- |||||||||| risperidone / Generic mfg., carbamazepine / Generic mfg.
[VIRTUAL] Treatment Modality of Aggressive Patient With Intellectual Disability () - May 2, 2021 - Abstract #APA2021APA_890;
In addition, antiepileptic medications such as carbamazepine, sodium valproate also preferred in the management of aggression...So, the use of various psychotropic drugs in treating aggressive behavior among patients with intellectual disability should be individualized based on a risk-benefit balance. The aim of this study involves reviewing various treatment modalities of the aggressive patient with intellectual disability by conducting a comprehensive review of articles regarding this topic.
- |||||||||| lithium carbonate ER / Generic mfg., risperidone / Generic mfg.
[VIRTUAL] Adding Antipsychotics With Lithium Reduces Hospitalization Stay in Bipolar Manic Episodes () - May 2, 2021 - Abstract #APA2021APA_809;
But we should also consider that combination with haloperidol, olanzapine, risperidone, and quetiapine with a mood stabilizer for managing acute manic episodes is less well- tolerated than monotherapy [3]. Therefore, using the COMBO as an initial treatment for hospitalized patients with BP, manic episodes should be considered as an effective model for faster response based on tolerability and requirement of faster response to manage to acute mania.
- |||||||||| risperidone / Generic mfg., paliperidone extended release / Generic mfg., clozapine / Generic mfg.
[VIRTUAL] Successful Clozapine Treatment of Vocal Tics in a Schizophrenic Patient () - May 2, 2021 - Abstract #APA2021APA_767;
However, antipsychotic agents such as Quetiapine, Aripiprazole and Olanzapine have been documented in research findings to induce tic-like symptoms...The patient was started on Risperidone oral treatment and subsequently Invega Sustena...He was symptom-free, well-functioning, and ready for discharge to the community with this treatment regimen. We suggest that Clozapine augmentation therapy as a possible treatment of a persistent vocal tics, other specified tic disorder, in schizophrenic patients who are refractory to atypical antipsychotic such as Risperidone.
- |||||||||| risperidone / Generic mfg.
[VIRTUAL] Cannabis Induced Psychosis in Adolescents: A Case Report () - May 2, 2021 - Abstract #APA2021APA_704;
In conclusion the available evidence suggest that cannabis use may increase the chances of developing psychosis with a poor long-term outcome. Identifying cannabis use in vulnerable population and optimum and timely management helps in ameliorating psychosis and leading a normal life.
- |||||||||| risperidone / Generic mfg., quetiapine / Generic mfg.
[VIRTUAL] When Treatment Worsens Disease: A Case Report of Quetiapine Exacerbating Mania () - May 2, 2021 - Abstract #APA2021APA_672;
He showed gradual improvement and was discharged 3 days later. In this poster, I present the unique mechanism of quetiapine, as well as its metabolite norquetiapine, and discuss why this mechanism predisposes to exacerbation or induction of mania, particularly at low doses.
- |||||||||| risperidone / Generic mfg.
[VIRTUAL] When Sharing Is Not Caring: A Case Report of Folie à Deux () - May 2, 2021 - Abstract #APA2021APA_671;
This case report presents longstanding relationship in a partner, who shared the patient’s delusions about their neighbors’ tortures, and ultimately acted on these delusions by moving away from the location for symptomatic relief. Given the lack of strict guidelines and management of this condition, additional research is needed to analyze the underlying risk factors and treatment standards for both the “inducer” and the delusion-sharing partner in this condition.
- |||||||||| aripiprazole / Generic mfg., risperidone / Generic mfg., bupropion / Generic mfg.
[VIRTUAL] Vocal Tardive Dyskinesia as a Side Effect of Aripiprazole and Bupropion () - May 2, 2021 - Abstract #APA2021APA_668;
Vocal TD is a rare but possible side effect of aripiprazole and our report adds to the limited but growing literature on the development of vocal TD in the setting of chronic neuroleptic use. As a majority of TD cases are irreversible, physicians should be alert to the different possible presentations of TD.
- |||||||||| aripiprazole / Generic mfg., risperidone / Generic mfg., trazodone ER / Generic mfg.
[VIRTUAL] Trying to Get Down: A Case of Aripiprazole-Induced Priapism () - May 2, 2021 - Abstract #APA2021APA_663;
Interestingly, aripiprazole carries the lowest affinity for α1, but several cases of aripiprazole-induced priapism have been published. For patients with a history of medication-induced priapism, the risk for future episodes of priapism should be considered when making treatment recommendations.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg.
