Bipolar

Question 1

optimum lithium levels?

Answer 1

Aim for blood levels near the high end of therapeutic range as tolerated, i.e., 1–1.2 mmol/L (0.5–0.8 mmol/L in elderly patients).

Question 2

how often should renal function be tested while on lithium?

Answer 2

ATLEAST twice yearly

Question 3

T/F: co-current administration of lamotrigine and valproate is ABSOLUTE contraindicated.

Answer 3

FALSE; Valproate reduces the clearance of lamotrigine (*thus, decrease the dose by 50%)

Question 4

Can valproate & lithium be taken together for the management of bipolar?

Answer 4

no; either one or the other