Bipolar - Drugs and Their Indications

Question 1

Indications for: Lithium

Answer 1

Acute Mania, Maintenance, Bipolar depression

Question 2

Indications for: VPA/Valproic Acid

Answer 2

Acute Mania, Maintenance

Question 3

Indications for: Carbamazepine

Answer 3

Acute Mania, Maintenance

Question 4

Indications for: Lamotrigine

Answer 4

Maintenance, Bipolar Depression

Question 5

Indications for: Haloperidol

Answer 5

Acute Mania

Question 6

Indications for: Chlorpromazine

Answer 6

Acute Mania

Question 7

Indications for: Risperidone/Risperdal

Answer 7

Acute Mania, Maintenance

Question 8

Indications for: Geodone/Ziprasidone

Answer 8

Acute Mania

Question 9

Indications for: Lurasidone

Answer 9

Bipolar Depression

Question 10

Indications for: Olanzapine

Answer 10

Acute Mania, Maintenance

Question 11

Indications for: Olanzapine and Fluoxetine

Answer 11

Bipolar Depression

Question 12

Indications for: Quetiapine

Answer 12

Acute Mania, Maintenance, Bipolar Depression

Question 13

Indications for: Asenapine

Answer 13

Acute Mania

Question 14

Indications for: Aripiprazole

Answer 14

Acute Mania, Maintenance, Bipolar Depression

Question 15

Are second gen antipsychotics used alone for acute mania?

Answer 15

No, they’re typically given in combo with a mood stabilizer

Question 16

What meds can you use to treat a severe manic episode for Bipolar 1?

Answer 16

Lithium, Depakote, FGA’s, SGA’s

Benzos = Adjunct (use with other meds)

Question 17

What meds can you use to treat a Non-Severe Manic episode for Bipolar 1 or Hypomanic episode for Bipolar 2?

Answer 17

Lithium, Depakote, Tegretol, FGA’s, SGA’s

Benzos = Adjunct (use with other meds)

Question 18

What do you do for maintenance for Bipolar 1 and 2?

Answer 18

Continue what worked for acute episode

Question 19

What meds can you use for depression for Bipolar 1 and 2?

Answer 19

Lithium
Depakote - maybe
Lamotrigine
Some SGA's
Antidepressants (but not as monotherapy - only with a mood stabilizer)
Benzos - at times