Bipolar Disorder - Free CE Continuing Education online pharmacy ...

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Treatment AlgorithmPediatric Mania/MixedPsychosisNoresponseLi, VPA or CBZOr SGAnoSome responseyesLi or VPA or CBZ+SGASwitch(monotherapy)Li+VPA orLi+ SGA orVPA+ SGASome responseLi+VPA+SGAOr Li+CBZ+SGASome responseLi+VPA+SGA orLi+CBZ+SGAKowatch, RA, et al, J.Am.Acad.Child.Adol.Psych, 44(3):213-223, 2005SGA: Olanzapine, Risperidone, QuetiapineVPA: Valproic AcidCBZ: CarbamazepineLi: Lithium
Treatment Algorithm:Depressive Symptoms• Add lithium, buproprion or SSRI tomood stabilizer• Consider lamotrigine
Page 5 and 6: The Case of Nikki• 8 years old•
Page 7 and 8: Epidemiology• 2/3 affected have c
Page 9 and 10: What is Classic Bipolar?• “Mani
Page 11 and 12: DSM Criteria for Bipolar ID.O.• M
Page 13 and 14: What is CyclothymicDisorder?• 2 y
Page 15 and 16: What is Hypomania?• Like mania, j
Page 17 and 18: Bipolar Depression• Earlier onset
Page 19 and 20: Task ForceRecommendations• Intern
Page 21 and 22: Pediatric Bipolar =Bipolar N.O.S.?
Page 23 and 24: Diagnostic Conundrum• Many youth
Page 25 and 26: Controversy Continues28%35%>18 yr
Page 27 and 28: Course of Disease inChildren and Ad
Page 29 and 30: Comorbid Conditions• ADHD• Anxi
Page 31 and 32: Other Disorders 1° 1• ADHD: 23%
Page 33 and 34: Neuroimaging Findings• Nonspecifi
Page 35 and 36: Treatment ApproachesAcute phase:•
Page 37 and 38: Treatment Goals• Assess and treat
Page 39 and 40: Now, let’s s get to the meds• L
Page 41 and 42: Lithium (Eskalith,Lithobid)Side eff
Page 43 and 44: Valproate (Depakote)Side effects:
Page 45 and 46: Carbamazepine (Tegretol)Side effect
Page 47 and 48: LamotrigineSide effects:• Ataxia
Page 49 and 50: Risperidone (Risperdal)• 1993•
Page 51 and 52: Quetiapine (Seroquel)• 300-800 mg
Page 53 and 54: Aripiprazole (Abilify)• 10-30mg d
Page 55: FDA Approved Medicationsfor Pediatr
Page 59 and 60: Long term Maintenance• Use what w
Page 61 and 62: References• Diagnostic and Statis

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