한국형 양극성 장애 약물치료 알고리듬 2014 : 노인

초록

Objectives : In this study, we evaluated the treatment strategies of geriatric bipolar disorders of Korean Medication Algorithm Project for Bipolar Disorder (KMAP-BP) 2014. Method : Sixty-four psychiatrists of the review committee who have vast clinical experiences in treating bipolar disorders completed the survey. This survey was composed of 56 main questionnaires of which the contents covered from overall treatment strategies to treatment strategies under the specific situations. The executive committee analyzed the results and discussed the final production of algorithm. Results : In geriatric bipolar disorder, the first-line treatment option for acute manic episode is monotherapy with atypical antipsychotic or mood stabilizer, and combination of mood stabilizer and an atypical antipsychotic. The first-line treatment option for acute bipolar depressive episode was combination of mood stabilizer and an atypical antipsychotic, monotherapy with atypical antipsychotic, and combination of atypical antipsychotics and lamotrigine. Valproate and lithium are chosen for the preferred mood stabilizer, and among atypical antipsychotics, aripiprazole, quetiapine, and olanzapine were preferred. Conclusion : In KMAP-BP 2014, the recommendation for treatment option in geriatric bipolar disorder was newly introduced. We expect this algorithm will be helpful in the treatment of geriatric bipolar disorder.

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