Bipolární deprese a její léčba
| Title in English | Therapy of bipolar depression |
|---|---|
| Authors | |
| Year of publication | 2004 |
| Type | Article in Periodical |
| Magazine / Source | Psychiatrie, časopis pro moderní psychiatrii |
| MU Faculty or unit | |
| Citation | |
| Field | Psychiatry, sexuology |
| Keywords | bipolar depression; unipolar depression; mood stabilizers; antidepressants |
| Description | The authors bring attention to the diagnosisi of bipolar depression, which is most often misdiagnosed as unipolar depression with alll the consequences. With acute treatment in patients already treated with mood stabilizers we should optimize levels and doses, inpreviously untreated patientes we prefer lithium and lamotrigine. In the case of unsuccessful monotherapy an antidepressant is usuallly added.In spite of consensus of many algorithms the bipolar depression is not often treated with stabiliizers. The situation at the Psychiatric Departmrent in Brno was mapped. In the retrospective analysis totallly 33 patientes hospitalized during 2 years (November 200-2003) with bipolar depression were identified. At admission 24% were diagnosed as affected by unipolar depression, 12% came to the hospilization after suicidal attempt and 12% were not treated before admission, whereas 51%came with mood stabilizers. More patietnes were dismissed with mood stabilizers (51% vs 81%, p=0.01). |
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