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Managing Bipolar Affective Disorder in a Tribal District of Odisha

BACKGROUND: Managing any chronic illness in marginalized communities in resource-poor settings is always a challenge. Lack of facility to monitor lithium and the common morbidity of hypokalemic periodic paralysis and chronic renal failure among tribals of northern part of Odisha pose unique challeng...

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Autores principales: Kattula, Dheeraj, Ravan, Jayaprakash Russell, Nandyal, Munaf Babajan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968640/
https://www.ncbi.nlm.nih.gov/pubmed/29875526
http://dx.doi.org/10.4103/IJPSYM.IJPSYM_477_17
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author Kattula, Dheeraj
Ravan, Jayaprakash Russell
Nandyal, Munaf Babajan
author_facet Kattula, Dheeraj
Ravan, Jayaprakash Russell
Nandyal, Munaf Babajan
author_sort Kattula, Dheeraj
collection PubMed
description BACKGROUND: Managing any chronic illness in marginalized communities in resource-poor settings is always a challenge. Lack of facility to monitor lithium and the common morbidity of hypokalemic periodic paralysis and chronic renal failure among tribals of northern part of Odisha pose unique challenges in managing bipolar disorder. METHODOLOGY: This is a cross-sectional study done in a district-level hospital catering to predominantly tribal population. A part of the data was collected by a psychiatrist prospectively and analyzed. Historical data were obtained from medical records. RESULTS: Out of 18 patients who had been diagnosed of bipolar/mania, 12 had received treatment with carbamazepine in the range of 400–600 mg. All but one person showed improvement. One person developed rash and had to stop the treatment. CONCLUSION: Carbamazepine may be used relatively safely in resource-poor settings in high-risk groups.
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spelling pubmed-59686402018-06-06 Managing Bipolar Affective Disorder in a Tribal District of Odisha Kattula, Dheeraj Ravan, Jayaprakash Russell Nandyal, Munaf Babajan Indian J Psychol Med Original Article BACKGROUND: Managing any chronic illness in marginalized communities in resource-poor settings is always a challenge. Lack of facility to monitor lithium and the common morbidity of hypokalemic periodic paralysis and chronic renal failure among tribals of northern part of Odisha pose unique challenges in managing bipolar disorder. METHODOLOGY: This is a cross-sectional study done in a district-level hospital catering to predominantly tribal population. A part of the data was collected by a psychiatrist prospectively and analyzed. Historical data were obtained from medical records. RESULTS: Out of 18 patients who had been diagnosed of bipolar/mania, 12 had received treatment with carbamazepine in the range of 400–600 mg. All but one person showed improvement. One person developed rash and had to stop the treatment. CONCLUSION: Carbamazepine may be used relatively safely in resource-poor settings in high-risk groups. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5968640/ /pubmed/29875526 http://dx.doi.org/10.4103/IJPSYM.IJPSYM_477_17 Text en Copyright: © 2018 Indian Psychiatric Society - South Zonal Branch http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Kattula, Dheeraj
Ravan, Jayaprakash Russell
Nandyal, Munaf Babajan
Managing Bipolar Affective Disorder in a Tribal District of Odisha
title Managing Bipolar Affective Disorder in a Tribal District of Odisha
title_full Managing Bipolar Affective Disorder in a Tribal District of Odisha
title_fullStr Managing Bipolar Affective Disorder in a Tribal District of Odisha
title_full_unstemmed Managing Bipolar Affective Disorder in a Tribal District of Odisha
title_short Managing Bipolar Affective Disorder in a Tribal District of Odisha
title_sort managing bipolar affective disorder in a tribal district of odisha
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968640/
https://www.ncbi.nlm.nih.gov/pubmed/29875526
http://dx.doi.org/10.4103/IJPSYM.IJPSYM_477_17
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