Blood Cell Count Ratios at Baseline are Associated with Initial Clinical Response to Clozapine in Treatment-Resistant, Clozapine-Na ïve, Schizophrenia-Spectrum Disorder
Conclusion Our study emphasizes the potential clinical significance of baseline NLR and MLR levels as predictors of initial clozapine treatment response in patients with TRS. Future studies with larger sample sizes and longer follow-up periods should replicate our findings. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Pharmacopsychiatry)
Source: Pharmacopsychiatry - April 15, 2024 Category: Psychiatry Authors: Llorca-Bof í, Vicent Bioque, Miquel Madero, Santiago Mallorqu í, Andrea Oliveira, Cristina Garriga, Marina Parellada, Eduard Garc ía-Rizo, Clemente Tags: Original Paper Source Type: research

Comparable Psychotropic Prescription Rates After Hospital Discharge Between Patients with COVID-19 and Those With Non-COVID-19-Related Respiratory Infection
Discussion The development of psychiatric symptoms should be closely observed, especially in patients who experienced increased severity during hospitalization, regardless of whether they suffered from COVID-19. [...] Georg Thieme Verlag Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Pharmacopsychiatry)
Source: Pharmacopsychiatry - March 26, 2024 Category: Psychiatry Authors: Takahashi, Yuna Yatomi, Taisuke Yamaguchi, Naohito Yoshimura, Kimio Hori, Satoko Uchida, Hiroyuki Tags: Original Paper Source Type: research

Medicinal Use of Different Cannabis Strains: Results from a Large Prospective Survey in Germany
Conclusions Patients self-reported very good efficacy and tolerability of MC. There was no evidence suggesting that specific MC strains are superior depending on the disease to be treated. [...] Georg Thieme Verlag Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Pharmacopsychiatry)
Source: Pharmacopsychiatry - March 12, 2024 Category: Psychiatry Authors: Szejko, Natalia Becher, Eva Heimann, Florian Grotenhermen, Franjo M üller-Vahl, Kirsten R. Tags: Original Paper Source Type: research

Risperidone-Induced Leukoneutropenia: Evidence from a Positive Rechallenge and Review of the Literature
Pharmacopsychiatry 2024; 57: 78-81 DOI: 10.1055/a-2262-8297Antipsychotics can cause hematologic disorders, and they can have life-threatening consequences. Risperidone, less commonly associated with hematologic adverse effects, is an atypical antipsychotic medication used to treat conditions such as schizophrenia, bipolar disorder and irritability associated with autism. While risperidone primarily affects the central nervous system, it can have some hematologic adverse effects, although these are relatively rare. It is crucial to note that these side effects are not common, and most people taking r...
Source: Pharmacopsychiatry - March 12, 2024 Category: Psychiatry Authors: Sahnoun, Dhouha Ghanmi, Ahlem Gazzeh, Soumaya Saguem, Bochra Slim, Raoudha Nakhli, Jaafar Ben Salem, Chaker Tags: Letter to the Editor Source Type: research

Implications of Online Self-Diagnosis in Psychiatry
Pharmacopsychiatry 2024; 57: 45-52 DOI: 10.1055/a-2268-5441Online self-diagnosis of psychiatric disorders by the general public is increasing. The reasons for the increase include the expansion of Internet technologies and the use of social media, the rapid growth of direct-to-consumer e-commerce in healthcare, and the increased emphasis on patient involvement in decision making. The publicity given to artificial intelligence (AI) has also contributed to the increased use of online screening tools by the general public. This paper aims to review factors contributi...
Source: Pharmacopsychiatry - March 12, 2024 Category: Psychiatry Authors: Monteith, Scott Glenn, Tasha Geddes, John R. Whybrow, Peter C. Achtyes, Eric D. Bauer, Michael Tags: Review Source Type: research

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Pharmacopsychiatry 2024; 02 Article in Thieme eJournals: Table of contents  |  Congress (Source: Pharmacopsychiatry)
Source: Pharmacopsychiatry - March 12, 2024 Category: Psychiatry Source Type: research

Perceptions, Experiences, and Patterns of Cannabis Use in Individuals with Mood and Anxiety Disorders in the Context of Cannabis Legalization and Medical Cannabis Program in Canada – A Qualitative Study
This study aims to understand motivations, perceptions, effects, and patterns of CU in individuals with mood and anxiety disorders. Methods Thirty-six adult patients diagnosed with mood or anxiety disorders, obsessive-compulsive disorder, or posttraumatic stress disorder who were currently using cannabis completed an in-depth qualitative interview on individual motivations, perceptions, experiences, effects, and patterns of their CU. The thematic analysis focused on phases of CU and sources of cannabis products and information. Results Reported motivatio...
Source: Pharmacopsychiatry - March 11, 2024 Category: Psychiatry Authors: Das, Ankita Hendershot, Christian S. Husain, M.Ishrat Knyahnytska, Yuliya Elsaid, Sonja Le Foll, Bernard Kloiber, Stefan Tags: Original Paper Source Type: research

Cannabinoids for Behavioral Symptoms in Dementia: An Overview
Pharmacopsychiatry DOI: 10.1055/a-2262-7837Dementia, with loss of memory, cognitive abilities, and independent daily functioning, is increasing worldwide, related to an aging population. Currently, there is no curative treatment for dementia. Treatment of the frequently occurring behavioral and psychological symptoms of dementia (BPSD) is partially effective and associated with significant side effects. Cannabinoids are lipophilic molecules acting on the CB1 end CB2 receptors, essential for main biological processes such as sleep, appetite, memory, and pain. Canna...
Source: Pharmacopsychiatry - March 6, 2024 Category: Psychiatry Authors: Broers, Barbara Bianchi, Federica Tags: Review Source Type: research

