Managing Psychotropic Medications in Complex, Real-World Patients Using Comprehensive Therapeutic Drug Monitoring

There are multiple treatment options for depression, anxiety, psychosis, and other psychiatric disorders, and psychiatry patients are often comorbid with complex, polypharmacy treatment regimens. Unlike cardiovascular disease and diabetes, there are no readily available biomarkers to gauge treatment...

Full description

Saved in:
Bibliographic Details
Published inACS chemical neuroscience Vol. 8; no. 8; pp. 1641 - 1644
Main Authors Sutherland, Jeffrey J, Morrison, Ryan D, Daniels, J. Scott, Milne, Stephen B, Ryan, Timothy P
Format Journal Article
LanguageEnglish
Published United States American Chemical Society 16.08.2017
Subjects
Online AccessGet full text
ISSN1948-7193
1948-7193
DOI10.1021/acschemneuro.7b00209

Cover

Abstract There are multiple treatment options for depression, anxiety, psychosis, and other psychiatric disorders, and psychiatry patients are often comorbid with complex, polypharmacy treatment regimens. Unlike cardiovascular disease and diabetes, there are no readily available biomarkers to gauge treatment success with psychotropic medications, often resulting in subjective determination of medication therapy effectiveness. The physiochemical properties of psychiatric medications in general lend themselves to quantitative measurement in blood, offering an avenue to optimize treatment for each patient. Herein, we describe a novel application that employs comprehensive therapeutic drug monitoring of both psychiatric and nonpsychiatric medications to holistically personalize therapy for complex psychiatry patients.
AbstractList There are multiple treatment options for depression, anxiety, psychosis, and other psychiatric disorders, and psychiatry patients are often comorbid with complex, polypharmacy treatment regimens. Unlike cardiovascular disease and diabetes, there are no readily available biomarkers to gauge treatment success with psychotropic medications, often resulting in subjective determination of medication therapy effectiveness. The physiochemical properties of psychiatric medications in general lend themselves to quantitative measurement in blood, offering an avenue to optimize treatment for each patient. Herein, we describe a novel application that employs comprehensive therapeutic drug monitoring of both psychiatric and nonpsychiatric medications to holistically personalize therapy for complex psychiatry patients.
There are multiple treatment options for depression, anxiety, psychosis, and other psychiatric disorders, and psychiatry patients are often comorbid with complex, polypharmacy treatment regimens. Unlike cardiovascular disease and diabetes, there are no readily available biomarkers to gauge treatment success with psychotropic medications, often resulting in subjective determination of medication therapy effectiveness. The physiochemical properties of psychiatric medications in general lend themselves to quantitative measurement in blood, offering an avenue to optimize treatment for each patient. Herein, we describe a novel application that employs comprehensive therapeutic drug monitoring of both psychiatric and nonpsychiatric medications to holistically personalize therapy for complex psychiatry patients.There are multiple treatment options for depression, anxiety, psychosis, and other psychiatric disorders, and psychiatry patients are often comorbid with complex, polypharmacy treatment regimens. Unlike cardiovascular disease and diabetes, there are no readily available biomarkers to gauge treatment success with psychotropic medications, often resulting in subjective determination of medication therapy effectiveness. The physiochemical properties of psychiatric medications in general lend themselves to quantitative measurement in blood, offering an avenue to optimize treatment for each patient. Herein, we describe a novel application that employs comprehensive therapeutic drug monitoring of both psychiatric and nonpsychiatric medications to holistically personalize therapy for complex psychiatry patients.
