Bipolar Meds
Bipolar Disorder Treatment Overview
Bipolar Disorder is treated with three major groups of drugs:
Mood stabilizers
Antipsychotics
Antidepressants
Mood Stabilizers
Definition: Mood stabilizers are drugs that serve multiple functions:
Relieve symptoms during manic and depressive episodes.
Prevent recurrence of manic and depressive episodes.
Do not worsen symptoms of mania or depression, or accelerate the rate of cycling.
Common Mood Stabilizers:
Lithium
Divalproex sodium (Valproate)
Carbamazepine
Antidepressants
Usage: Antidepressants are usually given in conjunction with a mood stabilizer due to long-held belief that they may elevate mood excessively and lead to hypomania or manic episodes.
Commonly used Antidepressants:
Bupropion (Wellbutrin)
Venlafaxine (Effexor XR)
SSRIs: such as Fluoxetine (Prozac) or Sertraline (Zoloft)
Acute Therapy: Manic Episodes
Preferred Medications:
Lithium and Valproate are the preferred treatments.
The choice between Lithium and Valproate is determined by clinical presentation:
Valproate is preferred in most cases except classic euphoric mania.
Lithium is the treatment of choice for classic euphoric mania.
Psychotic Features: If psychosis is present, a second-generation antipsychotic (e.g., Risperidone (Risperdal) or Olanzapine (Zyprexa)) may be added to treatment.
Combination Use: Mood stabilizers can be used together.
Timeline: Stabilization may take 2 or more weeks.
Adjuvant Therapy: Antipsychotics or benzodiazepines may be added to alleviate insomnia, anxiety, and agitation until the mood stabilizer is effective.
Acute Therapy: Depressive Episodes
Treatment options include:
Mood stabilizers alone, or
Addition of an antidepressant (never use an antidepressant alone due to risk of inducing hypomania or mania).
Preferred Antidepressants: Include Bupropion, Venlafaxine, or an SSRI.
Long-term Preventive Treatment
Long-term treatment typically involves one or more mood stabilizers, often utilizing the medication that was effective acutely.
Electroconvulsive Therapy (ECT): Not a first-line choice. Reserved for patients who have not responded adequately to pharmacotherapy. Indications include:
Psychotic depression
Severe nonpsychotic depression
Severe mania
Rapid cycling Bipolar Disorder
Lithium
Chemical Information: Lithium is a simple inorganic ion, carrying a single positive charge. It is found in the same group as potassium and sodium but has no known physiological function.
Onset of Action:
Antimanic effects typically begin within 5-7 days.
Full therapeutic benefits may take 2-3 weeks.
Indications: Primarily used for classic (euphoric) mania, while Valproate is generally preferred for other presentations.
Recent Findings:
Lithium may be superior to Valproate at preventing suicide, leading to an increased likelihood of its use.
Lithium has been shown to increase total grey matter in regions affected by Bipolar disorder, which includes the prefrontal cortex, hippocampus, and caudate nucleus, suggesting neuroprotective effects.
Pharmacokinetics:
Lithium is excreted rapidly by the kidneys, which necessitates divided daily doses due to its short half-life and high toxicity potential.
Sodium levels must remain normal, as low sodium can cause lithium retention and toxic levels.
Monitoring Levels:
Therapeutic lithium levels should be below 1.5 mEq/L.
Initial therapy during a manic episode requires levels between 0.8-1.4 mEq/L.
After stabilization, maintenance levels are reduced to 0.4-1 mEq/L.
Blood Testing Protocol: Blood should be drawn in the morning, 12 hours post-evening dose.
Perform tests every 3-6 months during maintenance therapy.
