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What is your approach to handling negative cognitive side effects of atypical/typical antipsychotics?

This can include cognitive blunting, slower processing speed, impaired learning/memory, overall worse cognitive function. What are some recommendations to mitigate the cognitive blunting associated with these medications?
3 Answers
Mednet MemberInvited Expert
Psychiatry · Creighton University School of Medicine
Answered on
  • When prescribing antipsychotic medications, in any age group, I would make sure that there is a clear indication of why this medication is being used.
  • I would also make sure to get a written informed consent from the patient and/or their legal guardian when deciding on prescribing these medications...

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Mednet MemberInvited Expert
Psychiatry · Stanford University School of Medicine
Answered on

As a geriatric psychiatrist who works with individuals with underlying cognitive impairment. Monitoring these effects is important in medications with anticholinergic side effects. It is also important to differentiate cognitive dysfunction from antipsychotics from cognitive impairment from the psyc...

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Mednet Member
Psychiatry · LifeStance Health
Answered on

I try to keep the dose low and use multiple medications with complementary mechanisms. I also try to avoid anticholinergics. I think that stimulants can be very helpful for patients on antipsychotics.

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