Treatment Choices in Women with Bipolar Disorder Seeking Pregnancy: A Clinical Case Illustration
After ten years of successful maintenance treatment with lithium and olanzapine, a 40-year-old woman with bipolar disorder expressed concerns about continuing the use of medicines, as she was planning a pregnancy. In the past, she had suffered from five severe manic episodes with hospital admissions...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2013/630732 |
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| author | Corrado Barbui Andrea Bertolazzi Batul Hanife Andrea Cipriani |
| author_facet | Corrado Barbui Andrea Bertolazzi Batul Hanife Andrea Cipriani |
| author_sort | Corrado Barbui |
| collection | DOAJ |
| description | After ten years of successful maintenance treatment with lithium and olanzapine, a 40-year-old woman with bipolar disorder expressed concerns about continuing the use of medicines, as she was planning a pregnancy. In the past, she had suffered from five severe manic episodes with hospital admissions. After consultations with the treating psychiatrist, gynaecologist, and family doctor, olanzapine was stopped and lithium was gradually withdrawn. After few months, the patient, still in treatment with lithium 300 mg/die, experienced a new manic episode with hospital admission. Treatment with lithium and olanzapine was restored, and she progressively recovered. This case suggests that the risk of manic recurrence after ten years of maintenance treatment may be as high as the well-known risk of recurrence after few years of maintenance treatment, a consideration that doctors may find useful in the light of a complete absence of evidence on treatment choices after five years of successful maintenance treatment. |
| format | Article |
| id | doaj-art-9f7f559b31e5420aa798e9022da29e81 |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-9f7f559b31e5420aa798e9022da29e812025-02-03T00:59:31ZengWileyCase Reports in Psychiatry2090-682X2090-68382013-01-01201310.1155/2013/630732630732Treatment Choices in Women with Bipolar Disorder Seeking Pregnancy: A Clinical Case IllustrationCorrado Barbui0Andrea Bertolazzi1Batul Hanife2Andrea Cipriani3WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, Piazzale Scuro 10, 37134 Verona, ItalyWHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, Piazzale Scuro 10, 37134 Verona, ItalyWHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, Piazzale Scuro 10, 37134 Verona, ItalyWHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, Piazzale Scuro 10, 37134 Verona, ItalyAfter ten years of successful maintenance treatment with lithium and olanzapine, a 40-year-old woman with bipolar disorder expressed concerns about continuing the use of medicines, as she was planning a pregnancy. In the past, she had suffered from five severe manic episodes with hospital admissions. After consultations with the treating psychiatrist, gynaecologist, and family doctor, olanzapine was stopped and lithium was gradually withdrawn. After few months, the patient, still in treatment with lithium 300 mg/die, experienced a new manic episode with hospital admission. Treatment with lithium and olanzapine was restored, and she progressively recovered. This case suggests that the risk of manic recurrence after ten years of maintenance treatment may be as high as the well-known risk of recurrence after few years of maintenance treatment, a consideration that doctors may find useful in the light of a complete absence of evidence on treatment choices after five years of successful maintenance treatment.http://dx.doi.org/10.1155/2013/630732 |
| spellingShingle | Corrado Barbui Andrea Bertolazzi Batul Hanife Andrea Cipriani Treatment Choices in Women with Bipolar Disorder Seeking Pregnancy: A Clinical Case Illustration Case Reports in Psychiatry |
| title | Treatment Choices in Women with Bipolar Disorder Seeking Pregnancy: A Clinical Case Illustration |
| title_full | Treatment Choices in Women with Bipolar Disorder Seeking Pregnancy: A Clinical Case Illustration |
| title_fullStr | Treatment Choices in Women with Bipolar Disorder Seeking Pregnancy: A Clinical Case Illustration |
| title_full_unstemmed | Treatment Choices in Women with Bipolar Disorder Seeking Pregnancy: A Clinical Case Illustration |
| title_short | Treatment Choices in Women with Bipolar Disorder Seeking Pregnancy: A Clinical Case Illustration |
| title_sort | treatment choices in women with bipolar disorder seeking pregnancy a clinical case illustration |
| url | http://dx.doi.org/10.1155/2013/630732 |
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