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1: Clin Pract Epidemol Ment Health. 2008 Jul 26;4:21.Click here to read Click here to read Links

Treating bipolar disorder in patients with renal failure having haemodialysis: two case reports.

Gupta M, Annadatha S.

Lancashire Care NHS Foundation Trust, Parkwood Hospital, East Park Drive, Blackpool, FY3 8PW, UK. maneesh_psych@yahoo.com.

ABSTRACT: BACKGROUND: There is little published guideline or evidence on treating bipolar affective disorder in patients with renal failure having haemodialysis. CASE: We present two patients with bipolar affective disorder with renal failure having haemodialysis. We used lorazepam in one patient to manage the immediate risk of non-engagement with dialysis. Risperidone was added in the second patient for managing psychotic symptoms. Valproate was started as a mood stabiliser and titrated upwards for long-term management of the illness. CONCLUSION: We discuss the similarities in the two cases and the care plan we used to manage them.

PMID: 18655726 [PubMed - in process]

PMCID: PMC2515300

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