Treating bipolar disorder in patients with renal failure having haemodialysis: two case reports

BACKGROUND: There is little published guideline or evidence on treating bipolar affective disorder in patients with renal failure having haemodialysis. CASE: We present two patients with bipolar affective disorder with renal failure having haemodialysis. We used lorazepam in one patient to manage th...

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Detalles Bibliográficos
Autores principales: Gupta, Maneesh, Annadatha, Srinivas
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2515300/
https://www.ncbi.nlm.nih.gov/pubmed/18655726
http://dx.doi.org/10.1186/1745-0179-4-21
Descripción
Sumario:BACKGROUND: There is little published guideline or evidence on treating bipolar affective disorder in patients with renal failure having haemodialysis. CASE: We present two patients with bipolar affective disorder with renal failure having haemodialysis. We used lorazepam in one patient to manage the immediate risk of non-engagement with dialysis. Risperidone was added in the second patient for managing psychotic symptoms. Valproate was started as a mood stabiliser and titrated upwards for long-term management of the illness. CONCLUSION: We discuss the similarities in the two cases and the care plan we used to manage them.

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