Friday, October 28, 2016

Step 2 CK: Treatment of bipolar disorder

For acute maniac episode:
Give antipsychotic (preferably IM) like Olanzapine, Haloperidol first because they act fast.

Long term treatment for Bipolar disorder: Mood stabilizer like lithium.

If patient is on mood stabilizer and presents with maniac episode: Give antipsychotic.

For patients who have a history of multiple recurrences or have a partial but inadequate response to a maintenance drug that is tolerated, add a second drug:

Common combinations include lithium or valproate:
- Plus  a second-generation antipsychotic, such as quetiapine, long-acting injectable risperidone, ziprasidone, or olanzapine
- Lamotrigine
- Carbamazepine

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