Author Morrison, Ryan D
Milne, Stephen B
Daniels, J. Scott
Sutherland, Jeffrey J
Ryan, Timothy P
AuthorAffiliation Sano Laboratories
Sano Informed Prescribing
AuthorAffiliation_xml – name: Sano Informed Prescribing
– name: Sano Laboratories
Author_xml – sequence: 1
  givenname: Jeffrey J
  surname: Sutherland
  fullname: Sutherland, Jeffrey J
– sequence: 2
  givenname: Ryan D
  surname: Morrison
  fullname: Morrison, Ryan D
– sequence: 3
  givenname: J. Scott
  surname: Daniels
  fullname: Daniels, J. Scott
– sequence: 4
  givenname: Stephen B
  surname: Milne
  fullname: Milne, Stephen B
– sequence: 5
  givenname: Timothy P
  orcidid: 0000-0001-6025-801X
  surname: Ryan
  fullname: Ryan, Timothy P
BackLink https://www.ncbi.nlm.nih.gov/pubmed/28640591$$D View this record in MEDLINE/PubMed
BookMark eNqFkU9r3DAQxUVJaZJtv0EpOvZQp5IlW1JvZfsXsiSUhB6FLM_uKtiSI8kh-fbVdjcQemhOMzDv9xjeO0VHPnhA6C0lZ5TU9KOxyW5h9DDHcCY6QmqiXqATqrisBFXs6Ml-jE5TuiGkVUS2r9BxLVtOGkVP0O3KeLNxfoMv04PdhhzD5CxeQe-syS74hJ3HyzBOA9x_wL_ADNXvEIceX5Yz-JzwddrhO0mELfjk7gBfbSGaCeZcvL7EeYNXwbscYlG-Ri_XZkjw5jAX6Prb16vlj-r84vvP5efzyjAuc6WIkEZaVbeslZxawmjNaCPK1129bmreyFp1HZW8I40UgjIiuWUChOj7liu2QO_3vlMMtzOkrEeXLAyD8RDmpKmijKmGFHKB3h2kczdCr6foRhMf9GNMRfBpL7AxpBRhra3Lf-PJ0bhBU6J3neinnehDJwXm_8CP_s9gZI-Vq74Jc_Qlrf8jfwDv6KUX
CitedBy_id crossref_primary_10_1097_YIC_0000000000000446
crossref_primary_10_37489_2587_7836_2021_1_3_13
crossref_primary_10_1001_jamanetworkopen_2018_4196
crossref_primary_10_2196_12493
crossref_primary_10_1111_jgs_16156
crossref_primary_10_1021_acschemneuro_7b00375
Cites_doi 10.1055/s-0031-1286287
10.1007/s00228-013-1504-x
10.1586/14779072.2016.1143359
10.1097/00007691-200404000-00012
ContentType Journal Article
Copyright Copyright © 2017 American Chemical Society
Copyright_xml – notice: Copyright © 2017 American Chemical Society
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.1021/acschemneuro.7b00209
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList MEDLINE
MEDLINE - Academic

Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Anatomy & Physiology
EISSN 1948-7193
EndPage 1644
ExternalDocumentID 28640591
10_1021_acschemneuro_7b00209
a329298298
Genre Journal Article
GroupedDBID -
53G
55A
5EH
7~N
AABXI
AAKDD
ABMVS
ABUCX
ACGFS
ACS
ADBBV
AEESW
AENEX
AFEFF
ALMA_UNASSIGNED_HOLDINGS
AQSVZ
BAWUL
DIK
EBS
ED
ED~
EJD
F5P
GNL
GX1
IH9
JG
JG~
OK1
RNS
ROL
RPM
UI2
VF5
VG9
W1F
---
5VS
6J9
AAYXX
ABBLG
ABJNI
ABLBI
ABQRX
ACGFO
ADHLV
AHGAQ
BAANH
CITATION
CUPRZ
GGK
CGR
CUY
CVF
ECM
EIF
NPM
7X8
ID FETCH-LOGICAL-a348t-9078a8c92636841c03123157591b2f5245829bb184b0587713084c37e77dd6493
IEDL.DBID ACS
ISSN 1948-7193
