Psychotropic medication and sleep disorders

MUDr. Zuzana Lattová

Psychiatr. pro Praxi, 2007; 8(6): 244-246  

Psychopharmacs cause number of adverse effects considerably affecting quality of life. Psychopharmacologically induced sleep affection is a merely sharp-sighted adverse effect important for patients. Eventual worsening or development of the restless legs syndrome in psychiatric population, caused by psychopharmacs is discussed. Metabolic syndrome caused by antipsychotics and obstructive sleep apnea, as its newly discussed symptom, is reported.

How to predict the response to antidepressants?

MUDr. Miloslav Kopeček Ph.D

Psychiatr. pro Praxi, 2007; 8(6): 247-249  

Evidence based medicine confirmed that antidepressants are effective in the treatment of depression, but until today it is not clear what antidepressant would be best for which patient. Results from EEG studies indicate that after one week of antidepressant treatment we can correctly predict 8 out of 10 patients will not responsed to treatment with a given antidepressant if we continue with it further 3–7 weeks. EEG could help to chooise right antidepressant in similar way as cultivation helps to choose right antibiotic.

New age disorders of non substance dependences

MUDr. Jozef Benkovič

Psychiatr. pro Praxi, 2007; 8(6): 250-253  

The author specifies characteristics of new age disorders of non substance dependences in this article, especially dependence on internet and shopping. The case study of treated patient addicted to shopping refers to specifics of this topic as well as the possibilities of treatment.

Delirium tremens

MUDr. Josef Chval

Psychiatr. pro Praxi, 2007; 8(6): 254-256  

In the article ended with two case reports, I summarized basic theoretical and practical findings of occurrence, diagnosis and treatment of alcohol withdrawal syndrome with delirium. I try to warn about the risks related to this disease and its treatment. In the article, I rely mostly on practical experiences with treatment of these patients in our department.

Therapeutical approaches in behavioral disorders in dementia

MUDr. Vanda Franková

Psychiatr. pro Praxi, 2007; 8(6): 257-260  

Behavioral disorders belong to clinical picture of all types of dementia. If they occur, it is necessary to secure a safety for patients and their surrounding, to find out a cause of the state and apply targeted treatment (removal of the cause). Main parts of the intervention are nonpharmacological actions including a cooperation with care givers. Pharmacotherapy is indicated only in cases of uncontrollable states of aggressiveness, difficult psychotic production, and anxious or depressive symptomatology in case nonpharmacological approaches fail. SSRI antidepressives or trazodone are suitable medications. The use of antipsychotics is controversial,...

Psychopharmacological intervention in Adjustment disorders

MUDr. Jiřina Kosová

Psychiatr. pro Praxi, 2007; 8(6): 262-265  

Since there are no results of controlled clinical studies in patients with adjustment disorders our decision about therapeutic approach is based primarily on psychopathology observations and medication is initiated in line with symptoms. Considering possible psychopharmacological interventions in the clinical practice, increasing use of antidepressants is evident with selective serotonin reuptake inhibitors (SSRI) are a preferred choice. In the following text some main information about adjustment disorders and the results of some pharmacological studies are discussed.

Olanzapine and pregnancy

MUDr. Marek Zelman, MUDr. Lenka Jenčová

Psychiatr. pro Praxi, 2007; 8(6): 266-268  

The pharmacotherapy of any disease in pregnancy brings potential risk of negative effect of drugs for fetus. In keeping with risk of an exacerbation of psychotic disorders we often decide for continual therapy despite a possible menace for an unborn child. Our article summarizes the literary sources about using of olanzapine in pregnancy and shows three case reports.

Vzťah hyperkinetickej poruchy a porúch spánku v detstve

MUDr. Pavol Adamík, doc. MUDr. Ivan Ondrejka PhD, doc. MUDr. Robert Vyšehradský PhD, MUDr. Eva Rozbořilová CSc

Psychiatr. pro Praxi, 2007; 8(6): 269-271  

O chlapci, který si chtěl jenom sáhnout

MUDr. Petra Sejbalová, MUDr. Helena Reguli

Psychiatr. pro Praxi, 2007; 8(6): 272-273  

Alkohol u žen vyššího věku

MUDr. Emanuel Doněk, MUDr. Jana Doňková, Olga Doňková

Psychiatr. pro Praxi, 2007; 8(6): 274-275  

Postřehy z ambulance odjinud čili sociální psychiatrie v Nizozemí

MUDr. Hedvika Ernsten

Psychiatr. pro Praxi, 2007; 8(6): 276-278  

13. Česko-Slovenský psychiatrický sjezd, 12.-15. 9. 2007, Brno

MUDr. Tomáš Kašpárek Ph.D

Psychiatr. pro Praxi, 2007; 8(6): 282  

IV. pracovné dni neuropsychiatrie a algeziológie vo vertebrológii, 20.-22. září 2007, Levoča, Slovensko

MUDr. Tomáš Kašpárek Ph.D

Psychiatr. pro Praxi, 2007; 8(6): 282  

PRÁVNÍ PROBLEMATIKA V PSYCHIATRII Oznamovací povinnosti psychiatrů

MUDr. Jiří Švarc Ph.D

Psychiatr. pro Praxi, 2007; 8(6): 279-281