Knebel Knotes provides a quick reference for prescribing most psychiatric medications. It focuses on key information each medication is known for, to help support clinical practice and facilitate learning. Drug classes included are: antipsychotics (typical and atypical) antidepressants (SSRIs, SNRIs, TCAs, MAOIs, and atypicals). Mood stabilizers anxiolytics/sedatives, ADHD medications, cognitive enhancers, addictions medications, side effect medication). Key information provided includes: indications, dosing (initial, range, max), side effects, severe effects, black box warnings, and drug class comparison(for example equivalencies). Additional references include short-acting injectables, long-acting injectables and common PRNs
I have had the opportunity to use the App “Knebel Knotes” for the past 2 months. Overall, I feel the app is very well organized with a very intuitive and user-friendly interface. As a PGY 5 Psychiatry resident it has been a useful and easy to access reference compared to other sources I have often referred to throughout my training. As I am preparing for my Royal College examinations, I also appreciate the guideline based and up to date information found in this application. Of the resources I have used during my training this is one of the more comprehensive ones. As many of our medications have multiple uses it is helpful to see not just the prescribing information for a specific medication but also indications and level of evidence for other disorders. I appreciate the notification of important information such as black box warnings and the ability to compare side effect profiles of some of the medication classes, which helps aid in selecting an appropriate agent with patients.
A comparative psychotropic reference is the “yellow card”. I have used the Yellow Card on and off throughout residency. For me, one of the downsides of the yellow card is the delivery format (being paper based). This often made me less likely to use it as it is often easier to use a digital platform. The yellow card does have some information that is not included in Knebel Knotes which are beneficial sections as a learner. These sections include; Psychotropic emergencies, Serious psychotropic drug interactions, Switching general guide, Alcohol withdrawal and Cytochrome P450 Interactions. The Yellow Card also provides tablet strength/form supplied, which I feel is helpful as a senior learner or staff compared to a medical student or junior learner. As a learner and soon to be newly practicing psychiatrist, if I were to choose a psychotropic reference, my preference would be to use Knebel Knotes. As highlighted above I appreciate its accessibility via an app-based platform, the ability to search for specific medications, inclusion of critical information such as black box warnings and indications for use.
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