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Psychiatry

News, opinions and meeting coverage in psychiatry.

New Version of Fibromyalgia Drug OK'd for Depression

The FDA has approved levomilnacipran (Fetzima), a single-enantiomer version of the fibromyalgia drug milnacipran (Savella), for treating major depression, its developers said.

Aricept Helps Cognition in Parkinson's

SYDNEY -- Parkinson's disease patients who have impaired cognition appeared to benefit from the Alzheimer's disease medicine donepezil (Aricept) with no detriment to their motor skills, researchers reported here.

APA Leaders Defend New Diagnostic Guide

SAN FRANCISCO -- The fifth edition of the "psychiatrist's bible" was officially released here in all its 947-page glory, with its developers offering a spirited rebuttal to their critics.

Hangover Risk Prompts Ambien Label Changes

New dosing recommendations for products containing zolpidem (Ambien, Ambien CR, Edluar) are now included in their labels, along with warnings of next-day hangover effects, the FDA said Tuesday.

FDA Allows Opana Generics

The original formulation of extended-release oxymorphone (Opana ER) that lacked abuse-resistant mechanisms was not pulled from the market for safety reasons, and therefore generics based on that recipe are permissible, the FDA said.

Protein Rich Diet May Boost IVF Success

Results from a small study suggest that women whose diets consist of at least 25% protein may have more successful outcomes when undergoing assisted reproduction.

Migraine Drug May Set Stage for Kidney Stones

ORLANDO - Patients who take topiramate (Topamax) therapy for treatment of migraine appear to deplete citrate in the urine, creating an environment for kidney stones, researchers reported here.

FDA Warns About Codeine Following Tonsillectomy

Products that contain codeine should not be used for pain relief in children following tonsillectomy or adenoidectomy because of a possible risk of serious adverse events or death, the FDA said Wednesday.

Deaths Trigger DEA Probe of Pain Specialist

Treating pain is challenging, and sometimes perilous, for both physician and patient, as is illustrated by Lynn Webster, MD, president-elect of the American Academy of Pain Medicine, who is the subject of an investigation triggered by as many as 20 deaths among his patients.

ACE Inhibitors Linked to Hallucinations in Elderly

Elderly patients with memory problems who suddenly have visual hallucinations may need to stop taking ACE inhibitors, researchers suggested.

NuPathe's Patch for Migraine Wins FDA Approval

WASHINGTON -- Adults with migraine will soon have a new treatment option -- Zecuity, a transdermal, battery-powered sumatriptan patch.

FDA Lowers Ambien Dosages

WASHINGTON -- Makers of sleep drugs containing zolpidem, including Ambien and Ambien CR, must cut the recommended dosages for women by half to reduce morning drowsiness, the FDA announced Thursday.

Psychosis Common in Meth Addicts

Methamphetamine use makes hallucinations and other psychotic symptoms substantially more likely among addicts, particularly for those abusing other substances, a longitudinal study affirmed.

FDA: Booze and Xyrem Are Dangerous Mix

WASHINGTON -- The FDA is warning healthcare professionals that patients taking the muscle weakness and narcolepsy drug sodium oxybate (Xyrem) should not consume alcohol or use central nervous system depressants.

Parents at Risk After Child's Suicide

Parents who lose a child to suicide are at high risk for mental health problems and subsequent marital breakup, researchers found.

FDA Panel Gives Thumbs Down to Opioid

SILVER SPRING, Md. -- An FDA advisory committee voted 11-2 on Friday against recommending approval of a single-entity hydrocodone product, raising questions about its abuse potential.

Drug Relieves Opioid-Induced Constipation

LAS VEGAS -- An investigational opioid antagonist provided effective and durable relief from opioid-induced constipation in patients with chronic pain without interfering with analgesia, a randomized trial showed.

Pot Smokers Who Quit Find It Harder to Function

The more severe a person's marijuana withdrawal symptoms when they quit using the drug, the bigger the effect on their functional ability and the more likely they were to start using again, results of an Australian study showed.

Suboxone Maker Pulls Pills in Favor of Film

The buprenorphine-naloxone combination product (Suboxone) in sublingual tablet form will soon be pulled from the U.S. market because its child-resistant packaging isn't effective enough.