[VIRTUAL] Treatment of Acute Mania in a Patient With Hemochromatosis () - May 2, 2021 - Abstract #APA2021APA_659;
Lithium and lorazepam were utilized for the same purpose. This solution of relatively bypassing hepatic metabolism by using select agents may be considered in future instances of psychosis with decreased or worsening hepatic function.
- |||||||||| risperidone / Generic mfg.
[VIRTUAL] Somatic Symptom Disorder in a Possible Schizophrenic Patient: A Case Report () - May 2, 2021 - Abstract #APA2021APA_649;
This paper will explore treatment challenges posed by such complicated patients. In addition, we discuss potential cultural influences and the economic burden that such patients place on the healthcare sector due to repeated emergency room visits, and extensive medical testing without significant findings.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg.
[VIRTUAL] Psychotic Presentation of a Rare Genetic Syndrome: A Case of Successful Treatment in Laurence-Moon- Biedl () - May 2, 2021 - Abstract #APA2021APA_642;
Prior to admission, the patient was on nortriptyline 50mg daily at bedtime, lorazepam 0.5mg daily, and risperidone 1mg daily at bedtime...One case report described two siblings with the syndrome and comorbid paranoid presentations, and successful treatment with trifluoperazine...This patient case adds to the limited evidence and raises awareness for potential psychotic comorbidity. Further, this demonstrates a case of successful treatment of psychotic symptoms with low dose risperidone in a patient with Laurence-Moon-Biedl Syndrome.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg.
[VIRTUAL] Polydipsia as a Manifestation of Catatonia () - May 2, 2021 - Abstract #APA2021APA_635;
Psychogenic polydipsia can be a manifestation of catatonic stereotypy. Lorazepam can successfully treat polydipsia.
- |||||||||| hydroxychloroquine / Generic mfg., risperidone / Generic mfg.
[VIRTUAL] Phantosmia Associated With Probable Peduncular Hallucinosis: A Case Report () - May 2, 2021 - Abstract #APA2021APA_634;
A 62-year-old female with interstitial pulmonary fibrosis (on chronic hydroxychloroquine), hypothyroidism, and hypercholesterolemia presented to the emergency department (ED) with visual hallucinations, phantosmia, and insomnia for six weeks...The patient agreed to voluntary psychiatric hospitalization and was later discharged on quetiapine 12.5 mg at bedtime...Psychiatry started and increased risperidone to 1 mg twice daily...These neuroanatomical associations support phantosmia being a possible, rare feature of PH. This report highlights the importance of diagnostic flexibility when encountering symptoms incongruent with the usual paradigm.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg.
[VIRTUAL] Palpitations, Panic and Psychosis: A Psychiatric Presentation of Thyrotoxicosis () - May 2, 2021 - Abstract #APA2021APA_632;
It is imperative to differentiate between psychosis of Schizophrenia versus Thyrotoxicosis as this will drive the treatment, particularly as some case studies have shown that using Haldol to treat thyrotoxicosis- induced psychosis can result in malignant catatonia2. The authors conclude that patients presenting with acute psychosis should be screened with baseline TSH levels upon arrival to emergency department, especially if other risk factors for thyroid disease are present.
- |||||||||| risperidone / Generic mfg.
[VIRTUAL] First Episode Psychosis in the Setting of Military Recruit Training and Concurrent Covid-19 Infection () - May 2, 2021 - Abstract #APA2021APA_614;
His symptoms of psychosis responded rapidly over the course of days with low doses of risperidone and gradual recovery from his mildly symptomatic COVID-19 infection...Additionally, consideration of his status as a second- generation immigrant and member of an ethnic minority in the United States highlights the importance of accounting for both the risk of psychiatric crises associated with COVID-19 infection given the disparate impact of COVID-19. Lastly, the patient’s case demonstrates how the disproportionate representation of racial and ethnic minorities in the USMC and the additional risk of early attrition among recruits observed in these populations presents military psychiatry as a unique and important venue to pursue health equity.
- |||||||||| risperidone / Generic mfg.
[VIRTUAL] “Just Let Me Breathe”: Overdose as a Cry for Help in a Patient With Gender Dysphoria and Tourette’s Syndrome () - May 2, 2021 - Abstract #APA2021APA_586;
Additionally, studies examining gender responses in patients with Tourette’s have shown a greater likelihood of biological females with Tourette’s having maladaptive typical responses including increased gender dysphoria. An integrated patient-centered approach including family involvement was found to have a significant impact on the dysphoria symptoms experienced by the patient as well as in her ability and desire to make independent and autonomous decisions.
- |||||||||| risperidone / Generic mfg., carbamazepine / Generic mfg.
