The side effects of lithium: new systematic review provides toxicity profile

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Lithium is a medicine that has been used for over 50 years to treat depression and bipolar disorder. It comes in two forms that are used clinically: lithium carbonate and lithium citrate. A certain level of the drug is needed in the blood stream for it to be effective, but if the level rises too [read the full story…]

Should we be prescribing antipsychotics to young people with bipolar disorder?

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This systematic literature review and meta-analysis conducted by researchers from the University of Nebraska Medical Center, will be of interest to all clinicians who treat paediatric bipolar disorder. Treatment decisions for young people have previously been based on extrapolation from adult trials, case reports, open label trials or expert opinion. This new study provides a [read the full story…]

Tooth loss three times higher in people with serious mental illness

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People with severe mental illnesses like schizophrenia or bipolar disorder are over three times more likely to lose their teeth because of poor oral health than the general population. The research, published in the September issue of the British Journal of Psychiatry, shows that psychiatric patients have not shared in recent improvements in dental health. [read the full story…]

Major new meta-analysis shows that antipsychotics are significantly more effective than mood stabilisers for treating acute mania

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Researchers from Oxford and Verona have published a major new meta-analysis in the Lancet, which measures the effectiveness of all anti-manic drugs. The review team searched and found 68 randomised controlled trials from 1980-2010 (a total of 16,073 patients).  The study includes a range of antipsychotics and mood stabilisers used at a therapeutic dose range [read the full story…]

Maintenance treatments for bipolar disorder: reducing the risk of manic, mixed or depressive relapse

Prescribing of medication for ADHD symptoms in young people with ASD is currently based on low quality evidence with a high risk of bias.

Many people with bipolar disorder have a range of therapies available to them nowadays, including mood stabilisers (or anticonvulsants), antipsychotics and various psychosocial interventions (including CBT, psychoeducation and family therapy). A research team from the University of Barcelona have published a meta-analysis that investigates the efficacy of drug maintenance treatments for bipolar disorder. They searched from [read the full story…]

Lithium is a better treatment for bipolar disorder than valproate

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Valproate is widely used as a mood stabiliser for people with bipolar disorder, despite the fact that there is very little evidence that shows the effectiveness of this treatment. This observational cohort study looked at over 4,000 bipolar patients in Denmark who were treated with lithium or valproate from 1995 to 2006. The results favoured [read the full story…]