Bipolar guidelines Flashcards
First-line psychological treatment for maintenance for bipolar disorder
Psychoeducation
Second-line psychological treatment for bipolar disorder maintenance
CBT and FFT (family-focused therapy)
Third-line psychological treatment for bipolar disorder maintenance
IPSRT and Peer support
First-line psychological treatment for bipolar disorder depression
NONE !
Second-line psychological treatment for bipolar disorder depression
CBT and FFT
Third-line psychological treatment for bipolar disorder depression
IPSRT
First-line monotherapies for acute mania
1) Lithium
2) Quetiapine
3) Divalproex
4) Asenapine
5) Aripiprazole
6) Paliperidone
7) Risperidone
8) Cariprazine
First-line combination therapy for acute mania
1) Quetiapine + Li/DVP
2) Aripiprazole + Li/DVP
3) Risperidone + Li/DVP
4) Asenapine + Li/DVP
Second-line combination (?) therapies for acute mania
1) Olanzapine
2) Carbamazepine
3) Olanzapine + Li/DVP
4) Lithium + DVP
5) Ziprasidone
6) Haloperidol
7) ECT
First-line treatments for bipolar 1 depression
1) Quetiapine
2) Lurasidone + Li/DVP
3) Lithium
4) Lamotrigine
5) Lurasidone
6) Lamotrigine (adj.)
Second-line treatments for bipolar 1 depression
1) Divaloproex
2) SSRIs/buproprion (adj)
3) ECT
4) Cariprazine
5) Olanzapine-fluoxetine
Not recommended for bipolar 1 depression
- Antidepressant monotherapy
- Aripiprazole
- Lamotrigine + folic acid
- Mifepristone (adj)
** Ziprasidone mono and augmentation (level 1) in the text
First-line treatment for maintenance BAD 1
1) Lithium
2) Quetiapine
3) Divaloproex
4) Lamotrigine
5) Asenapine
6) Quetiapine + Li/DVP
7) Aripiprazole + Li/DVP
8) Aripiprazole
9) Aripiprazole OM (once monthly)
Second-line treatment for maintenance BAD 1
- Olanzapine
- Risperidone LAI
- Risperidone LAI (adj)
- Carbamazepine
- Paliperidone (>6 mg)
- Lurasione + Li/DVP
- Ziprasidone + Li/DVP
First-line treatment for bipolar II depression
- Quetiapine
Second-line treatment for bipolar II depression
- Lithium
- Lamotrigine
- Buproprion (adj)
- Sertraline
- Venlafaxine
- ECT
Not recommended treatment for bipolar II depression
- Paroxetine
First-line maintenance bipolar II disorder
- Quetiapine
- Lithium
- Lamotrigine
Second-line maintenance for bipolar II
- Venlafaxine