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CNS Medications
Bipolar Disorder
13
Pharmacology
Undergraduate 2
05/18/2011

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Cards

Term
What is Bipolar Disorder?
Definition
-cyclic disorder
-recurrent flucutations in mood
-episodes of mania and depression
Term
Types of drugs for Bipolar Disorder
Definition
1. Mood stabilizers (relieve,prevent)
2. Antipsychotics (severe episodes)
3. Antidepressants
Term
Mood Stabilizing Drugs
Definition
1. Lithium
2. Antiepileptic drugs
Term
action of lithium
Definition
serotonin receptor blockade
Term
uses for Lithium
Definition
1. Bipolar
2. Acute mania depression
3. ETOH, bulimia, schizophrenia
Term
Normal plasma levels for lithium
Definition
0.8-1.4 mEq/L
Term
Toxicity levels
Definition
> 1.5 mEq/L

(hemodyalisis may be needed)
Term
s/e of Lithium
Definition

1. Diarrhea 

2. Tremors (stress/caffeiene) 

3. Polyuria 

4. Goiter/hyperthyroidism

5. Teratogenesis 

Term
drug interactions with Lithium
Definition
1. Diuretics (MONITOR sodium levels)
2. NSAIDS (lithium toxicity, rental retention)
3. Anticholinergics (TCA, antihistamines)
-urinary retention
Term
T/F Low levels of sodium induce lithium toxicity
Definition
True
Term
Which NSAIDs can be administered with Lithium?
Definition
aspirin
Term
Which NSAIDs should be avoided with Lithium therapy?
Definition

ibuprofen & celecoxib

-increases renal reabsorption of lithium and leads to toxicity 

Term
What type of anticholinergics should be avoided with Lithium?
Definition

1. Antihistamines and TCA

b/c = abdominal discomfort can result from anticholinergic-induced urinary retention and polyuria  

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