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  • Risperdal Consta

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    Drosophila Meilani Gaster
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    This document discusses the history and management of psychosis and schizophrenia. It covers topics such as the discovery of endogenous psychosis in the 19th century, schizophrenia being coined as a diagnosis in the early 20th century, and current research showing the disease affects 16-43% of people. Modern treatment involves multimodal therapy including medications, cognitive behavioral therapy, family therapy and social interventions. Medications discussed include risperidone and risperidone consta, with the latter highlighted as an effective maintenance treatment for schizophrenia, especially for non-compliance. The document stresses taking a multimodal approach with both medication and psychological therapies for best outcomes in managing the disorder.

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    This document discusses the history and management of psychosis and schizophrenia. It covers topics such as the discovery of endogenous psychosis in the 19th century, schizophrenia being coined as a diagnosis in the early 20th century, and current research showing the disease affects 16-43% of people. Modern treatment involves multimodal therapy including medications, cognitive behavioral therapy, family therapy and social interventions. Medications discussed include risperidone and risperidone consta, with the latter highlighted as an effective maintenance treatment for schizophrenia, especially for non-compliance. The document stresses taking a multimodal approach with both medication and psychological therapies for best outcomes in managing the disorder.

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    © All Rights Reserved
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    76 views21 pages

    Risperdal Consta

    Uploaded by

    Drosophila Meilani Gaster
    This document discusses the history and management of psychosis and schizophrenia. It covers topics such as the discovery of endogenous psychosis in the 19th century, schizophrenia being coined as a diagnosis in the early 20th century, and current research showing the disease affects 16-43% of people. Modern treatment involves multimodal therapy including medications, cognitive behavioral therapy, family therapy and social interventions. Medications discussed include risperidone and risperidone consta, with the latter highlighted as an effective maintenance treatment for schizophrenia, especially for non-compliance. The document stresses taking a multimodal approach with both medication and psychological therapies for best outcomes in managing the disorder.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    of 21

    HISTORY

    EMIL KREAPLIN 1856-1926


    ENDOGENOUS PSYCHOSIS
    DEMENTIA PRAECOX 1896

    E.Bleuler

    Schizophrenia
    SPLITTING PERSONALITY

    Prof. Shato JEPAN/KOREA 2013


    Gangguan intregritas
    Stigma BAGI PASIEN/KEL
    BRAIN DISEASE

    16 %

    32
    %

    9%

    43 %

    Cambrige university in 5 years Research of SR

    NOT COMPLIANCE
    SUPPORT!!!

    35 %

    AMBIVALENCE TO DRUG

    LACK OF INSIGHT
    MANIA/HYPOMAN HAPPY
    ACTUAL SIDE EFFECTS ALLERGY,
    EPS, M. SYND
    SOCIAL ECONOMIC PROBLEMS + .
    4

    TATALAKSANA PSYCHOSIS
    MANAGEMENT ?
    PREVENTION
    SPECIFIC BIOLOGICAL
    RISK (GENE)
    NEURODEVELOPMENT/D
    EGENE-RATIVE
    PSYCHOLOGICAL
    TRAUMA
    SPECIFIC RISK
    CONDITIONS (POVERTY,
    ILLNESS, DRUG
    ABUSE)

    R
    S
    P
    A
    D
    G
    S

    JCI (PATIENT SAFETY )


    MULTIMODAL
    TREATMENT/REHABILITA
    TION
    PRODROMAL-ACUTECHRONIC
    MEDICATION, T SYMPT,
    SE
    DENIAL, COMPLIANCE,
    RELAPSING
    AGITATION-SUICIDEDRUG AB
    CBT, FAM TH/, SOCIAL
    INTERVENTION

    EARLY DETECTION ASSESSMENT


    PSYCHOLOGICAL PROTECTOR/BUFFER
    PSYCHOEDUCATION. P SOLVING.
    RESILIENCE. COPING M
    PSYCHOLOGICAL
    READINESS/FUNCTIONAL

