special considerations in the treatment of patients with bipolar disorder and medical co-morbidities特殊考虑治疗双相情感障碍患者和医疗并发症.pdf
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Annals of General Hospital
Psychiatry BioMed Central
Review Open Access
Special considerations in the treatment of patients with bipolar
disorder and medical co-morbidities
Kimberly D McLaren and Lauren B Marangell*
Address: Mood Disorders Center, Menninger Department of Psychiatry, Baylor College of Medicine, Houston, TX, USA
Email: Kimberly D McLaren - kmclarenmd@; Lauren B Marangell* - laurenm@
* Corresponding author
Published: 22 April 2004 Received: 21 August 2003
Accepted: 22 April 2004
Annals of General Hospital Psychiatry 2004, 3:7
This article is available from: /content/3/1/7
© 2004 McLaren and Marangell; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permit-
ted in all media for any purpose, provided this notice is preserved along with the articles original URL.
bipolar disordermedical illnessobesitydiabetmood stabilizersanticonvulsantsatypical antipsychoticses mellitusdyslipidemiacardiac diseasehepatic diseaserenal diseasepulmonary diseasecancer-
Abstract
Background: The pharmacological treatment of bipolar disorder has dramatically improved with
multiple classes of agents being used as mood-stabilizers, including lithium, anticonvulsants, and
atypical antipsychotics. However, the use of these medications is not without risk, particularly
when a patient with bipolar disorder also has comorbid medical illness. As the physician who likely
has the most contact with patients with bipolar disorder, p
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