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The Prescriber's Guide (Essential Psychopharmacology Series)
Stephen Stahl

Cambridge University Press, 2009 - 660 pages

average customer review:based on 7 reviews
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   highly recommended  highly recommended



Best Point of Practice Prescribing Resource

I have reached for my copy of Dr. Stahl's Essential Psychopharm Guide nearly every day since beginning my practice in 2005. When the time came to update, I didn't give a thought to looking for a different rersource. I particularly appreciate the dosing strategies, best augmentation practices, and Pearls. The unique, colorful symbols categorizing each drug according to its actions on neurotransmitters are familiar and consistent with my basic psychopharmacology training, when I was fortunate enough to hear Dr. Stahl lecture.


Fantastic!

Excellent book, very informational which is fantastic for my field. Book arrived in excellent condition, would never know it was used.


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The Information that Your Really Want to Know About Individual Drugs and Some Combinations

Buy this book as well: The Maudsley Prescribing Guidelines, Tenth Edition (Taylor, The Maudsley Prescribing Guidelines).

Stahl's bood would have been better titled "The PDR Companion for Psychiatrists." Listing each medicaiton in alphabetical order is a good idea but only as far as it goes. When you are starting out with a new drug, Stahl is much more helpful than the Maudsley Prescribing Guidelines.

The MAUDSLEY PRESCRIBING GUIDELIENS give more guidance about chosing between medications and using the medications. The MPG covers alot of material and is easy to read. The sections I use most include a table about timimg the cross tapering or time between using one antidepressant and another, the 1st, 2nd and 3rd line medications for treating treatment resistant depression. Examples of the many other great sections include monitoring for metabolic sysdrome and QTc, for example.

Of course, the best idea is to have the MPG and have Stalh for when your other books with alphabetical lists of drugs are insufficinet. Stahl can congratulate himself that California Rocket Fuel is now in the list of first line interventions for treatment resistant depression. (In the 8th edition of the MPG, it was not). It is a pity the MPG does not refer to California Rocket fuel by name but just refers to "SSRI or venlafaxine + mianserin or mirtazapine" - how the hell will you get maximum placebo effect if you don't know the name of the combination?

2009 EDITION UPDATE
The back of the book says that "10 brand new drugs have been added". The drugs that have been added are as follows
- acamproate
- desvenlafaxine
- guanfecine
- lisdexamfetamine
- naltrexone
- paliperidone
- varenicline

As you can see, only 7 drugs were added. It may be that they were counting the extended release preparations of some drugs, such as Seroquel XR. I do not think Seroquel XR is a "completely new" drug, however.

As for the differences between editions.
1) The Seroquel section includes Seroquel XR and dosing for bipolar depression, unipolar depression and anxiety.
2) Then ziprasidone section adds advice about measuring triglycerides monthly and clarifies how much you need to eat to increase absorption. The previous edicion mentioned eating a meal but did not say how big it had to be.
3) The lithium section is unchanged.
4) The alprazolam section is cunchanged.
5) The amisulpride section is unchanged.

The book has 6.61% more pages and lists 6.86% more drugs, just so you know. The back of the book says that "fully updated and revised throughout". Well, it hasn't been "revised throughout" but it didn't need to be.


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This completely revised and updated edition of Stephen M. Stahl's much-acclaimed Prescriber's Guide is the latest addition to the Essential Psychopharmacology range. Seven new drugs have been added, and every drug has been revised and updated to take into account new regulations and uses. In full color throughout, and with four or more pages for each of the more than 100 psychotropic drugs, Stephen M. Stahl distills his great expertise into a pragmatic formulary that gives all the information a prescriber needs to treat patients effectively. Each drug is covered in five categories: general therapeutics, dosing and use, side effects, special populations, and pearls. Target icons appear next to key categories for each drug so the prescriber can go easily and instantly to the information needed. Several indices are included, listing drugs by name (generic and international), use, and class. In addition, Dr. Stahl indicates which drugs have FDA approval and also gives the FDA Use-in-Pregnancy Ratings.


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