BPD Treatment Algorithms

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7 Terms

1
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Interventions for mania other than initiating medication

  • Stop antidepressant if taking

  • Check for lifestyle influences, like SUD


2
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First-line for mania

  • Lithium or valproate or SGA

  • or

  • Lithium or valproate, + SGA


3
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What BPD drug can be added to a mania regimen for acute agitation?

Benzodiazepine

4
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Second-line for mania

  • Carbamazepine

  • Or

  • Lithium + valproate


5
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First-line for bipolar depression

Any of these options (“or”)

  • Lithium

  • Quetiapine

  • Lamotrigine — Smithgall likes this one

  • Cariprazine

  • Lurasidone


6
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Second-line for bipolar depression

Any of these options (“or”)

  • Valproate

  • Lumapeterone

  • Olanzapine + fluoxetine


7
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For refractory or psychotic depression

ECT