[VIRTUAL] The Cold Hard Facts: Remembering Hypothermia as a Side Effect of Antipsychotics () - May 2, 2021 - Abstract #APA2021APA_562;
Per collateral, he had been psychiatrically stable on haloperidol 2.5 mg QHS and carbamazepine 200mg QHS...Olanzapine is most commonly associated with hypothermia along with haloperidol and risperidone.2 Mechanisms behind antipsychotics and thermoregulatory processes are thought to involve hypothalamic neurotransmission within dopamine, noradrenaline, and serotonin systems...2 Neurotensin has also been shown to be a mediator of hypothermia with levels increased by antipsychotics. 3 Conclusion Psychiatrists should be familiar with hypothermia as a potential side effect of antipsychotics with a high clinical suspicion and monitoring of symptoms during initiation or titration.
- |||||||||| risperidone / Generic mfg., duloxetine / Generic mfg.
[VIRTUAL] Thalamic Strokes Resulting in Psychosis: A Case Series and Review of Literature () - May 2, 2021 - Abstract #APA2021APA_561;
N started risperidone 0.5mg qAM and 1mg qhs with great improvement by his follow-up appointment one month after discharge...Her insight improved on olanzapine 7.5mg qhs, clonazepam 0.5mg BID PRN, and duloxetine 90mg qAM, and she was discharged home...We will review the literature regarding post-stroke psychosis and discuss the course of treatment and illness for the two patients above, which we are currently following in our clinic, offering suggestions for psychiatrists with similar patients. Implications: Psychiatrists should consider post-stroke psychosis as a possible cause of new onset psychosis in older patients with no prior psychiatric history, atypical psychiatric symptoms, or accompanying neurological signs.
- |||||||||| risperidone / Generic mfg., meropenem / Generic mfg.
[VIRTUAL] Delirium Associated With Meropenem Use: A Case Report () - May 2, 2021 - Abstract #APA2021APA_511;
She was initially treated with cefepime and vancomycin but was switched to meropenem because fever and leukocytosis persisted...Due to poor oral intake, risperidone was switched to Haldol 1mg IV Q12H...In this poster we will present a case of delirium induced by an antibiotic. An increased awareness of antibiotic associated CNS toxicity would avoid unnecessary delay in treatment and achieve prompt resolution of symptoms.
- |||||||||| risperidone / Generic mfg.
[VIRTUAL] A Rare Case of Psychosis in Balo’s Concentric Sclerosis () - May 2, 2021 - Abstract #APA2021APA_487;
Symptoms at each episode abated within 10-21 days following rituximab re-administration, and the patient was ultimately maintained with risperidone, lithium, and rituximab...Further studies are needed to describe the association between BCS and psychosis, which may have treatment implications. In our case, it is possible that more frequent immunosuppression may have treated the mood disorder.
- |||||||||| risperidone / Generic mfg., trazodone ER / Generic mfg., sertraline / Generic mfg.
[VIRTUAL] A Major Depressive Episode Complicated With a Duodenal Ulcer Rupture () - May 2, 2021 - Abstract #APA2021APA_486;
This condition should be suspected for patients presenting with non-cardiac chest or upper abdominal pain. Moreover, when associated with other risk factors, including high levels of stress, chronic use of NSAIDs, H pylori, inadequate oral intake, or alcohol use history.
- |||||||||| risperidone / Generic mfg.
[VIRTUAL] Teasing Out Autism Spectrum Disorder in CHARGE Syndrome: A Case Report () - May 2, 2021 - Abstract #APA2021APA_456;
Applied Behavioral Analysis (ABA) therapy was recommended and Risperidone was prescribed to reduce patient’s self-injurious behaviors...Rates of ASD are higher in the CS population, and while patients with CS commonly display autistic-like behaviors, those without comorbid ASD have much better social and communication skills than those with ASD. In this poster, we discuss the challenges and importance in diagnosing ASD in the CS population.
- |||||||||| risperidone / Generic mfg.
[VIRTUAL] Sudden Onset Psychosis in a 40-Year-Old Man () - May 2, 2021 - Abstract #APA2021APA_452;
This case highlights the fact that although alcoholic hallucinosis typically occurs after acute alcohol cessation, it can have a delayed presentation that can be easily misdiagnosed. Additionally, it responds well to treatment with atypical antipsychotics, such as Risperidone.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg.
[VIRTUAL] Secondary Mania After Thalamic Stroke: Case Report () - May 2, 2021 - Abstract #APA2021APA_447;
Evaluation for new onset mania should include a thorough medical history, neurological examination, neuroimaging and laboratory tests for underlying secondary causes. With this patient, monotherapy treatment with Aripiprazole 5mg daily was successful in treating acute mania secondary to post-thalamic stroke.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg., sertraline / Generic mfg.
