. . . "Je kr\u00E1tce shnuta problematika bipol\u00E1rn\u00ED poruch v\u010D. dostupn\u00FDch \u00FAdaj\u016F, t\u00FDkaj\u00EDc\u00EDch se star\u0161\u00ED populace. Pozornost je v\u011Bnov\u00E1na klinick\u00E9mu obrazu a diferenciln\u00ED diagn\u00F3ze relevantn\u00ED pro gerontopsychiatrick\u00E9 nemocn\u00E9. Upozor\u0148ujeme hlavn\u011B na mo\u017Enost sekund\u00E1rn\u00ED m\u00E1nie na b\u00E1zi organick\u00E9ho posti\u017Een\u00ED CNS a na zv\u00FD\u0161en\u00E9 riziko suicid\u00E1ln\u00EDho jedn\u00E1n\u00ED. Nejpodrobn\u011Bji je zpracov\u00E1na l\u00E9\u010Dba, tj. l\u00E9\u010Dba m\u00E1nie, deprese a udr\u017Eovac\u00ED l\u00E9\u010Dba. L\u00E9\u010Debn\u00FD \u00FA\u010Dinek je stejn\u00FD u senior\u016F jako u mlad\u0161\u00ED populace, av\u0161ak star\u0161\u00ED nemocn\u00ED jsou citliv\u011Bj\u0161\u00ED k l\u00E9\u010Debn\u00E9mu \u00FA\u010Dinku i k vedlej\u0161\u00EDm \u00FA\u010Dink\u016Fm. Uv\u00E1d\u00EDme specifika terapie jednotliv\u00FDmi prepar\u00E1ty u star\u0161\u00ED populace. U m\u00E1nie a profylaktick\u00E9 l\u00E9\u010Dby z\u016Fst\u00E1v\u00E1 lithium st\u00E1le l\u00E9kem prvn\u00ED volby, mus\u00EDme v\u0161ak zohlednit sn\u00ED\u017Een\u00ED lithiov\u00E9 clearence. Zvl\u00E1\u0161t\u011B u tohoto prepar\u00E1tu je zapot\u0159eb\u00ED dodr\u017Eovat z\u00E1sadu pomal\u00E9 titrace a ni\u017E\u0161\u00EDch d\u00E1vek. V l\u00E9\u010Db\u011B bipol\u00E1rn\u00ED deprese preferujeme specifick\u00E9 inhibitory zp\u011Btn\u00E9ho vychyt\u00E1v\u00E1n\u00ED serotoninu a dal\u0161\u00ED antidepresiva s minimem anticholinergn\u00EDch a kardiovaskul\u00E1rn\u00EDch \u00FA\u010Dink\u016F (bupropion)." . "Bipol\u00E1rn\u00ED porucha u star\u0161\u00ED populace" . "RIV/00216224:14110/07:00021985!RIV10-MSM-14110___" . "CZ - \u010Cesk\u00E1 republika" . "Bipolar disorder in elderly population"@en . "7"^^ . "[A7A40989206B]" . "Bipol\u00E1rn\u00ED porucha u star\u0161\u00ED populace" . "RIV/00216224:14110/07:00021985" . "bipolar disorder; elderly patients; efficacy; tolerability; safety; lithium; valproate; carbamazepine; antidepressants; atypical antipsychotics"@en . "1" . . "Je kr\u00E1tce shnuta problematika bipol\u00E1rn\u00ED poruch v\u010D. dostupn\u00FDch \u00FAdaj\u016F, t\u00FDkaj\u00EDc\u00EDch se star\u0161\u00ED populace. Pozornost je v\u011Bnov\u00E1na klinick\u00E9mu obrazu a diferenciln\u00ED diagn\u00F3ze relevantn\u00ED pro gerontopsychiatrick\u00E9 nemocn\u00E9. Upozor\u0148ujeme hlavn\u011B na mo\u017Enost sekund\u00E1rn\u00ED m\u00E1nie na b\u00E1zi organick\u00E9ho posti\u017Een\u00ED CNS a na zv\u00FD\u0161en\u00E9 riziko suicid\u00E1ln\u00EDho jedn\u00E1n\u00ED. Nejpodrobn\u011Bji je zpracov\u00E1na l\u00E9\u010Dba, tj. l\u00E9\u010Dba m\u00E1nie, deprese a udr\u017Eovac\u00ED l\u00E9\u010Dba. L\u00E9\u010Debn\u00FD \u00FA\u010Dinek je stejn\u00FD u senior\u016F jako u mlad\u0161\u00ED populace, av\u0161ak star\u0161\u00ED nemocn\u00ED jsou citliv\u011Bj\u0161\u00ED k l\u00E9\u010Debn\u00E9mu \u00FA\u010Dinku i k vedlej\u0161\u00EDm \u00FA\u010Dink\u016Fm. Uv\u00E1d\u00EDme specifika terapie jednotliv\u00FDmi prepar\u00E1ty u star\u0161\u00ED populace. U m\u00E1nie a profylaktick\u00E9 l\u00E9\u010Dby z\u016Fst\u00E1v\u00E1 lithium st\u00E1le l\u00E9kem prvn\u00ED volby, mus\u00EDme v\u0161ak zohlednit sn\u00ED\u017Een\u00ED lithiov\u00E9 clearence. Zvl\u00E1\u0161t\u011B u tohoto prepar\u00E1tu je zapot\u0159eb\u00ED dodr\u017Eovat z\u00E1sadu pomal\u00E9 titrace a ni\u017E\u0161\u00EDch d\u00E1vek. V l\u00E9\u010Db\u011B bipol\u00E1rn\u00ED deprese preferujeme specifick\u00E9 inhibitory zp\u011Btn\u00E9ho vychyt\u00E1v\u00E1n\u00ED serotoninu a dal\u0161\u00ED antidepresiva s minimem anticholinergn\u00EDch a kardiovaskul\u00E1rn\u00EDch \u00FA\u010Dink\u016F (bupropion)."@cs . "Bipol\u00E1rn\u00ED porucha u star\u0161\u00ED populace"@cs . . . . "\u010Cesk\u00E1 geriatrick\u00E1 revue" . "5" . "\u010Ce\u0161kov\u00E1, Eva" . . . . . "Bipol\u00E1rn\u00ED porucha u star\u0161\u00ED populace"@cs . "412001" . . "1214-0732" . . "Z(MSM0021622404)" . "1"^^ . . "14110" . . . "Bipolar disorder in elderly population"@en . . . . "1"^^ . . "Briefly a topic of bipolar disorder, including data concerning elderly population, is summarised. Attention is paid to the clinical picture and differential diagnostics associated with gerontopsychiatrie patients. Especially the possibility of secondary mania based on organic brain impairment and risk of suicidal behaviour is mentioned. The treatment efficacy is the same in both elderly and yonger populations, bud elderly patients are more sensitive to treatment efficacy and side effects. Some special treatment characteristics of individual drugs, in elderly patients are reviewed. In both acute and maintenance treatment lithium is a first-choice drug, however decreased lithium clearence must be taken into consideration and the rule of slow titration and lower doses must be kept. In bipolar depression, specific serotonin re-uptake inhibitors and other antidepressants with minimal anticholinergic and cardiovascular side effects (bupropion) are preferred."@en . . .