Treating bipolar disorder in patients with renal failure having haemodialysis: two case reports


There is little published guideline or evidence on treating bipolar affective disorder in patients with renal failure having haemodialysis.Case: We present two patients with bipolar affective disorder with renal failure having haemodialysis. We used lorazepam in one patient to manage the immediate risk of non-engagement with dialysis.

Risperidone was added in the second patient for managing psychotic symptoms. Valproate was started as a mood stabiliser and titrated upwards for long-term management of the illness.

Conclusion: We discuss the similarities in the two cases and the care plan we used to manage them.

Author: Maneesh Gupta and Srinivas Annadatha
Credits/Source: Clinical Practice and Epidemiology in Mental Health 2008, 4:21



Published on: 2008-07-26

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