Clinically relevant pharmacology of neuropsychiatric drugs approved over the last three years: Part IISheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, Wichita, Kansas, USA
J Psychiatr Pract 12:312-6. 2006
Deconstructing a medication regimenSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, USA
J Psychiatr Pract 14:114-8. 2008
How multiple medication use evolves and the importance of therapeutic trials: the slippery slideSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, USA
J Psychiatr Pract 14:170-5. 2008
Comparison of the pharmacokinetics of venlafaxine extended release and desvenlafaxine in extensive and poor cytochrome P450 2D6 metabolizersSheldon Preskorn
Clinical Research Institute, Wichita, KS 67211, USA
J Clin Psychopharmacol 29:39-43. 2009
....
Effect of desvenlafaxine on the cytochrome P450 2D6 enzyme systemSheldon H Preskorn
Clinical Research Institute and University of Kansas School of Medicine, Wichita, KS 67211, USA
J Psychiatr Pract 14:368-78. 2008
..Individuals with impaired CYP2D6 metabolism and those concomitantly receiving agents that inhibit CYP2D6 can have variations in concentrations of such medications and their metabolites...
The potential for clinically significant drug-drug interactions involving the CYP 2D6 system: effects with fluoxetine and paroxetine versus sertralineSheldon H Preskorn
University of Kansas School of Medicine, Wichita, KS, USA
J Psychiatr Pract 13:5-12. 2007
....
An innovative design to establish proof of concept of the antidepressant effects of the NR2B subunit selective N-methyl-D-aspartate antagonist, CP-101,606, in patients with treatment-refractory major depressive disorderSheldon H Preskorn
Clinical Research Institute, Wichita, KS 67204, USA
J Clin Psychopharmacol 28:631-7. 2008
....
Comparison of duloxetine, escitalopram, and sertraline effects on cytochrome P450 2D6 function in healthy volunteersSheldon H Preskorn
Department of Psychiatry and Behavioral Sciences, University of Kansas School of Medicine, KS 67207, USA
J Clin Psychopharmacol 27:28-34. 2007
..Compared with sertraline, duloxetine produced statistically significantly larger changes in metoprolol pharmacokinetic parameters. The changes produced by escitalopram and sertraline were not statistically different...
Outliers on the dose-response curve: how to minimize this problem using therapeutic drug monitoring, an underutilized tool in psychiatrySheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, and Chief Science Officer and Medical Director, Clinical Research Institute, Wichita, Kansas, USA
J Psychiatr Pract 16:177-82. 2010
..Examples of each of these types of drugs are cited...
Treatment options for the patient who does not respond well to initial antidepressant therapySheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, Clinical Research Institute, Wichita, Kansas, USA
J Psychiatr Pract 15:202-10. 2009
..The goal of this column to summarize the data supporting various options for the busy clinician who treats such patients...
CNS drug development. Part I: The early period of CNS drugsSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, Wichita, Kansas, USA
J Psychiatr Pract 16:334-9. 2010
..The impact of the blockbuster business model and modern marketing/sales approaches on CNS drug development is also discussed...
Complexity of medication use in the Veterans Affairs healthcare system: Part II. Antidepressant use among younger and older outpatientsBeryl Silkey
Via Christi Research Institute, Wichita, KS, USA
J Psychiatr Pract 11:16-26. 2005
..This fact is a particular concern with psychiatric medications because adverse DDIs involving these medications can mimic psychiatric symptoms and may therefore be more difficult to detect...
Phase I trials: from traditional to newer approaches. Part IMatthew Macaluso
Department of Psychiatry and Behavioral Sciences, University of Kansas School of Medicine Wichita, KS, USA
J Psychiatr Pract 17:200-3. 2011
..The second half of the series will propose modifications to the traditional phase I design, including the incorporation of different populations, bio-marker surrogates, and adaptive designs...
How sequential studies inform drug development: evaluating the effect of food intake on optimal bioavailability of ziprasidoneJana Lincoln
Clinical Research Institute and Kansas University School of Medicine Wichita, 1010 N Kansas, Wichita, KS 67217, USA
J Psychiatr Pract 16:103-14. 2010
..These four studies illustrate the sequential and incremental nature of drug development research and what is meant by the concept of bioequivalence...
How and why study designs affect the nature and validity of study results: appearance versus true knowledge. Part IISheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, and Chief Executive Officer and Medical Director, Clinical Research Institute, Wichita, Kansas, USA
J Psychiatr Pract 15:402-7. 2009
..Journal of Psychiatric Practice 2009;15:402-407)...
Drug-drug interactions: Proof of relevance (Part II): cause of tolerability problems or noncomplianceSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, Wichita, Kansas, USA
J Psychiatr Pract 11:397-401. 2005
Drugs are an acquired source of biological variance among patientsSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, Wichita, Kansas, USA
J Psychiatr Pract 12:391-6. 2006
How biomarkers will change psychiatry. Part II: Biomarker selection and potential inflammatory markers of depressionMatthew Macaluso
Department of Psychiatry and Behavioral Sciences, University of Kansas School of Medicine Wichita, and KU Wichita Clinical Trials Unit, USA
J Psychiatr Pract 18:281-6. 2012
....