IngestDate Fri Jul 11 05:36:14 EDT 2025
Wed Feb 19 02:41:46 EST 2025
Tue Jul 01 00:32:03 EDT 2025
Thu Apr 24 23:06:02 EDT 2025
Thu Aug 27 13:41:58 EDT 2020
IsPeerReviewed true
IsScholarly true
Issue 8
Keywords Adherence
medication therapy management
compliance
DDI
precision medicine
medical record reconciliation
pharmacogenetics
therapeutic drug monitoring
drug Interactions
Language English
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-a348t-9078a8c92636841c03123157591b2f5245829bb184b0587713084c37e77dd6493
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ORCID 0000-0001-6025-801X
PMID 28640591
PQID 1913395071
PQPubID 23479
PageCount 4
ParticipantIDs proquest_miscellaneous_1913395071
pubmed_primary_28640591
crossref_citationtrail_10_1021_acschemneuro_7b00209
crossref_primary_10_1021_acschemneuro_7b00209
acs_journals_10_1021_acschemneuro_7b00209
ProviderPackageCode JG~
55A
AABXI
GNL
VF5
7~N
VG9
W1F
ACS
AEESW
AFEFF
ABMVS
ABUCX
IH9
AQSVZ
ED~
UI2
CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2017-08-16
PublicationDateYYYYMMDD 2017-08-16
PublicationDate_xml – month: 08
  year: 2017
  text: 2017-08-16
  day: 16
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle ACS chemical neuroscience
PublicationTitleAlternate ACS Chem. Neurosci
PublicationYear 2017
Publisher American Chemical Society
Publisher_xml – name: American Chemical Society
References ref4/cit4
ref1/cit1
ref3/cit3
ref2/cit2
References_xml – ident: ref3/cit3
  doi: 10.1055/s-0031-1286287
– ident: ref1/cit1
  doi: 10.1007/s00228-013-1504-x
– ident: ref4/cit4
  doi: 10.1586/14779072.2016.1143359
– ident: ref2/cit2
  doi: 10.1097/00007691-200404000-00012
SSID ssj0069086
Score 2.1457953
SecondaryResourceType review_article
Snippet There are multiple treatment options for depression, anxiety, psychosis, and other psychiatric disorders, and psychiatry patients are often comorbid with...
SourceID proquest
pubmed
crossref
acs
SourceType Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 1641
SubjectTerms Drug Monitoring - methods
Humans
Mental Disorders - drug therapy
Precision Medicine
Psychotropic Drugs - therapeutic use
Title Managing Psychotropic Medications in Complex, Real-World Patients Using Comprehensive Therapeutic Drug Monitoring
URI http://dx.doi.org/10.1021/acschemneuro.7b00209
https://www.ncbi.nlm.nih.gov/pubmed/28640591
https://www.proquest.com/docview/1913395071
Volume 8
