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How do you manage a patient with severe mental illness whose psychiatric symptoms worsen significantly during inpatient cancer treatment?

2 Answers
Mednet Member
Mednet Member
Psychiatry · University of Washington

There are many issues to keep in mind, such as not all "mental illness" is necessarily a primary psychiatric disorder. Below are some common problems: For management of steroid-induced psychosis/mania, which typically has an onset within 3–4 days with risk >80 mg/day prednisolone equivalent. I would...

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Mednet Member
Mednet Member
Psychiatry · Wake Forest University School of Medicine

In addition to what is mentioned above, a few other considerations.

Myelosuppression overlap: Psychotropic medications with bone marrow suppressive effects, particularly clozapine, but also, rarely, phenothiazines and carbamazepine, can compound chemotherapy-induced neutropenia. Given the high risk o...

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