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Mood Stabilizers (Main Menu)

Below are links to the MANY articles on this website about Mood Stabilizers. 

All the other MAIN MENUS on this website can be found by clicking HERE, or on *MENUS* at the top of any page on this website.

To use this Menu, please click on the category (or the arrow to the left of its name) to EXPAND the category and see what is included in it.

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Mood stabilizers—General articles

How many days to wait before measuring the blood level of any medication

When to measure serum levels of mood stabilizers

Combination therapy (mood stabilizer plus antipsychotic) for acute mania?

A practical guide to the management of bipolar disorders with mixed features

Does gabapentin work for bipolar disorder?

 Encourage pregnant women on an antiepileptic drug to enroll in these registries


Carbamazepine and Oxcarbazepine

Carbamazepine

Carbamazepine (Equetro®, Tegretol®-XR): Basic Information

Carbamazepine for neuropsychiatric symptoms in persons with dementia?

How should carbamazepine be discontinued?

What to do about contraception in women on carbamazepine or oxcarbazepine

HLA antigens and psychotropic drugs


Oxcarbazepine

Does oxcarbazepine (Trileptal®) work?

Advantages and Disadvantages of Trileptal® (oxcarbazepine) versus Tegretol® (carbamazepine)

How to start, titrate, and dose oxcarbazepine (Trileptal®)

Oxcarbazepine (Trileptal®): Plasma levels

What to do about contraception in women on carbamazepine or oxcarbazepine


Divalproex (or valproate or valproic acid)

How to prescribe divalproex

Also see: Mood stabilizers—General articles

Divalproex (Depakote®, Depakote ER®): Basic Information

Divalproex (Depakote®) or valproic acid (Depakene®) preparations

Divalproex (valproate) loading dose

What lab tests should we do in patients on divalproex (Depakote)?

All about when and how to order a FREE valproic acid level?

What is the optimal serum valproic acid (valproate) level?

Ketogenic diet and valproate

How to add valproate to lamotrigine


Efficacy of divalproex for different conditions

Does divalproex (valproate) work for bipolar depression?

Valproate for neuropsychiatric symptoms in dementia?


Side effects of divalproex

Valproate and hair loss (alopecia)

Valproate-induced pancreatitis

False-positive elevation of plasma ammonia

Valproate (Depakote®) and elevated serum ammonia level (hyperammonemia)

L-carnitine (levocarnitine; Carnitor®): Basic information

What to do if a patient develops thrombocytopenia during treatment with valproate 


Drug interactions of divalproex

Think twice before adding topiramate to valproate


Lamotrigine

Lamotrigine—General articles

Lamotrigine (Lamictal®): Basic Information

Can lamotrigine monotherapy be used for maintenance treatment in bipolar I disorder?

Lamotrigine: No additional benefit at 400 mg per day?

Why don’t we routinely prescribe lamotrigine extended-release (Lamictal XR®)?

How to add valproate to lamotrigine

Tips on using lamotrigine for mood disorders: Interview with Dr. Nassir Ghaemi


Lamotrigine—How to start

How to start and titrate lamotrigine (Lamictal®)

Dermatological precautions when starting lamotrigine


Lamotrigine—How to restart

Restarting lamotrigine

If lamotrigine is missed for a few days

Restarting lamotrigine: how many days?

Restarting lamotrigine: A case study


Lamotrigine—Medication levels

Lamotrigine level and adverse effects

Timing of blood draw for a serum lamotrigine level 

How many days to wait before checking a steady-state lamotrigine level


Lamotrigine—Skin rash

Dermatological precautions when starting lamotrigine

Is it a benign or dangerous skin rash?

How common are benign and serious rashes with lamotrigine?

Lamotrigine rechallenge after a skin rash?

Can “additive effects” increase the risk of Stevens-Johnson Syndrome (SJS) with lamotrigine?


Lamotrigine—Side effects (other than skin rash)

Can lamotrigine levels predict adverse effects? 

What to do about the risk of arrhythmias with lamotrigine

Can lamotrigine cause psychiatric side effects?

Can lamotrigine cause memory impairment?

Can lamotrigine cause bruising?

Is the use of lamotrigine during pregnancy safe?

Oral sores in a patient on lamotrigine 


Lamotrigine—Drug interactions

5 Action Items about OCs and lamotrigine

Does lamotrigine decrease the effectiveness of oral contraceptives?

How to reduce lamotrigine when an inducer is stopped

Folic acid may counteract the benefit of lamotrigine

Can “additive effects” increase the risk of Stevens-Johnson Syndrome (SJS) with lamotrigine?


Lithium

Lithium—Therapeutic use

Also see: Mood stabilizers—General articles

How to know who will respond better to lithium

Lithium: In how many doses per day?

“Simple and Practical” patient education about lithium

Is the extended-release preparation of lithium carbonate better?

Should we prescribe low-dose lithium?

What does this study tell us about the renal safety of immediate- versus prolonged-release lithium?

Lithium augmentation in major depressive disorder: How much?

Lithium augmentation in major depressive disorder: How long

Let’s not stop lithium abruptly or rapidly

If serum lithium levels vary unexpectedly, consider these possible causes

Should lithium be temporarily stopped before a colonoscopy?

How to manage lithium treatment before and after bariatric surgery

When and how to prescribe lithium citrate oral solution

What should we tell patients who ask about lithium orotate?

A patient with elevated WBC, absolute neutrophil, and platelet counts


Lithium—Side effects and their management

Lithium toxicity

Clinical tips for identifying lithium toxicity clinically


Lithium—Hyperparathyroidism

Lithium induced hyperparathyroidism

How to screen for lithium-induced hyperparathyroidism

Lithium-induced hyperparathyroidism: Management

How to calculate corrected serum calcium

Sensipar® (cinacalcet) Prescribing Information


Lithium—Hypothyroidism

An introduction to lithium-induced hypothyroidism

How common is lithium-induced hypothyroidism?

How should lithium-induced hypothyroidism be evaluated?

How should lithium-induced hypothyroidism be managed?


Lithium—Renal impairment

Lithium-induced renal impairment: Clinical recommendations

Case: Rising serum creatinine in a patient on lithium

Case: Elevated serum creatinine that remained stable for many years

Is the extended-release preparation of lithium carbonate better?

Which preparation of lithium is less likely to harm the kidneys?

Lithium-induced polyuria and diabetes insipidus

Lithium-induced polyuria and diabetes insipidus: Evaluation

Lithium-induced polyuria and diabetes insipidus: Treatment

24-hour urine for creatinine clearance

How to collect a 24-hour urine sample


Lithium—Skin/ hair-related side effects

All about lithium-induced hair loss

Acne is a potential side effect of lithium

Lithium and psoriasis


Lithium—Tremors

Lithium-induced benign tremor: Introduction

Lithium-induced benign tremor: Evaluation

Lithium-induced benign tremor: Treatment

Beta-blockers for lithium-induced benign tremor

Vitamin B6 for lithium-induced benign tremor?


Lithium—Miscellaneous

Lithium’s effects on the electrocardiogram (ECG, EKG)

Tips on using lithium for bipolar disorder during pregnancy


Lithium—Drug interactions

Lithium and antihypertensives: Be careful!


Topiramate

Warning! Topiramate can cause kidney stones

Ketogenic diet and topiramate

Can we use topiramate to treat medication-induced weight gain?

Think twice before adding topiramate to valproate



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