Notes file ( تنويت على ملف النوت ) -1-3.pdf

Bipolar: Acute: Fam A. Manic: Valproate or Lithium + Antipsychotic MEE ist B. Bipolar: Lithium or lamotrigine Also Lurasidone, Olanzapine / fluoxetine Maintenance: atypical antipsychotics....

Bipolar: Acute: Fam A. Manic: Valproate or Lithium + Antipsychotic MEE ist B. Bipolar: Lithium or lamotrigine Also Lurasidone, Olanzapine / fluoxetine Maintenance: atypical antipsychotics. nd A. Manic: Lithium +/- 2 generation of Antipsychotic (SGA) B. Bipolar: Lamotrigine Pregnant: Lurasidone, Lamotrigine, Levetiracetam Lithium: Mood-Stabilizer SE: Tremor, GI, edema, hypothyroidism Cause: decrease Crcl, increase BUN à renal impairment Toxicity: decreasing Na+ like (ACE-I, Diuretic) Bloodtnitrogen Monitoring: 30 min before dose, drawn 8-12 hours post dose, # Monitor renal and thyroid every 6-12 months NOTE: # Be hydrate, Limit sun exposure ( # Take it with food to decrease nausea # Caution with driving and other heavy activities Treatment of convulsion due to lithium toxicity: Phenobarbital, propofol, BZDs O Treatment of lithium toxicity (antidote): Sodium polystyrene sulfonate, NaHco3 -------- Dong