Cannabinoids in the Treatment of Selected Mental Illnesses: Practical Approach and Overview of the Literature
Pharmacopsychiatry DOI: 10.1055/a-2256-0098Although an increasing number of patients suffering from mental illnesses self-medicate with cannabis, current knowledge about the efficacy and safety of cannabis-based medicine in psychiatry is still extremely limited. So far, no cannabis-based finished product has been approved for the treatment of a mental illness. There is increasing evidence that cannabinoids may improve symptoms in autism spectrum disorder (ASD), Tourette syndrome (TS), anxiety disorders, and post-traumatic stress disorder (PTSD). Accordin...
Source: Pharmacopsychiatry - March 1, 2024 Category: Psychiatry Authors: M üller-Vahl, Kirsten R. Tags: Review Source Type: research

Unraveling the Influence of Age, IQ, Education, and Negative Symptoms on Neurocognitive Performance in Schizophrenia: A Conditional Inference Tree Analysis
Conclusions These findings emphasize the multifaceted nature of neurocognitive functioning in patients with schizophrenia, with the PANSS-negative score being an important predictor. This gives rise to a role in addressing negative symptoms as a therapeutic objective for enhancing cognitive impairments in these patients. Further research must examine nonlinear relationships among various moderating factors identified in this work, especially the role of D2 occupancy. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJourna...
Source: Pharmacopsychiatry - February 22, 2024 Category: Psychiatry Authors: Hart, Xenia M. Mitsukura, Yasue Bies, Robert R. Uchida, Hiroyuki Tags: Pharmacopsychiatry Women Source Type: research

The Relevance of Integrating CYP2C19 Phenoconversion Effects into Clinical Pharmacogenetics
Discussion PC of CYP2C19 changes phenotypes but does not improve correlations with serum concentrations. However, only a limited number of patients received perturbators of CYP2C19. Studies with large numbers of patients are still lacking, and thus, it cannot be decided if there are minor differences and which method of correction to use. For the time being, PC is relevant in individual patients treated with CYP2C19-affecting drugs, for example, esomeprazole. To ensure adequate serum concentrations in these patients, this study suggests the use of therap...
Source: Pharmacopsychiatry - February 14, 2024 Category: Psychiatry Authors: Scherf-Clavel, Maike Weber, Heike Unterecker, Stefan Frantz, Amelie Eckert, Andreas Reif, Andreas Deckert, J ürgen Hahn, Martina Tags: Original Paper Source Type: research

Cannabidiol and its Potential Evidence-Based Psychiatric Benefits – A Critical Review
Pharmacopsychiatry DOI: 10.1055/a-2228-6118The endocannabinoid system shows promise as a novel target for treating psychiatric conditions. Cannabidiol (CBD), a naturally occurring cannabinoid, has been investigated in several psychiatric conditions, with diverse effects and an excellent safety profile compared to standard treatments. Even though the body of evidence from randomised clinical trials is growing, it remains relatively limited in most indications. This review comprises a comprehensive literature search to identify clinical studies on the effects of CBD...
Source: Pharmacopsychiatry - January 24, 2024 Category: Psychiatry Authors: Dammann, Inga Rohleder, Cathrin Leweke, F. Markus Tags: Review Source Type: research

Effectiveness of Medical Cannabis for the Treatment of Depression: A Naturalistic Outpatient Study
Conclusions Medical cannabis was well tolerated and dropout rate was comparable to those in clinical trials of antidepressant medication. Patients reported a clinically significant reduction of depression severity. Further research on the effectiveness of medical cannabis for MDD seems warranted. Risks of this medication, such as sustaining or inducing a cannabis use disorder, or side effects such as poor concentration, must be taken into consideration. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents Â...
Source: Pharmacopsychiatry - January 11, 2024 Category: Psychiatry Authors: Specka, Michael Bonnet, Udo Schmidberg, Lisa Wichmann, Julian Keller, Martin Scholze, Christian Scherbaum, Norbert Tags: Original Paper Source Type: research

Overview: Chronic Pain and Cannabis-Based Medicines
Pharmacopsychiatry DOI: 10.1055/a-2231-6630Chronic pain is primarily conceptualized as a disease in its own right when it is associated with emotional distress and functional impairment. Pathophysiologically, dysfunction of the cortico-mesolimbic connectome is of major importance, with overlapping signals in the nociceptive and stress systems. The endocannabinoid system plays an important role in the central processing of nociceptive signals and regulates the central stress response. Clinically, there is moderate evidence that cannabis-based medicines (CBM) can ...
Source: Pharmacopsychiatry - January 10, 2024 Category: Psychiatry Authors: Karst, Matthias Tags: Review Source Type: research

Patient Perspectives on Pharmacotherapy of Alcohol Dependence
The objective of the present study was to identify from patients’ perspective factors that prevent the initiation and compliance with pharmacological treatment of AD. Methods Patients from inpatient alcohol withdrawal treatment underwent a standardized interview. Questions included socio-demographic data, history of AD, treatment history, knowledge and personal experience regarding pharmacotherapy of AD, and personal views about the causes of AD. Results Three hundred patients (mean age 47.3 years, 27.7% female, mean duration of AD 8.9 years,...
Source: Pharmacopsychiatry - December 5, 2023 Category: Psychiatry Authors: Wellensiek, Julian Specka, Michael Just, Johannes Banger, Markus Bonnet, Udo Scherbaum, Norbert Tags: Original Paper Source Type: research