Psychiatry

Question 1

Drugs to treat bipolar disorder: mania?

Answer 1

1. Haloperidol, olanzapine, quetiapine or risperidone
2. Try one of the others above
3. Add lithium (sodium val if not tolerated)

Question 2

Drugs to treat bipolar disorder: depression?

Answer 2

Quetiapine
 or
Fluoxetine with olanzapine
 or
Olanzapine
 or
Lamotrigine

Question 3

Treatment of Alzheimer’s disease?

Answer 3

Mild/moderate:
Supportive rx and acetylcholinesterase inhibitor (donepezil, galantamine, rivastigmine)
or memantine if others not tolerated

Severe:
Supportive rx and memantine