Mood Stabilisers

Question 1

What monitoring is required when prescribing lithium?

Answer 1

12 hour post-dose bloods

Question 2

What are the side effects of lithium?

Answer 2

dry mouth 
polydipsia 
tremor 
hypothyroidism 
nephrogenic insipidus diabetes

Question 3

What are the toxic effects of Lithium?

Answer 3

D+V
ataxia
course tremor
coma - fluctuating consciousness

Question 4

What else can be used as mood stabilisers?

Answer 4

Anti-convulsants

Anti-psychotics

Question 5

What are examples of anti-convulsants which can be used as mood stabiliers?

Answer 5

Vaproic Acid
Lamotrigine
Carbamezapine

Question 6

What are the side effects of Carbamezipine and Valproate?

Answer 6

drowsiness and ataxia

Question 7

What is the risk of taking valporate in pregnancy?

Answer 7

neural tube defects

Question 8

What is there a small risk of when taking Lamotrigine?

Answer 8

v small risk of Steven-Johnson Syndrome

Question 9

What are example of anti-psychotics which can be used as mood stabilisers?

Answer 9

Quetiapine
Aripriprazole
Olanzapine

Question 10

How do anti-psychotics work as mood stabilisers ?

Answer 10

Dopamine and 5HT antagonism

Question 11

What are the side effects of using anti-psychotics as mood stabilisers?

Answer 11

sedation

metabolic syndrome