Mood Stabilizers

Question 1

Lithium Dosing (acute)

Answer 1

1200 to 2400 mg daily

Question 2

Lithium SE

Answer 2

Nausea, fine hand tremors, increased urination and thirst

Question 3

Lithium toxicity symptoms

Answer 3

slurred speech, confusion, severe GI effects

Question 4

Lithium therapeutic rage

Answer 4

0. 6 to 1.2 (maintenance)

0. 8 to 1.2 (acute)

Question 5

Lithium maintenance dosing

Answer 5

900 to 1200 mg a day

Question 6

Lithium need to know

Answer 6

concurrent use of NSAID and Ace inhibitor will double lithium levels

Question 7

Valproic Acid (Depakote) Dosing

Answer 7

15 to 40 mg/kg day

Question 8

Depakote SE

Answer 8

nausea, dizziness, Abd cramps, sedation, tremor

Question 9

Depakote dangerous SE

Answer 9

Stevens Johnson syndrome

Question 10

Depakote is more effective than lithium for

Answer 10

rapid cycling and mixed bipolar

Question 11

Lamotrigine (Lamictal) dose

Answer 11

25 - 600 mg a day

Question 12

Depakote therapeutic plasma level

Answer 12

50 to 125 mcg/ml

Question 13

Depakote loading dose

Answer 13

20 mg/kg

Question 14

Lamotrigine SE

Answer 14

dizziness, ataxia, somnolence, diplopia, nausea, headache, hepatotoxicity

Question 15

Lamotrigine rare SE

Answer 15

life-threatening rash, including Stevens Johnson syndrome)

Question 16

Lamotrigine is often used in combination with

Answer 16

lithium, 2nd gen antipsychotic, and antidepressants

Question 17

Lamotrigine needs to be

Answer 17

titrated slowly