bipolar Flashcards

drugs

1
Q

Anti-mania

A

lithium

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2
Q

lithium

A

The therapeutic index for lithium is small, and plasma titers of Li+ must be carefully monitored
Adverse effects-
GI irritation, hand tremor, muscular weakness, polyuria, thirst, dry mouth, sleepiness, lethargy, cold feeling, hair loss, and impotence
Sodium-restricted diets → ⇑ renal retention of lithium
Thiazide diuretics → ⇑ renal retention of lithium

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3
Q

Dental Complications of Schizophrenia and Bipolar Disorder

A

Antipsychotics cause extrapyramidal symptoms
Clozapine ⇢ agranulocytosis ⇢ oral candidiasis
Clozapine ⇢ hyper salivation = problem for dental procedures
Lithium for bipolar disease ⇢ xerostomia ⇢ ⇑ dental caries
NSAIDs ⇢ ⇩ renal excretion of lithium ⇢ systemic toxicity
Lithium ⇢ a metallic taste that can alter the palatability of food

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