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Psychopharmacology with Co-Morbid Medical Impairment
Psychopharmacology with Cardiac Impairment
Prescribe psychiatric medications safely in the patient whose heart is already compromised.
Every psychotropic decision in a cardiac patient runs through a few questions: will this prolong the QT, weaken the pump, stack bleeding risk, or drop the standing pressure? This course answers them — drug by drug and condition by condition — as a fast, evidence-based, point-of-care reference, not an academic survey.
How to Use This Course
Start with the free 5-Minute Framework to lock in the thresholds, the additive-risk principle, and the electrolyte targets that everything else builds on. From there, jump straight to whatever you're facing — the drug class you're about to prescribe, or the cardiac condition the patient already has.
The chapters are built for the point of care: a bottom-line-up-front box, risk tables with color-coded pills, dosing and ECG rules, copy-paste EMR templates, and a plain-language patient script in every chapter. When you just need the answer fast, the Cardiac Safety Quick-Reference Table puts every agent on one screen.
The Goal
Prescribe psychiatric medications in a cardiac patient with the same confidence you bring to a structurally normal heart — quickly, from the evidence, and at the bedside.
QTc Prolongation: The 5-Minute Framework
The thresholds, the additive-risk principle, and the electrolyte targets that anchor every other chapter — in five minutes.
Read the framework →Antidepressants & QTc
Which antidepressants are safe, which carry real QT risk, the citalopram caps, and where the indirect (CYP) traps hide.
Read the chapter →Unlock the full course with Academy membership
Two chapters are free. Membership opens the other eleven — every drug class, the dangerous-combination logic, the monitoring algorithm, the quick-reference table, and the four condition-based chapters.
- All 13 cardiac-safety chapters
- The full Quick-Reference Table
- EMR templates & patient scripts
- Every other Academy course & series
Cancel anytime · Built for psychiatrists, residents, PCPs, NPs, PAs & pharmacists
Start Here: The QTc Framework
QT Risk by Drug Class
Beyond QTc — Other Cardiac Risks by Class
Combinations, Monitoring & Management
Quick Reference & Clinical Tools
Beyond QTc: Prescribing in Cardiac Disease