., ... Joëls, M. (2014). Adverse ​consequences of glucocorticoid medication: psychological,​ cognitive, and behavioral effectsAmerican Journal of Psychiatry171(10), 1045-1051.]])] 
- +===== Cognition ===== 
- +The diagnosis for a **Substance/​Medication-Induced Major or Mild Neurocognitive Disorder** is as follows:
-===== Substance/​Medication-Induced Major or Mild Neurocognitive Disorder ​=====+
 <WRAP group> <WRAP group>
 <WRAP half column> <WRAP half column>
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 </​WRAP>​ </​WRAP>​
  
 +===== Depression =====
 +<alert icon="​fa fa-arrow-circle-right fa-lg fa-fw" type="​success">​
 +See main article: **[[mood:​substance-medication|]]**
 +</​alert>​
 +
 +===== Mania/​Hypomania =====
 +<alert icon="​fa fa-arrow-circle-right fa-lg fa-fw" type="​success">​
 +See main article: **[[bipolar:​substance-medication|]]**
 +</​alert>​
 +
 +===== Anxiety =====
 +<alert icon="​fa fa-arrow-circle-right fa-lg fa-fw" type="​success">​
 +See main article: **[[anxiety:​substance-medication|]]**
 +</​alert>​
 +
 +===== Sleep =====
 +<alert icon="​fa fa-arrow-circle-right fa-lg fa-fw" type="​success">​
 +See main article: **[[sleep:​substance-medication|]]**
 +</​alert>​
 +
 +===== Sexual Dysfunction =====
 +<alert icon="​fa fa-arrow-circle-right fa-lg fa-fw" type="​success">​
 +See main article: **[[sexual-dysfunctions:​substance-medication|]]**
 +</​alert>​