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Printable Handouts
Navigable Slide Index
- Introduction
- Outline
- Psychiatric disorders
- Anxiety
- Major depressive disorder
- Psychosis
- Genetics
- Psychoactive drugs
- Anxiolytics
- Anxiolytics - benzodiazepines
- Anxiolytics - beta-blockers
- Antidepressants
- Antidepressants - tricyclics
- Antidepressants - SNRIs
- Antidepressants - SSRIs
- Antidepressants - NASSAs
- Antidepressants - MAOIs
- Antipsychotics
- Typical antipsychotics
- Atypical antipsychotics
- Diagnosis and treatment - problems (1)
- Diagnosis and treatment - problems (2)
- PANSS
- Summary of the talk so far
- The needs in diagnosis & treatment
- Need for pharmacometric approaches
- Biomarkers
- Pharmacometric approaches
- Factors between dose and response
- Pharmacometrics of benzodiazepines
- Blood PK of different benzodiazepines
- Averaged blood BD concentration and EEG effect
- Pharmacometrics of fluvoxamine (SSRI)
- Fluvoxamine - BBB transport model
- SERT occupancy of fluvoxamine
- Fluvoxamine - PKPD model
- Pharmacometrics of flesinoxan
- Flesinoxan response in humans and rats
- Pharmacometrics of antipsychotics
- Pharmacometric models of antipsychotics
- Plasma PK and RO of antipsychotics
- Plasma PK and RO
- Plasma PK and RO in animal studies
- Rat D2 receptor occupancy
- The PBPKPD model
- Further RO studies in rats
- Pharmacometrics of prolactin in plasma
- Prolactin
- Effects of remoxipride on prolactin
- Effects of paliperidone and risperidone
- Tolerance to the prolactin response
- Summary of prolactin pharmacometrics
- Pharmacometrics of remoxipride
- Remoxipride in the plasma and brain ECF
- Synthesis rate of prolactin
- Model of prolactin response following remoxipride
- PK extrapolation from rat to humans
- PD extrapolation from rat to humans
- Summary of PK-PD model
- Multiple plasma biomarkers
- Plasma biomarkers in MDD and SCZ
- Discussion
- Towards better treatment
- Future potential of animal models
- Mastermind research approach
Topics Covered
- Psychiatric disorders
- The role of genetics
- Psychoactive drugs (Anxiolytics, Antidepressants & Antipsychotics)
- Current diagnosis & treatment
- Pharmacometric approaches
- Recommendations towards better treatment
Links
Categories:
Therapeutic Areas:
Talk Citation
de Lange, E. (2015, January 19). Pharmacometrics in psychiatry [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved November 21, 2024, from https://doi.org/10.69645/FEWB8364.Export Citation (RIS)
Publication History
Financial Disclosures
- Dr. Elizabeth de Lange has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
A selection of talks on Clinical Practice
Transcript
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0:00
This presentation deals
with pharmacometrics in psychiatry.
My name is Lesbeth de Lange, and I
work at the Leiden Academic Center
of Drug Research at the
Systems Pharmacology Cluster
the Division of Pharmacology
at Leiden University.
0:15
The outline of this
presentation is as follows.
First I will talk about psychiatric
disorders, a little about genetics,
then psychoactive drugs,
diagnosis and treatment,
pharmacometric approaches,
and then some discussion,
and then some recommendations
to a better treatment.
0:34
The term "psychiatric disease"
is used when mental illness
significantly interferes with
the performance of major life
activities such as learning,
working, and communicating.
Psychiatric disorders
may come and go,
and do not always follow
a regular pattern.
Moreover, the type, intensity,
and duration of the symptoms
vary from person to person, so this
makes it very difficult to predict
when psychiatric symptoms
will bristle
and proper functioning will decline.
Medication and
psychotherapy are often
helpful in control of symptoms.
In some of the patients,
the mental illness
may even go into remission while
in others the illness pursues.
The most common forms
of psychiatric disorders
are anxiety, major depressive
disorder, and psychosis.
1:22
So about anxiety,
this is characterized
by non or specific worries
of fears, avoidance behavior,
increased attentional capture
by potential signs of danger,
and interpretation of
expressions, comments and events
in a negative manner.
1:40
Then major depressive disorders
are characterized by episodes
of all-encompassing low mood,
accompanied by a low self-esteem.
Then there was a loss
of interest or pleasure
in normally enjoyable activities.