General pharmacokinetic/pharmacodynamic concepts of mood stabilizers in the treatment of bipolar disorder
INTRODUCTION: Mood stabilizers are the recommended treatment for patients who receive a diagnosis of bipolar disorder. Because of the necessity of mood stabilizer treatment in patients with bipolar disorder and the extent of pharmacokinetic and pharmacodynamic principles involved, the purpose of thi...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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College of Psychiatric & Neurologic Pharmacists
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009247/ https://www.ncbi.nlm.nih.gov/pubmed/29955448 http://dx.doi.org/10.9740/mhc.2016.01.054 |
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author | Ware, Kenric Tillery, Erika Linder, Lauren |
author_facet | Ware, Kenric Tillery, Erika Linder, Lauren |
author_sort | Ware, Kenric |
collection | PubMed |
description | INTRODUCTION: Mood stabilizers are the recommended treatment for patients who receive a diagnosis of bipolar disorder. Because of the necessity of mood stabilizer treatment in patients with bipolar disorder and the extent of pharmacokinetic and pharmacodynamic principles involved, the purpose of this review is to summarize the pharmacokinetic principles of lithium in addition to the pharmacodynamics of lithium, carbamazepine, lamotrigine, and valproic acid/valproate. METHODS: Practice guidelines, review articles, and clinical trials were located using online databases PubMed, CINAHL, IDIS, and Medline. Search terms included at least one of the following: bipolar disorder, carbamazepine, lamotrigine, lithium, mood stabilizers, pharmacokinetics, pharmacodynamics, valproate, and valproic acid. Online clinical databases Dynamed® and Lexicomp® were also used in the study. RESULTS: Mood stabilizers collectively possess distinct qualities that are closely regarded before, during, and after therapeutic initiation. Individual patient characteristics, coupled with these observed traits, add to the complexity of selecting the most optimal neurologic agent. Each medication discussed uniquely contributes to both the maintenance and restoration of overall patient well-being. DISCUSSION: Introduction of mood stabilizers into drug regimens is often done in the presence of an array of mitigating factors. Safety and efficacy measures are commonly used to gauge desired results. Careful monitoring of patients' responses to selected therapies is paramount for arriving at appropriate clinical outcomes. |
format | Online Article Text |
id | pubmed-6009247 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | College of Psychiatric & Neurologic Pharmacists |
record_format | MEDLINE/PubMed |
spelling | pubmed-60092472018-06-28 General pharmacokinetic/pharmacodynamic concepts of mood stabilizers in the treatment of bipolar disorder Ware, Kenric Tillery, Erika Linder, Lauren Ment Health Clin Literature Reviews INTRODUCTION: Mood stabilizers are the recommended treatment for patients who receive a diagnosis of bipolar disorder. Because of the necessity of mood stabilizer treatment in patients with bipolar disorder and the extent of pharmacokinetic and pharmacodynamic principles involved, the purpose of this review is to summarize the pharmacokinetic principles of lithium in addition to the pharmacodynamics of lithium, carbamazepine, lamotrigine, and valproic acid/valproate. METHODS: Practice guidelines, review articles, and clinical trials were located using online databases PubMed, CINAHL, IDIS, and Medline. Search terms included at least one of the following: bipolar disorder, carbamazepine, lamotrigine, lithium, mood stabilizers, pharmacokinetics, pharmacodynamics, valproate, and valproic acid. Online clinical databases Dynamed® and Lexicomp® were also used in the study. RESULTS: Mood stabilizers collectively possess distinct qualities that are closely regarded before, during, and after therapeutic initiation. Individual patient characteristics, coupled with these observed traits, add to the complexity of selecting the most optimal neurologic agent. Each medication discussed uniquely contributes to both the maintenance and restoration of overall patient well-being. DISCUSSION: Introduction of mood stabilizers into drug regimens is often done in the presence of an array of mitigating factors. Safety and efficacy measures are commonly used to gauge desired results. Careful monitoring of patients' responses to selected therapies is paramount for arriving at appropriate clinical outcomes. College of Psychiatric & Neurologic Pharmacists 2016-03-08 /pmc/articles/PMC6009247/ /pubmed/29955448 http://dx.doi.org/10.9740/mhc.2016.01.054 Text en © 2016 CPNP. http://creativecommons.org/licenses/by-nc/3.0/ The Mental Health Clinician is a publication of the College of Psychiatric and Neurologic Pharmacists. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License, which permits non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Literature Reviews Ware, Kenric Tillery, Erika Linder, Lauren General pharmacokinetic/pharmacodynamic concepts of mood stabilizers in the treatment of bipolar disorder |
title | General pharmacokinetic/pharmacodynamic concepts of mood stabilizers in the treatment of bipolar disorder |
title_full | General pharmacokinetic/pharmacodynamic concepts of mood stabilizers in the treatment of bipolar disorder |
title_fullStr | General pharmacokinetic/pharmacodynamic concepts of mood stabilizers in the treatment of bipolar disorder |
title_full_unstemmed | General pharmacokinetic/pharmacodynamic concepts of mood stabilizers in the treatment of bipolar disorder |
title_short | General pharmacokinetic/pharmacodynamic concepts of mood stabilizers in the treatment of bipolar disorder |
title_sort | general pharmacokinetic/pharmacodynamic concepts of mood stabilizers in the treatment of bipolar disorder |
topic | Literature Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009247/ https://www.ncbi.nlm.nih.gov/pubmed/29955448 http://dx.doi.org/10.9740/mhc.2016.01.054 |
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