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07 - Chapter 2 Bipolar disorder

01 - Lithium

Lithium

02 - Mechanism of action

Mechanism of action

03 - Clinical indications

Clinical indications The Maudsley® Prescribing Guidelines in Psychiatry, Fifteenth Edition. David...

04 - Lithium and suicide

Lithium and suicide

05 - Plasma levels

Plasma levels Bipolar disorder CHAPTER 2 Prophylaxis of unipolar depression Lithium is significan...

06 - Formulations

Formulations

07 - Adverse effects

Adverse effects

08 - Lithium toxicity

Lithium toxicity 282 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2 Formulations Th...

09 - Pre treatment tests

Pre-treatment tests

10 - On treatment monitoring12,58

On-treatment monitoring12,58

11 - Discontinuation

Discontinuation Bipolar disorder CHAPTER 2 Above 2mmol/L, increased disorientation and seizures u...

12 - Interactions with other drugs7072

Interactions with other drugs70–72 284 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER...

13 - References

References 286 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2 fenbufen, fenoprofen,...

14 - Valproate

Valproate

15 - Mechanism of action1

Mechanism of action1

16 - Formulations

Formulations

17 - Indications

Indications Bipolar disorder CHAPTER 2 Valproate Mechanism of action1 Valproate is a simple branc...

18 - Plasma levels

Plasma levels 290 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2 less effective but...

19 - Adverse effects

Adverse effects

20 - Pre treatment tests

Pre-treatment tests

21 - On treatment monitoring

On-treatment monitoring

22 - Discontinuation

Discontinuation Bipolar disorder CHAPTER 2 Adverse effects Valproate can cause both gastric irrit...

23 - Use in women of child bearing age

Use in women of child-bearing age

24 - Interactions with other drugs

Interactions with other drugs 292 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2 Us...

25 - References

References Bipolar disorder CHAPTER 2 References Rosenberg G. The mechanisms of action of valpro...

26 - Carbamazepine

Carbamazepine

27 - Mechanism of action1

Mechanism of action1

28 - Formulations

Formulations

29 - Indications

Indications Bipolar disorder CHAPTER 2 Carbamazepine Mechanism of action1 Carbamazepine blocks vo...

30 - Plasma levels

Plasma levels

31 - Adverse effects1

Adverse effects1 296 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2 considered to b...

32 - Pre treatment tests

Pre-treatment tests

33 - On treatment monitoring

On-treatment monitoring

34 - Discontinuation

Discontinuation

35 - Use in women of child bearing age

Use in women of child-bearing age

36 - Interactions with other drugs4144

Interactions with other drugs41–44 Bipolar disorder CHAPTER 2 and a specificity approaching 100% ...

37 - References

References 298 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2 resulting in treatmen...

38 - Antipsychotic drugs in bipolar disorder

Antipsychotic drugs in bipolar disorder

39 - First generation antipsychotics

First-generation antipsychotics

40 - Second generation antipsychotics

Second-generation antipsychotics 300 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2...

41 - Specific antipsychotics

Specific antipsychotics Bipolar disorder CHAPTER 2 Bipolar depression In acute treatment of bipol...

42 - References

References Bipolar disorder CHAPTER 2 References ECNP. Neuroscience-­based nomenclature (NbN). 2...

43 - Antipsychotic long acting injections in bipol

Antipsychotic long-acting injections in bipolar disorder Bipolar disorder CHAPTER 2 Antipsychotic...

44 - Conclusion

Conclusion 306 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2 neither decreases nor...

45 - References

References Bipolar disorder CHAPTER 2 References Keramatian K, et al. Long-­acting injectable se...

46 - Physical monitoring for people with bipolar d

Physical monitoring for people with bipolar disorder1,2 Physical monitoring for people with bipol...

47 - References

References Prolactin Children and adolescents only At start and if symptoms of raised prolactin d...

48 - Treatment of acute mania or hypomania

Treatment of acute mania or hypomania 310 The Maudsley® Prescribing Guidelines in Psychiatry CHAP...

49 - References

References 312 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2 References Cipriani ...

50 - Rapid cycling bipolar affective disorder

Rapid-cycling bipolar affective disorder 316 The Maudsley® Prescribing Guidelines in Psychiatry C...

51 - References

References Bipolar disorder CHAPTER 2 References Miola A, et al. Prevalence and outcomes of rapi...

52 - Bipolar depression

Bipolar depression

53 - Meta analysis in bipolar depression

Meta-analysis in bipolar depression Bipolar disorder CHAPTER 2 Bipolar depression Bipolar depress...

54 - Summary of drug choice

Summary of drug choice

55 - References

References 322 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2 Summary of drug choic...

56 - Prophylaxis in bipolar disorder

Prophylaxis in bipolar disorder 326 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2 ...

57 - Optimising lithium treatment45

Optimising lithium treatment45

58 - Combination treatment

Combination treatment Bipolar disorder CHAPTER 2 risperidone LAI is well supported by RCTs39 and ...

59 - References

References Bipolar disorder CHAPTER 2 References Malhi GS, et al. The 2020 Royal Australian and ...

60 - Stopping lithium and mood stabilisers

Stopping lithium and mood stabilisers

61 - Rationale for stopping

Rationale for stopping

62 - Withdrawal effects from lithium and other moo

Withdrawal effects from lithium and other mood stabilisers Bipolar disorder CHAPTER 2 Stopping li...

63 - Evidence for long term treatment

Evidence for long-term treatment

64 - Duration of tapering

Duration of tapering

65 - Pattern of tapering

Pattern of tapering 332 The Maudsley® Prescribing Guidelines in Psychiatry CHAPTER 2 Evidence for...

66 - Practice guide to tapering

Practice guide to tapering

67 - References

References Bipolar disorder CHAPTER 2 Practice guide to tapering ■ ■Patients should be told that ...