Condensed Psychopharmacology 2013

This is a 2013 pocket guide of psychopharmacology. It is intended to serve as a quick resource for health care professionals and students whom have involvement with psychiatric medications and patients. It serves to give the clinician a foothold in an environment that differs from other experiences in medicine, with differing terminology and disease states. More

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About Leonard Rappa

Dr. Rappa received his Doctor of Pharmacy degree (with honors) in 1995 from Nova Southeastern University, and subsequently became their first Psychopharmacology resident from 1995-1996. After completion of his residency, he moved to Sarasota, Florida to become Sarasota Memorial’s Psychiatric Pharmacy Specialist. In December of 1998, he returned to South Florida to assume a full-time faculty position with Florida A&M University’s Miami Campus, College of Pharmacy. At that time, he established a practice site at Memorial Regional Hospital in Hollywood, Florida teaching sixth year doctoral students on their Psychiatry Pharmacy clinical clerkship rotation. At Memorial, he has integrated himself and the students well into the non-teaching environment, making the milieu very open to a pseudo-teaching atmosphere. He has consistently exceeded his student teaching capacity and in 2000, 2004, 2008, 2010 and 2011 was awarded FAMU COPPS Teacher of the Year for the Miami/South Florida Division. In 2004, he was awarded the Florida A&M University Service Award and in 2004 and 2005 received two Memorial Hospital Lifesaver Awards.

Dr. Rappa’s activities in the Behavioral Health Department at Memorial include attending twice weekly treatment team meetings on each of the four psychiatric units. His students review all patients’ medications for each treatment team meeting and make inquiries as needed. In addition, Dr. Rappa frequently provides drug therapy recommendations to prescribers in reference to alternative medications, drug interactions, side effects, monitoring, cost containment, polypharmacy, and dosing.

Other activities performed by Dr. Rappa are: Staff education via inservices, continuing education, answering individual medication questions, physician-ordered Psychopharmacology Consultations on patients, (ie. pain management, treatment-resistance cases, difficult patients), and Guardian Advocate services for patients without ability to give informed consent. Dr. Rappa also provides the staff with computer assistance, as he is very proficient in this area. For the South Florida Instructional Site, he maintains the technological infrastructure.

Dr. Rappa and his students have also conducted Drug Use Evaluations, outcomes research and survey research with the purpose of improving patient care and expanding clinical knowledge. To date, Dr. Rappa has published several articles and is working on several more. He has also published his lecture book, an interactive computer CD, and his own Psychiatric Pharmacy handbook.

McKee B, Larose-Pierre M, and Rappa L. A survey of community pharmacists and 6th year student pharmacists and their perception of psychotherapeutic medications. Submitted to the Journal of the American Pharmaceutical Association. August 2012.
Rappa L, Condensed Psychopharmacology 2011. 36 color pages. ISBN 9780982535035. Published by Rxpsych LLC.
Rappa L, Hill AM, Sherwood-Jachimowicz DA. Psychiatric Medication Pearls. Booklet. 24 color pages. 2009. ISBN-13 identifier: 978-0-9825350-2-8. ISBN-10 identifier: 0982535023.
Rappa L. Dr. Rappa's Psychiatric Pharmacy CD. 2009. ISBN-13 identifier: 978-0-9825350-0-4. ISBN-10 identifier: 0982535007. Contains 8 audio lectures, one PowerPoint lecture, and a short video, as well as software that enables converting the MP3 lectures to Audio CD format.
Rappa L and Sherwood D. Psychopharmacology Lecture Book. 2009. 93 pages. Color. ISBN-13 identifier: 978-0-9825350-1-1. ISBN-10 Identifier: 0982535015. A fully indexed lecture book containing 15 chapters of lectures on various psychiatric illnesses and treatments.
Lewis K, Rappa LR, Sherwood-Jachimowicz DA, and Larose-Pierre M. Aripiprazole for the Treatment of Adolescent Tourette’s Syndrome: A Case Report. Journal of Pharmacy Practice 2010;23(3):239-244. DOI: 10.1177/0897190009358771
Rappa LR and Lewis K. Abstract. Aripiprazole for the Treatment of Adolescent Tourette’s Syndrome: A Case Report. J Pharmacy Practice 2009;22(2):262-3.
Rappa LR, McDonald C, Massey AJ, Singh AC, and Larose-Pierre M. “Integrating Innovative Technologies into a Psychiatric Pharmacy Clerkship Rotation”. J Pharmacy Practice 2006:19;6:386-394.
Singh AC, Massey AJ, Thompson MD, Rappa LR, and Honeywell MS. “Addressing Non-Adherence in the Schizophrenic Population” J Pharmacy Practice 2006:19;6:361-368.
Rappa L, Eraikhuemen N, Larose-Pierre M. “Vancomycin Resistance: Means of Prevention, Control, and Treatment Revisited.” Formulary, October 2004;39:490-504.
Rappa LR, Larose-Pierre M, Payne DR, Eraikhuemen NE, Lanes DM, and Kearson ML. “Detoxification from high dose zolpidem using diazepam” – Ann Pharmacother, April 2004; 38: 590-594. DOI 10.1345/aph.1D339.
Larose-Pierre M, Scrivens JJ, Norwood D, and Rappa L. “Necrotizing Fasciitis Caused by Group A Streptococcus: Case Report and Therapy Update”. J Pharmacy Practice, June 2002 (15.3):290-6.
Rappa L, Branch E, Iglesias A, Norwood D, Simon WA, and Larose-Pierre M. “Desperately Seeking Serendipity: The Past, Present and Future of Antidepressant Therapies”. J Pharmacy Practice, Dec. 2001(14):560-569.
Lacknauth S, Patel R, Rappa L, and Branch E. “Metformin/Glyburide Combination Therapy for Type 2 Diabetes”. Pharmacy and Therapeutics 2001;26(5):268-72.
Rappa L. “Approaches in Preventing Medication Errors in Your Practice”. 2 Live Internet Continuing Education Credits. Downloadable article and audio script published by CEonCD with an unrestricted educational grant at on December 6, 2000.
Rappa L. “Current Concepts in the Management of Acute and Chronic Pain”. 1 Live Internet Continuing Education Credit. Downloadable article and audio script published by CEonCD with an unrestricted educational grant at on December 6, 2000.
Rappa L. “Anxiety and Depression: Physical and Emotional Triggers and Current Medicinal Treatments”. 1 Live Internet Continuing Education Credit. Downloadable article and audio script published by CEonCD with an unrestricted educational grant at on December 6, 2000.


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