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BIPOLAR

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. A 17 year old boy diagnosed with bipolar illness by tertiary services presents with first episode of mania. Choose a drug licensed for this indication.

Lamotrigine.

B.
Olanzapine

C.
Risperidone

D.
Sodium valproate

E.
Lithium

F.
Carbamazepine

G.
Gabapentin

H.
SSRIs

I.
Quetiapine

J.
ECT

ANS WAS LITHIUM.

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First line for Mania is Antipsychotics according to Maudsley 11. Olanzapine will be my answer to that question as that is more sedating compared to Risperidone.

If it is Prophylaxis, then it is Lithium which is first line. However according to recent Maudsley guidelines, Olanzapine and Quetiapine are also first line.

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First line for Mania is Antipsychotics according to Maudsley 11. Olanzapine will be my answer to that question as that is more sedating compared to Risperidone.

If it is Prophylaxis, then it is Lithium which is first line. However according to recent Maudsley guidelines, Olanzapine and Quetiapine are also first line.

agree

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Ans. should be Quetiapine.

In adolescents meds. which causes less wt gain should be prescribed.

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The answer is actually Lithium as rightly laid down by a course. It is actually based on licensing from BNF and NICE Guidelines. BNF does not mention or does not recommend use of Antipsychotics for adolescents. Among unlicensed medications both Quetiapine and Risperidone are good choices.

http://www.4shared.c...D7l/bnf_61.html

bnf 61.pdf - 4shared.com - document sharing - downloadwww.4shared.com/office/dRsruD7l/bnf_61.htmlShare7 Jun 2011 – bnf 61 - download at 4shared. bnf 61 is hosted at free file sharing service4shared. Online file hosting and sharing - 15 GB free to store and ...

http://www.nice.org....ickrefguide.pdf

Children and adolescents with bipolar disorder

The only drug with current UK marketing authorisation for bipolar disorder in patients younger than

18 years is lithium, which is licensed for those aged 12 and over. However, in 2000 the Royal College of

Paediatrics and Child Health stated that unlicensed medicines may be prescribed for children and

adolescents where there are no suitable alternatives and where the use is justified by a responsible

body of professional opinion.

Edited by Afterlife
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The answer is actually Lithium as rightly laid down by a course. It is actually based on licensing from BNF and NICE Guidelines. BNF does not mention or does not recommend use of Antipsychotics for adolescents. Among unlicensed medications both Quetiapine and Risperidone are good choices.

http://www.4shared.c...D7l/bnf_61.html

bnf 61.pdf - 4shared.com - document sharing - downloadwww.4shared.com/office/dRsruD7l/bnf_61.htmlShare7 Jun 2011 – bnf 61 - download at 4shared. bnf 61 is hosted at free file sharing service4shared. Online file hosting and sharing - 15 GB free to store and ...

http://www.nice.org....ickrefguide.pdf

Children and adolescents with bipolar disorder

The only drug with current UK marketing authorisation for bipolar disorder in patients younger than

18 years is lithium, which is licensed for those aged 12 and over. However, in 2000 the Royal College of

Paediatrics and Child Health stated that unlicensed medicines may be prescribed for children and

adolescents where there are no suitable alternatives and where the use is justified by a responsible

body of professional opinion.

Thanks very much

This clarifies the confusion

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