Anatomy of an Epidemic: The Opioid Movie

The national clamor over abuse of prescription opioids is now at a fever pitch, but little has been said about what drove the boon in opioid prescriptions. This latest report from 番茄社区/ Milwaukee Journal Sentinel analyzes a pivotal Oxycontin marketing video, it's impact and its aftermath.

Jesse Jackson, Jr. Responding to Bipolar Therapy

After months of silence from his office about his absence from Congress, the Mayo Clinic has announced that Rep. Jesse Jackson, Jr., (D-Ill.) is being treated at the facility for bipolar disorder.

Readers: Who Really Benefits from Spanking?

Although a majority of our readers don't think childhood spanking causes mental illness in adulthood, many of them noted that the topic is more complex than a simple "Yes" and "No" survey.

Melatonin Can Help Seniors Get More Sleep

BOSTON -- Over-the-counter melatonin appears to provide a measure of sleep for older individuals who have insomnia, a meta-analysis showed.

AAP: Don't Use Sensory Disorder Diagnosis

Pediatricians should not use sensory processing disorder as a diagnosis, according to a policy statement from the American Academy of Pediatrics.

Fake Adderall Pops Up on Internet

The FDA has issued a warning about counterfeit generic Adderall tablets that are being sold over the Internet.

Child's Epilepsy Keeps Household Up All Night

Children with epilepsy and their parents reported suffering from sleep problems, researchers found.

DSM-5: What's In, What's Out

PHILADELPHIA -- Reports here provided what may be the last public update on DSM-5, the next edition of American psychiatry's diagnostic guide, before it is formally released in May 2013.

Autism Criteria Critics Blasted by DSM-5 Leader

PHILADELPHIA -- The head of the American Psychiatric Association committee that's rewriting the diagnostic criteria for autism spectrum disorders took on the panel's critics here, accusing them of bad science.

DSM-5 Panel Tiptoes on Grief, Depression

PHILADELPHIA -- Psychiatrists writing new diagnostic criteria for major depression hope an explanatory note will mollify critics of a proposal to let patients grieving a dead loved one receive a formal diagnosis.

Most DSM-5 Revisions Pass Field Trials

PHILADELPHIA -- Field trials of proposed new diagnostic criteria for many mental disorders showed that, for the most part, they were at least adequately reliable.

Antidepressants May Help Cut Seizures

NEW ORLEANS -- Patients with epilepsy who experience more than one seizure a month appear to achieve a reduction in seizure activity when treated with antidepressants, researchers reported here.

Latest Use for Botox: Teeth Grinding

茂禄驴NEW ORLEANS -- Patients who ground their teeth so hard during sleep that they required medical attention achieved significant relief from botulinum toxin shots, researchers said here.

Tardive Drug Effect Is Often Permanent

NEW ORLEANS -- Only about one patient in eight who develops tardive syndromes as a result of an antipsychotic or other drug therapy ever fully recovers, a researcher said here.

Doctors Say 45 Common Tests 'Overused'

Nine specialty groups have listed tests and treatments that are frequently overused, such as antibiotics for sinus attacks and CT scans for low back pain, in the first phase of a long-term project.

Whitney Houston Autopsy Reveals Heart Disease

The death of Whitney Houston in some ways represents a medical "perfect storm" -- heart disease and a plethora of drugs that can accelerate or aggravate that condition, cardiovascular specialists told 番茄社区.

FDA Adds Diabetes Warning to Statin Label

WASHINGTON -- The FDA is changing the labeling on statins to include a warning about increased risks of hyperglycemia and transient memory problems, but the agency is no longer recommending routine liver function testing.

Hormones Out of Whack With Long Opioid Therapy

PALM SPRINGS, Calif. -- Intractable pain patients on long-term, high doses of opioids should be screened for hormonal abnormalities, researchers said here.

Ablation Possible for Back Pain When Steroid Injections Fail

PALM SPRINGS, Calif. -- Patients with low back pain who don't respond robustly to intraarticular steroid injections may still be candidates for treatment with radiofrequency ablation (RFA), researchers said here.

Short-Acting Opioids May Have Less Impact on Testosterone

PALM SPRINGS, Calif. -- Men who take long-acting opioids for chronic pain may have a higher risk of hypogonadism than those on short-acting formulations of the drugs, researchers said here.

Follow the Money: Pain, Policy, and Profit

When the Federation of State Medical Boards decided it needed to put a model guideline for opioid use into a book, it reached out and touched the makers of opioid drugs to make it happen.

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