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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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
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author Gupta, Maneesh
Annadatha, Srinivas
author_facet Gupta, Maneesh
Annadatha, Srinivas
author_sort Gupta, Maneesh
collection PubMed
description 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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spelling pubmed-25153002008-08-13 Treating bipolar disorder in patients with renal failure having haemodialysis: two case reports Gupta, Maneesh Annadatha, Srinivas Clin Pract Epidemiol Ment Health Case report 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. BioMed Central 2008-07-26 /pmc/articles/PMC2515300/ /pubmed/18655726 http://dx.doi.org/10.1186/1745-0179-4-21 Text en Copyright ©2008 Gupta and Annadatha; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Gupta, Maneesh
Annadatha, Srinivas
Treating bipolar disorder in patients with renal failure having haemodialysis: two case reports
title Treating bipolar disorder in patients with renal failure having haemodialysis: two case reports
title_full Treating bipolar disorder in patients with renal failure having haemodialysis: two case reports
title_fullStr Treating bipolar disorder in patients with renal failure having haemodialysis: two case reports
title_full_unstemmed Treating bipolar disorder in patients with renal failure having haemodialysis: two case reports
title_short Treating bipolar disorder in patients with renal failure having haemodialysis: two case reports
title_sort treating bipolar disorder in patients with renal failure having haemodialysis: two case reports
topic Case report
url 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
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