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

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