Toxicity Levels:
Mild Toxicity (Fine tremor, GI upset, thirst, muscle weakness): Occurs at levels within therapeutic range
Moderate Toxicity (Persistent GI upset, coarse tremor, confusion): At 1.5-2 mEq/L
Severe Toxicity (Ataxia, seizures, vegetative state): At 2.0-2.5 mEq/L
Critical Toxicity (Convulsions, oliguria): Above 2.5 mEq/L
Polyuria: Occurrence in 50-70% of patients on chronic lithium, which can exceed 3 L/day. This is due to lithium’s antagonistic effects on antidiuretic hormone.
Hydration Recommendations: Patients should drink 8-12 glasses of fluid daily to maintain hydration.
Lithium Excretion Measures: Gastric lavage and specific treatments can enhance lithium clearance, including urea, mannitol, and aminophylline. Both renal clearance (dialysis) and hemodyalysis are viable for lithium overdose.
Laboratory Monitoring
Annual assessments for:
Sodium
T3
T4
TSH
Complete Blood Count (CBC)
Drug Interactions
Diuretics: Use with caution due to the risk of sodium loss.
NSAIDs: Can increase lithium levels significantly by about 60% due to suppression of prostaglandin synthesis and increased renal reabsorption of lithium. Aspirin (ASA) does not elevate lithium levels and can be used.
Anticholinergics: May cause urinary hesitancy, and when combined with lithium-induced polyuria, this can lead to discomfort. Patients should avoid drugs with significant anticholinergic properties such as antihistamines and phenothiazines.
Contraindications:
Patients with cardiovascular disease, brain damage, renal disease, thyroid disease, myasthenia gravis
Not recommended for use during pregnancy or while breastfeeding.
Not to be prescribed for children under 12 years of age.
Antiepileptic Drugs
List of Antiepileptic Drugs Utilized:
Divalproex sodium (Valproate)
Carbamazepine
Lamotrigine
Mechanism of Action: These drugs can help in managing symptoms of mania and depression while stabilizing mood in patients with Bipolar Disorder.
Divalproex Sodium Information:
First anti-seizure agent approved for treating Bipolar Disorder, particularly acute mania.
Weaker at preventing depressive episodes; appears to have neuroprotective properties similar to Lithium.
Acts faster than Lithium, has a high therapeutic index, and offers a more favorable side effect profile.
Target plasma level: 50-120 mcg/ml but can cause serious toxicity (thrombocytopenia, pancreatitis, liver failure).
Carbamazepine (Tegretol):
Approved for treatment and prevention of manic episodes but less effective for depression.
Common neurologic side effects include visual disturbances and ataxia, generally resolve with continued treatment.
Hematologic effects include leukopenia and thrombocytopenia; monitor CBC and platelet counts initially and periodically throughout treatment.
Lamotrigine (Lamictal):
Indicated for long-term maintenance therapy of Bipolar Disorder.
Aims to prevent affective relapses into mania or depression; can be used alone or with other mood stabilizers.
Side effects to monitor include headache, dizziness, and potential for life-threatening rashes (Stevens-Johnson syndrome).
Antipsychotic Drugs
Usage: Antipsychotic medications are used in acute settings to control symptoms during manic episodes and in long-term management to help stabilize mood. Beneficial effects are observed in patients with or without psychotic features.
Combination Therapy: Often administered alongside mood stabilizers such as Lithium or Valproate.
Atypical Antipsychotics: Preferable due to lower risk of extrapyramidal side effects (including tardive dyskinesia). Five atypical agents approved for treating manic episodes include:
Olanzapine (Zyprexa)
Quetiapine (Seroquel)
Risperidone (Risperdal)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Long-term Use of Atypicals: Currently, only three atypical agents are approved for long-term prevention of mood episodes:
Aripiprazole
Olanzapine
Ziprasidone
Antianxiety Agents
Medications: Clonazepam (Klonopin) and Lorazepam (Ativan) are antianxiety medications that can be beneficial for treating acute mania, especially in patients resistant to other treatments.
Indication: Also effective in managing psychomotor agitation associated with mania.
Caution: Should be avoided in individuals with a history of substance abuse.