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Old Versus New Medications: How Much Should Be Taught?

Dr. Jefferson is with Madison Institute of Medicine, Inc., Madison, Wisconsin and Clinical Professor of Psychiatry at the University of Wisconsin Medical School, Madison, Wisconsin. Address correspondence to Dr. Jefferson, Healthcare Technology Systems, 7617 Mineral Point Rd., Madison, WI 03717; jjefferson{at}healthtechsys.com (E-mail). Copyright © 2005 Academic Psychiatry.

OBJECTIVE: To address the issue of how much psychiatric residents should be taught about older medications. METHODS: Selective use of the literature, including historical overview, was employed to compare and contrast old and newer generation medications. RESULTS: While many old drugs are truly antiquated, medications such as typical antipsychotics, tricyclic and monoamine oxidase antidepressants, and lithium should remain integral parts of a psychopharmacology teaching program. CONCLUSION: A proper blending of knowledge about older and newer medications and the use of older and newer medications is in the best interest of patients in need of psychopharmcotherapy.

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