    PREVENTION
    GENETIC 80%

    PSYCHOLOGICAL

    INFECTION/ALLERG
    Y/
    IMUN SYSTEM
    20%
    PREMORBIDNEURODEVELOPM
    ENT
    OBSTETRIC
    COMPLICATION

    SOCIAL-CULTURE
    PARENTING

    ELIMINATE
    RISK
    FACTORS

    ENVIRONTMENT
    PRE-PERINATAL

    MENTAL HEALTH
    CARE
    SPECIAL
    EDUCATION
    PSYCHOLOGICAL
    BUFFER

    DEGENERATIVE P

    SYMPTOMS
    PSYCHOSIS

    RISPERDAL CONSTA 25
    -37.5 mg
    FIRST EPISODE OF
    PSYCHOSIS
    MAINTENANCE THERAPY

    MEDICATIONS
    COGNITIVE BEHAVIORAL THERAPY
    PSYCHOLOGICAL SUPPORT
    7

    SEROTONIN RECEPTOR

    10

    DOPAMIN-SEROTONIN INTERACTION

    11

    BRAIN CIRCUITS SYMPTOM

    12

    GENES CODE PROT


    DISORDERS ? 80%
    TWIN STUDIES
    CHROMOSOMES LOCUS 22q 11,6p22,8p1221, 1q21-22,7q21-22,1q42,13q32-34 , 12q24
    GENE
    DTNBP1,COMT,NGG1,RGS4,GRM3,DISC1,G72,
    DAAO (MULTIPLE GENE)
    BRAIN
    STRUCTUREVENT,CORTICAL/LIMBIC,SUBCOR
    TICAL,GREY/WHITE MATTER
    FUNCTIONAL GENOMIC AND PROTEOMIC m
    RNA
    13

    14

    DRUG TREATMENT
    Typical , atypical anti psychotics , ANTYPICAL +
    OTHERS
    Acute , relapsing , Schizophrenia
    Target symptoms , Monitoring Side effect
    Maintenance Treatment
    Complaince medication
    Functioning
    Regression

    Risperdal Consta

    !!!!!....... 100 %

    Optimalization

    ><
    15

    TREATMENT PHASE
    Prodromal phase Period of Deteriorating
    function PSYCHOTROPIC DRUGS (PD)
    Acute phase HALUSINASI+WAHAM
    PD
    Recovery phase PD
    Residual Phase Apathy, Lack of
    Motivation, Withdrawal, restricted of flat
    affect PD
    Chronically impaired remain sympt PD
    Co Morbidity (Depression/Mania)PD
    16

    KASUS
    1. NW . 14 . SMP 1 . TIDAK SEKOLAH 8 BL
    BICARA KACAU, FLIGHT OF IDEAS, MANIK
    TIDAK MAU MAKAN OBAT, TIDAK MAU
    DIRAWAT ++++ Risperdal Consta ..6 X
    2. N 17 tahun . MR+ G. Affective . 4 X
    3.

    P. 62 th SR kronis eksaserbasi akut..

    st psikiatri tenang 3 tahun.

    17

    Risperdal Consta NON


    COMPLIANCE
    RELAPSING
    AGITATION Orbitofrontal
    SCHIZOPHRENIA CHRONIC
    DRUG ABUSE - DRUG RESISTANT
    SUICIDE
    18

    MULTIMODAL THE BEST

    MEDICATION PRIORITY +
    PSYCHOLOGICAL INTERVENTION
    MORE EFFECTIVE

    19

    WHAT RISK FACTOR?


    WHEN BEST TO
    INTERVENE EARLY?
    BIOPSIKOSOS
    BRAIN !

    WHICH MEDICATION?
    HOW MUCH, HOW
    LONG FOR FIST
    EPISODE?
    RISPERDAL 2-6 mg!

    HOW LONG,
    WHAT MAINTENANCE
    DOSE ?

    RISPERDAL
    CONSTA 25-37.5
    mg!!

    EBM
    FOR PSYCHOSIS

    HOW BEST FOR


    SYNERGIZE
    MEDICATION AND
    OTHER THERAPIES?
    MULTIMODAL T/

    WHICH
    PSYCHOTHERAPY?
    FOR WHOM, HOW
    LONG AND WHEN ?
    INDIVIDUAL/FAM/SOS !

    WHICH DRUG WORKS


    BEST, FOR
    STAGE/TYPE?
    TIPICAL/ATYPICAL
    ANTIPSIKOTIK!
    20

    RISPERDAL CONSTA

    THANK YOU
    21

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