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Bipolar Disorder
Overview
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04/11/2013

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Term
mortality is high (highest of any disease)
Definition
bipolar disorder
Term
one or more manic episodes; no depression required, but frequently occurs
Definition
Bipolar I
Term
hypomania; one or more depressive episodes; without psychosis
Definition
Bipolar II
Term
hypomanic episodes and without major depression; low grade cycling which interferes with functioning
Definition
Cyclothymia
Term
diagnosis doesn't fit in other subtypes; significantly impair and adversely affect quality of life
Definition
Bipolar NOS
Term
Used primarily in maintenance
Definition
mood stabilizers
Term
considered drug of choice in treating patinets with "pure" mania
Definition
Lithium (eskalith, lithobid)
Term
MOA: nature of action uncertain; appears to alter cation transport across cell membrane; influences uptake of serotonin and/or norepinephrine
Definition
Lithium
Term
tremors, polydipsia, polyuria, nausea, diarrhea; weight gain, decrease memory, confusion; hypothyroidism, transient leukocytosis; teratogenic risk
Definition
Lithium
Term
particularly effective in patients who rapid cycle, mixed episodes, schizoaffective; used also in seizure control; used in patients with behavior problems as result of organic brain disease; head injuries
Definition
Valproate (Depakote)
Term
exact MOA unknown; may cuase increase availability of GABA to neurons of the brain; may mimic action of GABA at postsynaptic receptor sites
Definition
valproate (Depakote)
Term
nausea, tremors, weight gain; lethargy, alopecia; benign increase in liver function tests; rare: hepatotoxicity, agranulocytosis, pancreatitis
Definition
Valproate adverse effects
Term
is structurally similar to imipramine, tricyclic antidepressant; used to treat seizure disorders and trigeminal neuralgia; is used in schizoaffective disorders; has properties of muscle relaxant, antidiuretic, antiarrhythmic, anticholinergic
Definition
Carbamazepine (Tegretol)
Term
MOA not really understood; effects may be due to stabilizations of sodium channels on neurons
Definition
Carbamazepine (Tegretol)
Term
nausea, sedation, dizziness, elevated liver function tests
Definition
Carbamazepine adverse effects)
Term
use in partial seizures; used in bipolar
Definition
Oxcarbazepine (Trileptal)
Term
hyponatremia, steven-johnson syndrome, thrombocytopenia, leucopenia; dizziness, somnolence, diplopia, fatigue; nausea, confusion, nervousness
Definition
Oxcarbazepine adverse effects
Term
primary use is for adjunctive treatment of partial seizures in adults with epilepsy; no problems with wt. gain, tremors, or memory deficit; may be effective as antidepressant
Definition
Lamotrigine (Lamictal)
Term
acts on sodium channels to stabilizer neuronal membranes, therefore, inhibiting transmitter release of glutamate
Definition
Lamotrigine (Lamictal)
Term
nausea nad vomiting, dizziness, ataxia, blurred vision; skin rash, severe Steven-Johnson Syndrome (may be fatal)
Definition
Lamotrigine (Lamictal) adverse effects
Term
nightmares or dreams may become more vivid; literature shows taper up to 13 mg
Definition
Prazosin
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