Antidepressant treatment and altered CYP2D6 activity: are pharmacokinetic variations clinically relevant?Inna D'Empaire
University of Kansas School of Medicine, Wichita, KS 67206, USA
J Psychiatr Pract 17:330-9. 2011
..e., phenoconversion), the pharmacokinetics, and hence the effects, of CYP2D6 substrate antidepressants can be altered...
Coadministration of nefazodone and desipramine: a pharmacokinetic interaction studyAhsan Y Khan
University of Kansas School of Medicine Wichita, Department of Psychiatry and Behavioral Sciences, 1010 North Kansas Street, Wichita, KS 67214, USA
J Pak Med Assoc 57:230-5. 2007
..To determine the potential for pharmacokinetic interaction between nefazodone (NFZ), and desipramine (DMI)...
Complexity of medication use in the Veterans Affairs healthcare system: Part I: Outpatient use in relation to age and number of prescribersSheldon H Preskorn
University of Kansas School of Medicine, Wichita, KS 27214, USA
J Psychiatr Pract 11:5-15. 2005
..In addition, DDIs may present in this population in ways that mimic worsening of primary symptoms, which may lead to increased doses of the medication that is actually responsible for the problem, causing still more toxicity...
The evolution of antipsychotic drug therapy: reserpine, chlorpromazine, and haloperidolSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, KS, USA
J Psychiatr Pract 13:253-7. 2007
Polypharmacy: when is it rational?Sheldon H Preskorn
University of Kansas School of Medicine Wichita, Clinical Research Institute, Wichita, KS 67211, USA
J Psychiatr Pract 13:97-105. 2007
..The authors then present a list of 10 criteria to guide the rational use of psychotropic polypharmacy and explain each in detail with examples drawn from clinical practice...
Clinical and demographic factors associated with DSM-IV melancholic depressionAhsan Y Khan
University of Kansas School of Medicine Wichita, Department of Psychiatry, Wichita, KS, USA
Ann Clin Psychiatry 18:91-8. 2006
..The purpose of this paper is to use demographic and clinical data from a large diverse group of outpatients diagnosed with non-psychotic major depression to investigate the validity of the DSM-IV concept of melancholic depression...
Phase I trials: from traditional to newer approaches part IIMatthew Macaluso
Department of Psychiatry and Behavioral Sciences, University of Kansas School of Medicine Wichita, KS, USA
J Psychiatr Pract 17:277-84. 2011
..Adaptive trial designs and biomarker endpoints are discussed...
CNS drug development: Part II: Advances from the 1960s to the 1990sSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, Wichita, Kansas, USA
J Psychiatr Pract 16:413-5. 2010
..The next column in this series will review CNS drug development during the first decade of the 21st century and discuss what directions we can expect the field to take in the next 10 to 20 years...
Clinically important differences in the pharmacokinetics of the ten newer "atypical" antipsychotics: part 1Sheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, KS, USA
J Psychiatr Pract 18:199-204. 2012
....
Clinically relevant pharmacology of neuropsychiatric drugs approved over the last three years: part ISheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, KS, USA
J Psychiatr Pract 12:244-9. 2006
CNS drug development: part III: future directionsSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, and Chief Science Officer and Medical Director, Clinical Research Institute, Wichita, Kansas, USA
J Psychiatr Pract 17:49-52. 2011
..We are at the beginning of an era when it is likely that the way in which CNS drugs are developed will need to be rethought, which will call for flexibility and creativity on the part of both drug developers and clinical researchers...
Inadvertent fatal imipramine poisoning of a child: what happened to Tommy?Sheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, Wichita, Kansas, USA
J Psychiatr Pract 17:118-23. 2011
....
The difference between the formal and the functional dose: the case of the patient on thioridazine and fluvoxamineSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine, Wichita, KS, USA
J Psychiatr Pract 11:192-6. 2005
Comments on the role of therapeutic drug monitoring for clozapineSheldon H Preskorn
Department of Psychiatry, School of Medicine, University of Kansas-Wichita, 1010 North Kansas Street, Wichita, KS 67214, USA
J Psychiatr Pract 11:340-3. 2005
Twenty percent of a representative sample of patients taking bupropion have abnormal, asymptomatic electroencephalographic findingsMatthew Macaluso
Department of Psychiatry and Behavioral Sciences, University of Kansas School of Medicine Wichita, Wichita, KS 67214, USA
J Clin Psychopharmacol 30:312-7. 2010
..The presence of these waveforms in individuals taking a medication known to lower the seizure threshold may be a risk factor for developing seizures...
What do the terms "drug-specific response/remission rate" and "placebo" really mean?Sheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, Wichita, Kansas, USA
J Psychiatr Pract 17:420-4. 2011
..That finding is consistent with the concept that there are likely many forms of depressive illness, only a fraction of which are responsive to drugs that work via effects on biogenic amines...
How drug-drug interactions can impact managed careSheldon H Preskorn
Department of Psychiatry and Behavior Sciences, University of Kansas, School of Medicine, and Psychiatric Research Institute, Wichita, USA
Am J Manag Care 10:S186-98. 2004
..In this paper, antidepressants and SSRIs in particular were used to illustrate these important points...
