Medication therapies: Bipolar

What will be an ideal response?


Lithium carbonate
Effective for controlling manic and depressive Sx
Maintenance Tx helps prevent relapse
Side effects: high plasma concentrations poisonious

Adherence problems because ...
symptoms gone ... "don't need anymore"
annoyed by side-effects of Rx
miss the "fun" of manic highs

Implications: may increase likelihood of relapse by > 20 times

In addition to lithium:
Other mood stabilizers (examples include):
divalproex (Depakote), carbamazepine (Tegretol)
quetiaping (Seroquel)
Antipsychotic medications

Concern that antidepressants may "kindle" manic symptoms

Psychology

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