Waco Guide- Psychopharmacology

iOS Universel / Medecine

The Waco Guide to Psychopharmacology in Primary Care is a tool developed by faculty of the Waco Family Medicine Residency, in consultation with faculty of MGH Visiting through the Division of Professional and Public Education in the Department of Psychiatry, affiliated with Harvard Medical School

Tools combine top-level evidence and expert opinion from world-renowned psychiatrists with primary care expertise from one of the nation’s premier family medicine training programs.

This resource is ideal for primary care clinicians, including physicians, nurse practitioners, and physician assistants, as well as integrated behavioral health providers.

The tools succinctly reflect standard and advanced primary care mental health practices and psychopharmacology for:
• Adult
• Pediatric & Adolescent
• Geriatric
• Perinatal and Women’s Mental Health
• Substance Use Disorders

Special Population considerations offering individually tailored pharmacotherapy recommendations include:
• Obesity
• Cardiac Impairment
• Renal Impairment
• Hepatic Impairment
• Geriatric

Why use The Waco Guide?
• High-yield, evidence-based psychopharmacology
• In office usability at the point-of-care to enhance medical decision making
• Common language and framework for integrated and collaborative care practices
• Tools account for cost and medication availability
• Titration schedules, monitoring recommendations, and a list of side effects accompany each tool

Treatment recommendations for the following disorders:

Adult:
• Major Depressive Disorder
• Anxiety Disorders— Panic Disorder, Generalized Anxiety Disorder, Social Anxiety Disorder
• Bipolar Disorder
• Posttraumatic Stress Disorder
• Acute and Chronic Insomnia
• Schizophrenia Spectrum and Other Psychotic Disorders
• Acute Stress Disorder
• Anorexia Nervosa
• Antipsychotic Side Effect Management
• Binge Eating Disorder
• Bulimia Nervosa
• Fibromyalgia
• Intermittent Explosive Disorder
• Neuropsychiatric Dementia
• Obsessive-Compulsive Disorder
• Tobacco Use Disorder
• ADHD

Pediatric & Adolescent Decision Support Tools
• ADHD
• Depression
• Generalized anxiety
• Bipolar disorder
• Psychosis
• Anorexia Nervosa
• Binge Eating
• Bulimia Nervosa
• Autism Spectrum Disorder
• Opioid Use Disorder


Perinatal (Preconception, Antepartum, and Postpartum)/Women’s Mental Health:
• Sexual Interest/Arousal Disorder
• Obsessive Compulsive Disorder
• Premenstrual Dysphoric Disorder
• SSRI-Induced Sexual Dysfunction
• Antepartum Tobacco Use Disorder

Substance Use Disorders:
• Alcohol Use Disorder
• Antepartum Alcohol Use Disorder
• Tobacco Use Disorder
• Benzodiazepine Deprescribing
• Opioid Use Disorder
• Stimulant Use Disorder

The decision support tools included are designed to be informational and to reflect current accepted practices at the time of publication. These tools are not intended to replace professional medical judgment or treatment of specific conditions. Heart of Texas Community Health Center (dba Waco Family Medicine) and the authors accept no responsibility for any damages, obligations, losses, liabilities, costs or expenses arising from use of the decision support tools contained herein. By using this app, you acknowledge that you have reviewed the above and accept these terms.

Quoi de neuf dans la dernière version ?

Strength of Recommendation (SOR) Now Available
View Strength of Recommendation details directly in the app. SORT tables are now displayed in-app (no PDFs), with clearer layout and improved readability.

Medication Switching & Discontinuation Updates
A new Discontinuation tool has been added alongside Switching. Easily toggle between switching and discontinuation for antidepressants and mood stabilizers. Improved accuracy and clearer medication states.

Expanded Clinical Content
• New Binge Eating (Adolescent) and Bulimia (Adolescent) content.
• Updates to Depressive Disorder (including multiple subtypes), Autism, Alcohol Use Disorder (antepartum), and Antipsychotic Management.
• Expanded and refreshed SORT tables across many disorders.
• Medication updates, including search by brand name.

Performance & Stability Improvements
• Fixed medication switching issues and content-related crashes.
• Improved error reporting and diagnostic support.