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[Recommendations for the treatment of mixed episodes in current guidelines]. / Recommandations sur le traitement des épisodes mixtes dans les guidelines actuels.
Azorin, J-M; Belzeaux, R; Cermolacce, M; Kaladjian, A; Corréard, N; Dassa, D; Dubois, M; Maurel, M; Micoulaud Franchi, J A; Pringuey, D; Fakra, E.
Afiliación
  • Azorin JM; SHU psychiatrie adultes, Solaris, Hôpital Sainte-Marguerite, 13274 Marseille cedex 09, France. Electronic address: jazorin@ap-hm.fr.
  • Belzeaux R; SHU psychiatrie adultes, Solaris, Hôpital Sainte-Marguerite, 13274 Marseille cedex 09, France.
  • Cermolacce M; SHU psychiatrie adultes, Solaris, Hôpital Sainte-Marguerite, 13274 Marseille cedex 09, France.
  • Kaladjian A; Pôle de psychiatrie des adultes, CHU Robert-Debré, Avenue du Général-Koenig, 51092 Reims cedex, France.
  • Corréard N; SHU psychiatrie adultes, Solaris, Hôpital Sainte-Marguerite, 13274 Marseille cedex 09, France.
  • Dassa D; Pôle de psychiatrie centre, Hôpital de la Conception, Boulevard Baille, 13006 Marseille, France.
  • Dubois M; Pôle de psychiatrie centre, Hôpital de la Conception, Boulevard Baille, 13006 Marseille, France.
  • Maurel M; SHU psychiatrie adultes, Solaris, Hôpital Sainte-Marguerite, 13274 Marseille cedex 09, France.
  • Micoulaud Franchi JA; SHU psychiatrie adultes, Solaris, Hôpital Sainte-Marguerite, 13274 Marseille cedex 09, France.
  • Pringuey D; Clinique de psychiatrie et de psychologie médicale, CHU Pasteur, 06002 Nice cedex, France.
  • Fakra E; SHU psychiatrie adultes, Solaris, Hôpital Sainte-Marguerite, 13274 Marseille cedex 09, France.
Encephale ; 39 Suppl 3: S185-7, 2013 Dec.
Article en Fr | MEDLINE | ID: mdl-24359859
A literature search on the pharmacological treatment of acute bipolar mixed episodes in current guidelines shows that only seven of them address the acute management of mixed episodes as a separate condition, whereas the vast majority of these guidelines include the treatment of mixed episodes in the chapter of mania. As a general rule, most guidelines advise to stop antidepressant treatment and mention the superiority of valproate over lithium. Specific recommendations for the treatment of "mixed states" can be found in two guidelines, while specific recommendations for that of "mixed mania" are present in five of them. Recommendations for the treatment of "mixed depression" exist in only three guidelines. If some consensus may be found for the treatment of "mixed states" as a whole, recommendations for the treatment of "mixed mania" appear to be variable, whereas those for the treatment of "mixed depression" seem to be limited.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno Bipolar / Antimaníacos / Adhesión a Directriz / Trastorno Depresivo Mayor / Antidepresivos Tipo de estudio: Diagnostic_studies / Guideline Límite: Humans Idioma: Fr Revista: Encephale Año: 2013 Tipo del documento: Article Pais de publicación: Francia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno Bipolar / Antimaníacos / Adhesión a Directriz / Trastorno Depresivo Mayor / Antidepresivos Tipo de estudio: Diagnostic_studies / Guideline Límite: Humans Idioma: Fr Revista: Encephale Año: 2013 Tipo del documento: Article Pais de publicación: Francia