Abstract
Polypharmacy in psychiatry is an in-depth examination of drug-drug interactions and treatment challenges that explores the intricate landscape of psychiatric polypharmacy, a practice involving the prescription of multiple medications to individuals with mental health disorders. This review is based on the critical aspects of drug-drug interactions and the associated treatment challenges. Psychiatric polypharmacy is motivated by the complexity of mental health conditions, where monotherapy may be insufficient. While it offers potential benefits, the practice raises concerns related to drug interactions that can compromise safety and efficacy. The review delves into the prevalence and clinical indications for psychiatric polypharmacy, thoroughly analyzing drug interactions, treatment challenges, and strategies for mitigation. Real-world case studies illustrate the complexities and outcomes of managing complex medication regimens, while emerging trends in personalized medicine, advancements in psychopharmacology, multidisciplinary approaches, and digital health solutions offer a glimpse into the future of psychiatric polypharmacy. This examination underscores the importance of a patient-centered, evidence-based approach in optimizing psychiatric polypharmacy to achieve therapeutic benefits while minimizing risks.
[http://dx.doi.org/10.1007/s11096-023-01630-9] [PMID: 37704913]
[http://dx.doi.org/10.1186/s12888-023-04860-3] [PMID: 37193987]
[http://dx.doi.org/10.1017/9781009245746]
[http://dx.doi.org/10.1007/s40266-023-01055-z] [PMID: 37603255]
[http://dx.doi.org/10.1016/j.eimce.2022.09.007]
[http://dx.doi.org/10.1016/j.jsps.2023.06.001] [PMID: 37576859]
[http://dx.doi.org/10.7759/cureus.44594] [PMID: 37795072]
[http://dx.doi.org/10.1007/s11096-023-01643-4] [PMID: 37755642]
[http://dx.doi.org/10.30574/ijsra.2023.8.1.0119]
[http://dx.doi.org/10.1016/j.cger.2012.01.001] [PMID: 22500536]
[http://dx.doi.org/10.1371/journal.pone.0290037] [PMID: 37578965]
[http://dx.doi.org/10.1097/JCP.0000000000001681] [PMID: 37039705]
[http://dx.doi.org/10.1177/10783903231185353] [PMID: 37392084]
[http://dx.doi.org/10.3109/10673229.2012.677358] [PMID: 22512741]
[http://dx.doi.org/10.1016/S0193-953X(05)70283-5] [PMID: 8827185]
[http://dx.doi.org/10.36347/sjmcr.2023.v11i09.009]
[http://dx.doi.org/10.1016/S1474-4422(10)70143-5] [PMID: 20650402]
[http://dx.doi.org/10.1016/j.drudis.2023.103603] [PMID: 37142156]
[http://dx.doi.org/10.1016/j.jsps.2022.12.004] [PMID: 36942274]
[http://dx.doi.org/10.9740/mhc.2023.02.011] [PMID: 36891479]
[http://dx.doi.org/10.3390/plants12030623] [PMID: 36771707]
[http://dx.doi.org/10.1101/2023.02.09.23285702]
[http://dx.doi.org/10.2174/1570159X20666220524121645] [PMID: 35611779]
[http://dx.doi.org/10.47760/ijpsm.2023.v08i05.001]
[http://dx.doi.org/10.1002/phar.2755] [PMID: 36564960]
[http://dx.doi.org/10.2174/1570159X20666220526144314] [PMID: 35619263]
[http://dx.doi.org/10.1007/s00702-020-02214-x] [PMID: 32519194]
[http://dx.doi.org/10.1097/PRA.0000000000000322] [PMID: 30427809]
