Medical conditions that may contradict psychotropic medications

Question 1

Asthma, chronic obstructive pulmonary disease

Answer 1

β-Blockers are relatively contraindicated

Question 2

Chronic kidney disease

Answer 2

diseaseLithium is relatively contraindicated depending on severity and chronicity

Question 3

Bradycardia (e.g., sick sinus syndrome)

Answer 3

β-Blockers are relatively contraindicated.

Question 4

Hepatitis

Answer 4

Carbamazepine or divalproex should be administered with caution

Question 5

Hypertension (poorly controlled)

Answer 5

Strongly adrenergic agents, including SNRIs, TCAs, or stimulants, should not be initiated until hypertension is treated.

Question 6

Hypothyroidism

Answer 6

Lithium is not contraindicated.

Question 7

Neutropenia

Answer 7

Carbamazepine and clozapine are contraindicated.

Question 8

Seizure disorder

Answer 8

Bupropion and clozapine are relatively contraindicated.Caution should be exercised with use of antipsychotics and maprotiline