Clinical application of the concept of relative potency: an example involving chlorpromazine and haloperidolSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine, Wichita, USA
J Psychiatr Pract 11:258-61. 2005
Neuroscience basis of clinical depression: implications for future antidepressant drug developmentSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, KS, USA
J Psychiatr Pract 15:125-32. 2009
..The goal of the column is to help clinicians better conceptualize the nature of depressive illness and its treatment and educate their patients about these issues...
Examining concentration-dependent toxicity of clozapine: role of therapeutic drug monitoringAhsan Y Khan
Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Kansas-Wichita, 1010 North Kansas Street, Wichita, KS 67214, USA
J Psychiatr Pract 11:289-301. 2005
..Finally, the authors present four cases illustrating the issues involved and how TMD can be used to improve clinical care of patients being treated with clozapine, both in terms of improving efficacy and minimizing potential toxicity...
Single enantiomer drugs: should they be developed?Ahsan Y Khan
Outpatient Clinic, Department of Psychiatry and Behavioral Sciences, University of Kansas School of Medicine, Wichita, USA
Essent Psychopharmacol 7:15-23. 2006
....
Pharmacokinetics and therapeutics of acute intramuscular ziprasidoneSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita and the Clinical Research Institute, Wichita, Kansas 67212, USA
Clin Pharmacokinet 44:1117-33. 2005
....
Pharmacogenomics, informatics, and individual drug therapy in psychiatry: past, present and futureSheldon H Preskorn
Clinical Research Institute, Psychiatry Department, University of Kansas School of Medicine-Wichita, Wichita, KS 67214, USA
J Psychopharmacol 20:85-94. 2006
..That will change in the future with a better understanding of the pathophysiology of psychiatric illnesses which in turn will lead to improved therapies and the potential for more rationally derived combination treatments...
Clinically important differences in the pharmacokinetics of the ten newer "atypical" antipsychotics: Part 2. Metabolism and eliminationSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, Wichita, KS, USA
J Psychiatr Pract 18:361-8. 2012
....
Rational use of multiple medications in medicine and psychiatry: a dimensional perspectiveSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, Wichita, Kansas, USA
J Psychiatr Pract 19:54-61. 2013
..g., such as are often used to treat bipolar disorder). By better understanding the principles involved in rational MMU, clinicians can optimize the treatment they provide their patients. (Journal of Psychiatric Practice 2013;19:54-61)...
Why the transdermal delivery of selegiline (6 mg/24 hr) obviates the need for a dietary restriction on tyramineSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, KS, USA
J Psychiatr Pract 12:168-72. 2006
Drug-drug interactions: proof of relevance (part I)Sheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, and Clinical Research Institute, Wichita, Kansas, USA
J Psychiatr Pract 11:116-22. 2005
Multiple medication use presenting as Parkinson's dementia complex: a message from TitanicSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, Kansas, USA
J Psychiatr Pract 14:45-54. 2008
Neuroleptic malignant syndrome resulting from a complex drug-drug interaction: "I don't see 'em!"Sheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, Kansas, USA
J Psychiatr Pract 13:328-33. 2007
Mania in a case of polypsychopharmacology: pharmacodynamic and pharmacokinetic considerations. Do you believe in magic?Sheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, USA
J Psychiatr Pract 13:178-83. 2007
Milnacipran: a dual norepinephrine and serotonin reuptake pump inhibitorSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, USA
J Psychiatr Pract 10:119-26. 2004
Reboxetine: a norepinephrine selective reuptake pump inhibitorSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, USA
J Psychiatr Pract 10:57-63. 2004
Concurrent administration of donepezil HCl and risperidone in patients with schizophrenia: assessment of pharmacokinetic changes and safety following multiple oral dosesJosephine F Reyes
Clinical Pharmacology, Eisai Medical Research Inc, Ridgefield Park, NJ 07660, USA
Br J Clin Pharmacol 58:50-7. 2004
..This open-label, multiple-dose trial investigated the effect of concurrent administration of donepezil HCl with risperidone on the pharmacokinetics (PK) and safety profiles of both drugs...
Multiple medication use in patients seen in the veterans affairs healthcare system: so what?Sheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine Wichita, Kansas, USA
J Psychiatr Pract 11:46-50. 2005
Demonstration of the efficacy and safety of a novel substance P (NK1) receptor antagonist in major depressionMark S Kramer
Merck Research Laboratories, West Point, PA, USA
Neuropsychopharmacology 29:385-92. 2004
..Antidepressant actions have now been observed with two different highly selective NK(1) antagonists (aprepitant and L-759274). NK(1) antagonism is a replicated and generally well-tolerated antidepressant mechanism...
DuloxetineSheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, USA
J Psychiatr Pract 10:375-85. 2004
Classification of neuropsychiatric medications by principal mechanism of action: a meaningful way to anticipate pharmacodynamically mediated drug interactions (part II)Sheldon H Preskorn
Department of Psychiatry, University of Kansas School of Medicine-Wichita, USA
J Psychiatr Pract 10:177-81. 2004