LAST MINUTE BIPOLAR DISORDER Flashcards
name this bipolar disorder:
at least one manic episode which may have been preceded by and may be followed by hypomanic or major depressive episode
1
name this bipolar disorder:
at least one hypomanic episode and a current or past major depressive episode
2
distinct period of abnormally and persistently elevated, expansive and irritable mood lasting at least 1 week
inflated self esteem
decreased need for sleep more talkative
manic episode
distinct period of elevated, irritable mood loading at 4 days that is different from the usual non depressed mood:
inflated self esteem
decreased need for sleep more talkative
hypomanic episode
name this med for BPD:
acute mania
acute bipolar depression
maintenance of BPD I and II
monotherapy or in combination with anticonvulsant or antipsychotic
works best for BPD I
*limited by tolerability and safety
lithium
what increases serum lithium?
diuretics
ace inhibitors
NSAIDs
*decreases renal eliminatio
time for lithium to take effect?
1-2 weeks for
6-8 weeks for
antimanic
antidepressants
name this class of med for BPD:
mood stabilizing drugs that reduce manic and depressive episodes
drug:
divalproex
carbamazepine
-acute and maintenance
lamotrigine
-maintanence
anticonvulsants
name this anticonvulsant:
hepatits, pancreatitis, teratogenicity toxicity
divalproex
name this anticonvulsant:
SJS and TENS, hemolytic anemia
carbamazepine
name this anticonvulsant:
SJS and TENS
Lamotrigine
name this class of drug
useful for acute or mixed mania episodes
bridge therapy
antipsychotics
useful for acute treatment of mania and hypomania
helpful for agitation, insomnia, hyperactivity
not effective at core symptoms or prevention of relapse
long term therapy is not recommended
BZD
controversial leads to potential for switching to manic phase like in BPD I
not to be used for BPD if symptoms of mania also present
not to be used as mono therapy
considered 3rd line
if used SSRIs and bupropion preferred
antidepressants
