Medication Management

Psychotropic medications play an important role in mental health and well being. Psychotropics work by regulating various neurotransmitters in our body. These medicines can be used for the treatment of various mental health disorders and help reducing the symptoms related disability thus improve functionality as well as help in relapse prevention. There are several medicines which are FDA approved for various mental health disorders. Medpsych clinicians are well trained and experienced in prescribing medicines as and when appropriate. We offer psychotropic depot injectables, which is a method where medication is injected directly into muscle rather than consumed orally as a pill or capsule. Due to the achievement of stabilized plasma concentrations over an extensive length of time, allows for these injections to be given only once a week to twice a month. This technique offers a much faster absorption rate, increases compliance and, subsequently, the risk of relapse and reduced hospitalization. Depot treatment allows for a better relation between the dosage prescribed, and the concentration of the medication found in blood or plasma, which gives the clinician greater control over the amount of medication being distributed. Another major advantage is the depot treatment offers a distinctly reduction in the substantial individual variation in bio-availability and metabolism than with oral anti-psychotic drugs.

Age Group

Serving Ages 10 and Up

Languages

Our providers are well versed in various languages, that include: Mandarin, Urdu, Hindi, Punjabi, Telugu.

Accepted Insurances

We accept Maryland Medicaid, Priority Partners, Cigna, BCBS, United Health Care, US family health plan, Johns Hopkins and fee for services.

Medication Warnings

I. Storage of Medications

Keep medications in their original bottles with clearly readable labels. Do not mix different medications in the same bottle. Please store medications as directed by the pharmacist. Keep medications out of the sight and out of reach of children because an overdose can be dangerous.

II. Side Effects & Risk/Benefit Analysis

Psychiatric medications are like any other medicine your doctor would prescribe: they have beneficial and unwanted (“side”) effects. One always has to weigh the risks versus benefits of the medications. Most medications have a long list of side effects listed in the package insert. The important thing to remember is this: side effects are possibilities, not certainties. One of the more surprising aspects of medications is how two people taking the same medicine can have such different experiences. One person may have troublesome side effects, while another person finds that the medicine does only the good that it is intended to do. We are happy to discuss any questions about these side effects. It may be difficult for you to remember every single side effect of each medication that you take. It is therefore important for you to report any physical or mental discomfort or worsening of your condition to the prescribing doctor. There may be yet unknown or long-term side effects especially of medications taken over a long period of time. It is therefore important that you discuss with your doctor during your regular medication management appointments. It is possible to have an allergic reaction to any medication. This may show itself in the form of skin reactions, breathing difficulties, or other allergic responses. These must be immediately reported to the prescribing doctor. If they are causing serious discomfort, please seek emergency help at your nearest Emergency Room/ Urgent Care facility.

III. Monitoring of levels and risk factors

Regular medication blood level tests are essential to monitor dosing of certain medications. This is important for certain medications where the difference between therapeutic blood levels and toxic blood levels is rather small. Some medicines require monitoring of liver and kidney functions, electrolytes and blood counts.

IV. Pregnancy

It is very important to avoid pregnancy and breast feeding during the time when you are taking psychiatric medications. When you do plan a pregnancy, inform your doctor well in advance so that we can discuss the possibilities of risk to your baby during pregnancy and breastfeeding.

V. Machinery & Driving

Most psychiatric medications can  cause tiredness, sleepiness or a decrease in concentration. You must not drive or operate machinery if your medications affect you in this way. Since there are wide variations among different people in this regard, it is important that you avoid driving or operating machinery until you are quite familiar with how your medication affects you. In any case, exercise extra caution in driving and in operating machinery.

VI. Medication Interactions

To avoid and manage medication interactions it is important to inform ALL your current and new doctors and dentists of ALL your medications, including herbal and over-the-counter medications.  For each medical appointment, please bring a very accurate list of all of medications that you are taking from any doctor. In place of list, you may bring all the original medicine bottles.

VII. Alcohol & Drugs

It is important to avoid any street drugs or alcohol when you are being treated with psychiatric medications. If you use drugs or alcohol, unpredictable and unusual side-effects and reactions may occur.

VIII. Overdose

Call 911 and Poison Control at 1-800-222-1222 immediately in case of overdose.

IX. Dosage Instructions

Make sure you understand exactly how the medication is to be taken. If in doubt, ask your doctor or pharmacist. Please call if there is a difference between what the doctor has told you and what the bottle says. Do call our office if you notice a change in the size or color of your pills on a refill. Parents need to supervise medication intake by their children.

X. Refills

It is important to keep taking your medication unless directed by your doctor to stop. Please make sure to make and keep regular follow-up appointments. In case you run out of medication because of unforeseen problems, please call us for refills until your next appointment. Please note that schedule 2 controlled substances commonly used for ADHD need a new prescription each time. Refills are not allowed on these drugs.

XI. FDA Labeling

It is common in the present day psychiatric practice to use medications for different purposes and in different age groups than what the U. S. food and drug administration approved them for. We apply principles of risk/benefit analysis to these situations. This is particularly important for children because few commonly used medications have FDA labeling for children with psychiatric problems. 

Referral Services

Our clinical team provides referral services to Frederick Memorial Hospital (Sheppard Pratt Health System Program), in Frederick, MD, Adventist Behavioral Health in Rockville, MD and Suburban Hospital (Johns Hopkins Medicine Program), in Bethesda, MD. Our clinicians act as liaisons with the mental health, medical, human services, and substance abuse resources available in the community. In the event that a patient’s condition changes, requiring a more intensive level of care than we can provide in an outpatient setting we will provide a referral to specialty services to maintain and improve our patient’s health and well-being.

Collaboration

We are happy to help our patients as a part of a mufti-discipline referral-based team that includes primary care providers, specialists, psychotherapists, psychologists, education specialists, dietitians, and clergy. Per our privacy practices policy, and with our patients permission, we can collaborate and communicate with these professionals on your behalf. We also collaborate with a large number of mental health professionals as to innovative treatments, clinical best-practices and in keeping our practice up to date and current as to industry policies and standards.