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV1ZS8QwEA6iL754H-tFBBEEs27TNMejeOCBBx7gW2myWV3Uru52Qf31TpLWE1Ff-pSEJjOZ-SZzIbRitWZcUkVUQ7YI001FMtOISUaVbjFjrPCUPjrme5fs4Cq5ejcUv3rwabSRGTDz7L0v71gXTqm4fL0hykHVOCi0dV5JXjD0fGdHsMslEYBMqlS5H1ZxCsn0PiukH1Cm1za7o-ikytkJQSa39X6h6-blewnHP25kDI2UwBNvBk4ZRwM2n0CTmzkY3ffPeBX7UFD_xj6JHqvuRTjIx6LbeWgbHJw6nlFxO8dOlNzZp3V8BmCT-KgcfBrKtPawD0XwQ7r2JgTJ44v3XC-83e1f4yBQ3MviFLrc3bnY2iNlbwaSxUwWQFohM2kU5TGXLALyggqMXLfPSNNWQp07TmkN9qNuJFKAKdyQzMTCCtFscqbiaTSYd3I7i7AEGSITRq101beiRMdCaKoME03LuZE1tAZHl5Z3q5d6tzmN0o_nmZbnWUNxRczUlEXOXa-Nu19mkbdZD6HIxy_jlys-SeE2OhdLlttOH_5Ngc2vHMauoZnAQG8rUskBHato7h_7mUfD1OEIF6PCFtBg0e3bRUBBhV7yrA_f7f3DV79OBVw
linkProvider American Chemical Society
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3dTxQxEJ8QeNAXUBE8_KqJMTGx523b7cfjBSUHAjF6EN42215PCdzecbuXoH-90-7uoSaE8LrpNm1nOh-dmd8AvPXWCqmZoaanx1TYkaG563GaM2PHwjmvIqWPjuXgRBycpWcrkLa1MLiIEmcqYxD_Bl0g-YjfcBeTiPLYVUG3hLK9tVQKGTo29He_twIY_b3Y4BHdc00VGihtxdwtswS95Mp_9dItxmZUOnsbcLpcbsw1ueguKtt1v_9Dcrz3fh7BemOGkn7NN49hxRdPYLNfoAs--UXekZgYGl_cN-Gq7WVEamlZzaezc0fqEE9kW3JekCBYLv31B_INTU8ac3TI1xq0tSQxMSEOmfufdco8Gd5UfpFP88UPUouX8M74FE72Pg93B7Tp1EBzLnSFhFY6184wyaUWCRIbFWISen8mlo1TFoJzxlr0Jm0v1Qod454Wjiuv1GgkheFbsFpMC_8MiEaJolPBvA5YXElquVKWGSfUyEvpdAfe49FlzU0rsxhEZ0n293lmzXl2gLc0zVwDeR46b1ze8Rdd_jWrIT_uGP-mZZcM72YIuOSFny5wbSbh3ASLuwPbNR8tZ2Raoq1skp177Oc1PBgMjw6zw_3jL8_hIQsWRkDnlS9gtZov_Eu0jyr7Kt6GPwGpDMg
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3rSxwxEA_FQukX-7DW89FGKIVCc14em8fHQ3tYtSI-QPyybLI5K-reebsHtn-9k-zu1RZE6tclG5LM6zeZyQxCn7y1QmpmiOnpIRE2NyRzPU4yZuxQOOdVpPSPfbl9InZOk9N7rb5gESXMVMYgfpDqcT5sKgzQDfgOO7mOlR67KtiX8HTvOWASGro29DePWiUMPl9s8gguuiYKQEr7au6BWYJtcuXftukBwBkNz-AVOpstOeabXHanle263_9Uc3zSnl6j-QaO4n7NP2_QM1-8RQv9Alzx61_4M44JovHmfQHdtD2NcK01q8lofOFwHeqJ7IsvChwUzJW__YoPAYKSmKuDD-rirSWOCQpxyMT_rFPn8fGfF2B4azI9x7WaCfeN79DJ4Nvx5jZpOjaQjAtdAcGVzrQzTHKpBQWig2GkoQcotWyYsBCkM9aCV2l7iVbgIPe0cFx5pfJcCsMX0VwxKvwSwho0i04E8zrU5KKJ5UpZZpxQuZfS6Q76AkeXNhJXpjGYzmh6_zzT5jw7iLd0TV1T-jx04Lh65C8y-2tcl_54ZPx6yzIpyGgIvGSFH01hbYZybgLy7qD3NS_NZmRaAmY2dPk_9vMRvTjYGqR73_d3V9BLFoBGKNIrV9FcNZn6NYBJlf0QBeIOh5oPQg
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Managing+Psychotropic+Medications+in+Complex%2C+Real-World+Patients+Using+Comprehensive+Therapeutic+Drug+Monitoring&rft.jtitle=ACS+chemical+neuroscience&rft.au=Sutherland%2C+Jeffrey+J.&rft.au=Morrison%2C+Ryan+D.&rft.au=Daniels%2C+J.+Scott&rft.au=Milne%2C+Stephen+B.&rft.date=2017-08-16&rft.issn=1948-7193&rft.eissn=1948-7193&rft.volume=8&rft.issue=8&rft.spage=1641&rft.epage=1644&rft_id=info:doi/10.1021%2Facschemneuro.7b00209&rft.externalDBID=n%2Fa&rft.externalDocID=10_1021_acschemneuro_7b00209
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1948-7193&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1948-7193&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1948-7193&client=summon