About: Beyond the Guidelines for Bipolar Disorder: Practical Issues in Long-Term Treatment With Lithium

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rdf:type	skos:Concept http://linked.opendata.cz/ontology/domain/vavai/Vysledek
Description	Several treatment guidelines are available for clinicians working with patients with bipolar disorder (BD), but some of the more nuanced aspects of lithium therapy go beyond the scope of such guidelines. Therefore, in this perspective, our objective was to focus on specific practical issues of lithium treatment, including the selection and initiation of long-term treatment, and management and discontinuation (if indicated) of lithium prophylaxis. Method: We conducted a focused review of the relevant literature on the treatment of BD. Results: Consultation requests to a BD specialty service often relate to issues for which there is limited evidence, including when to initiate long-term treatment, whether choice of mood stabilizer is specific, how long to treat acute episodes, whether to switch or add on medication when treatment fails, how long to continue effective treatment, and what medication to use when a lithium-responsive patient must discontinue lithium. Conclusion: Optimal long-term treatment of BD will require more research as well as better alignment of clinical and training programs. Several treatment guidelines are available for clinicians working with patients with bipolar disorder (BD), but some of the more nuanced aspects of lithium therapy go beyond the scope of such guidelines. Therefore, in this perspective, our objective was to focus on specific practical issues of lithium treatment, including the selection and initiation of long-term treatment, and management and discontinuation (if indicated) of lithium prophylaxis. Method: We conducted a focused review of the relevant literature on the treatment of BD. Results: Consultation requests to a BD specialty service often relate to issues for which there is limited evidence, including when to initiate long-term treatment, whether choice of mood stabilizer is specific, how long to treat acute episodes, whether to switch or add on medication when treatment fails, how long to continue effective treatment, and what medication to use when a lithium-responsive patient must discontinue lithium. Conclusion: Optimal long-term treatment of BD will require more research as well as better alignment of clinical and training programs. (en)
Title	Beyond the Guidelines for Bipolar Disorder: Practical Issues in Long-Term Treatment With Lithium Beyond the Guidelines for Bipolar Disorder: Practical Issues in Long-Term Treatment With Lithium (en)
skos:prefLabel	Beyond the Guidelines for Bipolar Disorder: Practical Issues in Long-Term Treatment With Lithium Beyond the Guidelines for Bipolar Disorder: Practical Issues in Long-Term Treatment With Lithium (en)
skos:notation	RIV/00216208:11120/12:43906849!RIV13-MSM-11120___
http://linked.open...avai/predkladatel	3. lékařská fakulta
http://linked.open...avai/riv/aktivita	N
http://linked.open...avai/riv/aktivity	N
http://linked.open...iv/cisloPeriodika	7
http://linked.open...vai/riv/dodaniDat	2013
http://linked.open...aciTvurceVysledku	Alda, Martin
http://linked.open.../riv/druhVysledku	J - Článek v odborném periodiku
http://linked.open...iv/duvernostUdaju	S - Úplné a pravdivé údaje nepodléhající ochraně podle zvláštních právních předpisů
http://linked.open...titaPredkladatele	Univerzita Karlova v Praze / 3. lékařská fakulta
http://linked.open...dnocenehoVysledku	124799
http://linked.open...ai/riv/idVysledku	RIV/00216208:11120/12:43906849
http://linked.open...riv/jazykVysledku	eng - angličtina
http://linked.open.../riv/klicovaSlova	mood stabilizer; lithium; bipolar disorder (en)
http://linked.open.../riv/klicoveSlovo	mood stabilizer lithium bipolar disorder
http://linked.open...odStatuVydavatele	CA - Kanada
http://linked.open...ontrolniKodProRIV	[2A3609267CF1]
http://linked.open...i/riv/nazevZdroje	Canadian Journal of Psychiatry - Revue Cannadiene de Psychiatrie
http://linked.open...in/vavai/riv/obor	FL
http://linked.open...ichTvurcuVysledku	1 (xsd:int)
http://linked.open...cetTvurcuVysledku	2 (xsd:int)
http://linked.open...UplatneniVysledku	2012
http://linked.open...v/svazekPeriodika	57
http://linked.open...iv/tvurceVysledku	Alda, Martin
http://linked.open...ain/vavai/riv/wos	000306621800007
issn	0706-7437
number of pages	9 (xsd:int)
http://localhost/t...ganizacniJednotka	11120
is http://linked.open...avai/riv/vysledek of	Beyond the Guidelines for Bipolar Disorder: Practical Issues in Long-Term Treatment With Lithium

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