Mood Stabilizers Flashcards
Lithium
Mood stabilizer
Valproid acid
Mood stabilizer
Carbamazepine
Mood stabilizer
Oxcarbazepine
Mood stabilizer
Lamotrigine
Mood stabilizer
Gabapentin
Mood stabilizer
Topiramate
Mood stabilizer
Monitor ___________ and __________ when on lithium
Renal and thyroid function
Chronic lithium use can lead to
Hypothyroidism and nephrotoxicity
Lithium has a __________ therapeutic window
Narrow
Lithium toxicity
Coarse tremor, ataxia
First line agent for acute mania. Effective in rapid cyclers (4 or more episodes per year)
Valproic acid
Avoid valproic acid because
Teratogenic
Do not use in hepatitis or cirrhosis (liver issues)
Valproic acid
Monitor platelets, LFTs, and serum drug levels
Valproic acid
Can cause bone marrow suppression (leading to life threatening aplastic anemia) and STevens Johnson
Carbamazepine
First line agents for bipolar depression
Lamotrigine or lithium
Associated with Stevens Johnson and toxic epidermal necrolysis
Lamotrigine