[http://dx.doi.org/10.1002/epd2.20069] [PMID: 37259844]
[http://dx.doi.org/10.1038/s44321-024-00051-z] [PMID: 38448544]
[http://dx.doi.org/10.1038/s41467-022-29793-5] [PMID: 35440130]
[http://dx.doi.org/10.1016/0166-3542(90)90001-N] [PMID: 2088205]
[http://dx.doi.org/10.9734/BJPR/2014/8531]
[http://dx.doi.org/10.1007/s10928-016-9490-0] [PMID: 27638639]
[http://dx.doi.org/10.1007/978-1-61779-080-5_34]
[http://dx.doi.org/10.1002/cpt.1434] [PMID: 30912119]
[http://dx.doi.org/10.1002/9780470249031.ch25]
[PMID: 11504778]
[http://dx.doi.org/10.1124/pr.58.3.10] [PMID: 16968952]
[http://dx.doi.org/10.1371/journal.pone.0093960] [PMID: 24713621]
[http://dx.doi.org/10.1016/0091-3057(92)90086-U] [PMID: 1539072]
[http://dx.doi.org/10.1007/s00702-020-02291-y] [PMID: 33417009]
[http://dx.doi.org/10.3390/medicina59020284] [PMID: 36837485]
[http://dx.doi.org/10.1007/s00406-021-01358-5] [PMID: 34822007]
[http://dx.doi.org/10.1177/08919887221149158] [PMID: 36592403]
[http://dx.doi.org/10.1080/22423982.2023.2218654] [PMID: 37300837]
[http://dx.doi.org/10.21203/rs.3.rs-3308026/v1]
[http://dx.doi.org/10.1016/j.jagp.2022.12.223]
[http://dx.doi.org/10.3389/fphar.2023.1080073] [PMID: 36825148]
[http://dx.doi.org/10.1186/s12916-022-02475-1] [PMID: 36042454]
[http://dx.doi.org/10.1177/20451253231195274] [PMID: 37663084]
[http://dx.doi.org/10.3390/pharmacy8030154] [PMID: 32854271]
[PMID: 38213670]
[http://dx.doi.org/10.1016/j.clinthera.2022.12.005] [PMID: 36641261]
[http://dx.doi.org/10.1016/j.clinthera.2022.12.012] [PMID: 36682993]
[http://dx.doi.org/10.1016/j.ejps.2019.04.003] [PMID: 30974173]
[http://dx.doi.org/10.2196/45329]
[http://dx.doi.org/10.1007/s40262-019-00844-3] [PMID: 31788764]
[http://dx.doi.org/10.2146/ajhp150565] [PMID: 27045070]
[http://dx.doi.org/10.1002/j.1875-9114.2012.01024.x] [PMID: 22461120]
[http://dx.doi.org/10.1093/jamia/ocv011] [PMID: 25829460]
[http://dx.doi.org/10.1159/000218100] [PMID: 19439942]
[http://dx.doi.org/10.3389/fphar.2020.608068] [PMID: 33762928]
[http://dx.doi.org/10.1017/S109285291800113X] [PMID: 30295215]
[http://dx.doi.org/10.3390/jcm12185955] [PMID: 37762897]
[http://dx.doi.org/10.1097/JU.0000000000003081] [PMID: 36472138]
[http://dx.doi.org/10.1038/s41397-021-00224-w] [PMID: 34140647]
[http://dx.doi.org/10.1080/10408363.2019.1678568] [PMID: 31680605]
[http://dx.doi.org/10.2147/PGPM.S101474] [PMID: 27143951]
[PMID: 29888060]
[http://dx.doi.org/10.1007/s40618-023-02015-5] [PMID: 36698034]
[http://dx.doi.org/10.1586/14737175.7.11s.S45]
[http://dx.doi.org/10.1007/s40266-023-01066-w] [PMID: 37695395]
[http://dx.doi.org/10.1080/14740338.2018.1546841] [PMID: 30540223]
[PMID: 37350370]
[http://dx.doi.org/10.1017/pcm.2023.10] [PMID: 38550925]
[http://dx.doi.org/10.1017/S1461145710000866] [PMID: 20716397]
[http://dx.doi.org/10.1016/j.biopsych.2023.07.007] [PMID: 37718031]
[http://dx.doi.org/10.1055/a-0975-9595] [PMID: 31509860]
[http://dx.doi.org/10.1111/joim.13640] [PMID: 37093654]
[http://dx.doi.org/10.1055/s-0039-3402715]
[http://dx.doi.org/10.1371/journal.pone.0287230] [PMID: 37327245]
[http://dx.doi.org/10.5770/cgj.26.678]