A 30-y/o woman was brought to the hospital by her parents because she had been in bed most of the day for the last two week. The woman had had an acute manic episode 4 month ago and was discharged on valproate with a good response. On questioning the patient said she discontinued the therapy two week ago because she felt cured, but now she admitted she had depressed mood most of the time and that she wanted to die. A maintenance therapy was ordered.
Which of the following drugs was most likely prescribed?
A. Amitriptyline B. Mirtazapine C. Fluoxetine D. Venlafaxine E. Lithium
Lithium-learning objective: outline the therapeutic uses of lithium.answer: ethe patient was most likely suffering from the depressive phase of a bipolar disorder. thedepression is often difficult to control and put patients at significant risk of suicide, like in thepresent case. lithium remain a drug of choice for the long term treatment of bipolar disorder.a, b, c, d) antidepressant use in bipolar depression is controversial and current guidelinessuggest that they should be used only when other preferred treatment like lithium, lamotigrine orquetiapine have failed (alone or in combination)