Psychotropic drug prescribing

Johnston, Allan; McAllister‐Williams, R. Hamish

doi:10.1093/med/9780198734628.003.0010

Cited by 14 publications

(30 citation statements)

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“…Although psychotherapy is generally regarded as the firstline treatment for those with mild to moderate symptoms of mental illness,51 medications may be needed in those with more severe psychopathology 56Box 2 outlines four important considerations particular to elite athletes when prescribing psychiatric medications.…”

Section: General Approaches To Management Of Mental Health Symptoms Amentioning

confidence: 99%

“…Box 2 outlines four important considerations particular to elite athletes when prescribing psychiatric medications. Common side effects that may negatively impact athletic performance include: sedation; weight gain; cardiac side effects (including orthostatic hypotension, hypertension, tachycardia, palpitations, arrhythmias and electrocardiographic changes such as QTc prolongation); and tremor 56 57. Other relevant side effects include: impaired concentration; muscle rigidity; motor changes (including akathisia and bradykinesia); weight loss; blurred vision or dizziness; anxiety or agitation; and insomnia 56…”

Section: General Approaches To Management Of Mental Health Symptoms Amentioning

confidence: 99%

“…Finally, safety risks are paramount with certain psychiatric medications, as elite athletes commonly exercise at much higher intensity than the general population 61. For example, medications with blood levels that must be tightly regulated, such as lithium, can be difficult to manage in elite athletes whose levels might be influenced by hydration status 56 57…”

Section: General Approaches To Management Of Mental Health Symptoms Amentioning

confidence: 99%

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Mental health in elite athletes: International Olympic Committee consensus statement (2019)

et al. 2019

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Mental health symptoms and disorders are common among elite athletes, may have sport related manifestations within this population and impair performance. Mental health cannot be separated from physical health, as evidenced by mental health symptoms and disorders increasing the risk of physical injury and delaying subsequent recovery. There are no evidence or consensus based guidelines for diagnosis and management of mental health symptoms and disorders in elite athletes. Diagnosis must differentiate character traits particular to elite athletes from psychosocial maladaptations.Management strategies should address all contributors to mental health symptoms and consider biopsychosocial factors relevant to athletes to maximise benefit and minimise harm. Management must involve both treatment of affected individual athletes and optimising environments in which all elite athletes train and compete. To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.

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Section: General Approaches To Management Of Mental Health Symptoms Amentioning

confidence: 99%

Section: General Approaches To Management Of Mental Health Symptoms Amentioning

confidence: 99%

Section: General Approaches To Management Of Mental Health Symptoms Amentioning

confidence: 99%

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Mental health in elite athletes: International Olympic Committee consensus statement (2019)

et al. 2019

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“…Overall, an approach of ‘carefully considered individual prescribing’ is recommended 73. One important element of this is to consider the potential negative impact of medication side effects on athletic performance 73 74.…”

Section: Managementmentioning

confidence: 99%

Bipolar and psychotic disorders in elite athletes: a narrative review

Currie

Gorczynski

Rice³

et al. 2019

Br J Sports Med

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Bipolar and psychotic disorders are relatively common and likely to have a significant impact on quality of life and functioning which, in the context of elite sport, includes a potential negative impact on sporting performance. For this narrative review article, the literature on bipolar and psychotic disorders in elite athletes was comprehensively searched, and little empirical research was found. A diagnosis of bipolar or psychotic disorders may be challenging in elite athletes because of complicating factors related to the modifying role of exercise and potential precipitating impact of substance use. Medications used to treat bipolar and psychotic disorders may have side effects particularly problematic for elite athletes. Future research should be tailored to the specific characteristics and needs of elite athletes and to the sporting context in which the disorders may arise. Specifically, further research is needed on the prevalence and incidence of these conditions in elite athletes and the impact of both the disorders and their treatments on sporting performance.

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“…In making sport-specific recommendations for pharmacological interventions, there are few data to guide treatment choice101 other than ‘careful individualised prescribing’ 102. This encompasses consideration of side effects that may negatively impact performance (eg, extrapyramidal motor side effects, sedation or weight gain) 101 102.…”

Section: Managing Acute Behavioural Disturbancementioning

confidence: 99%

Management of mental health emergencies in elite athletes: a narrative review

et al. 2019

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Mental health emergencies require a rapid, effective response. We searched the literature on mental health emergencies in athletes and found five papers. None of these addressed elite athletes. Nonetheless, common mental health emergencies may present in the sports environment and may place the athlete and others at risk. Sports teams and organisations should anticipate which emergencies are likely and how medical and support staff can best respond. Responses should be based on general non-sporting guidelines. We stress the importance of clinicians following standard procedures.

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Psychotropic drug prescribing

Cited by 14 publications

References 0 publications

Mental health in elite athletes: International Olympic Committee consensus statement (2019)

Mental health in elite athletes: International Olympic Committee consensus statement (2019)

Bipolar and psychotic disorders in elite athletes: a narrative review

Management of mental health emergencies in elite athletes: a narrative review

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