[VIRTUAL] Overcoming Complications in Management of a Difficult to Treat Adolescent With Schizoaffective Disorder () - May 2, 2021 - Abstract #APA2021APA_437;
She responded to Lorazepam challenge and symptoms resolved on standing Lorazepam 1mg twice daily, which was eventually tapered to discontinuation...J was discharged on day 42 of hospitalization. This poster will discuss the myriad of complications that may arise when attempting to identify an effective antipsychotic to treat adolescent schizoaffective disorder, including extrapyramidal symptoms, catatonia, medication- induced delirium, and potentially toxic serum medication levels.
- |||||||||| risperidone / Generic mfg.
[VIRTUAL] LSD Induced Psychosis: Still Relevant () - May 2, 2021 - Abstract #APA2021APA_421;
He was discharged, after a three week hospitalization, on Risperidone 4 mg daily, with resolution of his presenting symptoms...As demonstrated in this case and numerous prior reports, even a single time use of LSD may be associated with considerable psychiatric morbidity. Thus there is need for extensive further research and caution with regard to the widespread adoption of psychedelics in the future.
- |||||||||| risperidone / Generic mfg., lorazepam / Generic mfg., ziprasidone / Generic mfg.
[VIRTUAL] Frozen in Fear: A Case of Malignant Catatonia () - May 2, 2021 - Abstract #APA2021APA_414;
She was also continued on Risperidone...IV fluids were given with IV Lorazepam...Her course was complicated again at the inpatient psychiatric facility after switching antipsychotics to Haldol 5 mg PO q am and qhs... This case highlights the fact that early diagnosis and intervention for malignant catatonia improves mortality and morbidity.
- |||||||||| methylphenidate tablet / Generic mfg., risperidone / Generic mfg.
[VIRTUAL] Challenges in Managing Mood Dysregulation in Children With Many Adverse Childhood Experiences: A Literature Review () - May 2, 2021 - Abstract #APA2021APA_395;
Home medications include methylphenidate 27 mg once daily, clonidine 0.1 once daily, and risperidone 0.5 mg twice daily. ACEs such as child maltreatment, traumatic experiences, neglect, exposure to domestic violence, frequent relocations, etc., can affect the development of a child in multiple ways including suicidal behavior, violence, aggression, impulsivity, criminality, school difficulties and substance abuse.
- |||||||||| risperidone / Generic mfg.
[VIRTUAL] A Case of Rapid Cycling Dexamethasone-Induced Mania () - May 2, 2021 - Abstract #APA2021APA_379;
Dexamethasone-induced mania can be treated successfully with antipsychotics alone and not limited to lithium or valproic acid monotherapy. Further studies with a larger power and other corticosteroids are needed.
- |||||||||| risperidone / Generic mfg., prazosin / Generic mfg.
[VIRTUAL] “I Am Haunted by Momo”: A Case of a 10 Year Old With a Traumatic Past () - May 2, 2021 - Abstract #APA2021APA_371;
The patient’s foster agency was contacted a few months later and it was discovered that due to the patient’s continued difficulties in the community and need for a higher level of care he had entered a Residential Treatment Facility. In this poster, we discuss the potential harm that suicidal games and provocative videos can have on children, especially in those who are more vulnerable due to a prior history of neglect, abuse, and unspeakable upbringings.
- |||||||||| risperidone / Generic mfg.
[VIRTUAL] Mania in a HIV Infected Patient: A Unique Presentation of CNS IRIS () - May 2, 2021 - Abstract #APA2021APA_327;
Further CSF studies were obtained in the outpatient setting, with positive result for JC virus DNA in the CSF, leading to a diagnosis of PML-associated IRIS. From this case we address the value of a thorough medical workup in determining the etiology of a psychiatric presentation in patients infected with HIV infection.
- |||||||||| [VIRTUAL] Have We Forgotten About Lithium Induced EPS? () - May 2, 2021 - Abstract #APA2021APA_319;
Due to her psychosis and history of non-adherence, she was started on risperidone for bipolar I disorder, current episode manic with psychotic features, and transitioned to paliperidone long acting injectable (Invega Sustenna)...To target to her sustained manic symptoms, lithium carbonate extended-release was initiated...The patient’s parkinsonian symptoms persisted despite multiple doses of diphenhydramine, benztropine, lorazepam, and amantadine...Mood stabilizers and neuroleptics are often used in combination to treat acutely decompensated patients with affective disorders. Therefore, it is also important to appreciate that lithium alone can induce EPS, and when added to an antipsychotic, can precipitate EPS.
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