Dr John Wilkins, Consultant Psychiatrist
Psychiatry can seem like a desperate place sometimes. We latch onto any new development and promote it enthusiastically until we realise that it isn’t all it’s cracked up to be and has a whole range of side effects that the pharmaceutical companies didn’t realise or played down. We steal the medications used by other specialities with the enthusiasm of a child with a shiny new toy only to find that it interacts with all the other medications the patient takes sometimes leaving the GP to navigate the boundary between often competing health needs.
Why? As I said, Psychiatry can be a desperate place sometimes. Our treatments are so unsatisfactory that we grasp any passing possibility that something might be better with far more enthusiasm than is healthy.
In this talk I will not simply present a list of medications, their effects, side-effects and interactions. You can read the BNF or use Google for that. I will use case examples to illustrate dilemmas in prescribing and invite the audience to contribute with their experiences. You may wish to bring along a prescribing dilemma from your own practice to discuss – not too many though as we only have an hour!