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Advances in the management of bipolar disorder in children and adolescents: an update on the literature.
Amerio, Andrea; Arduino, Gabriele; Fesce, Fabio; Costanza, Alessandra; Aguglia, Andrea; Amore, Mario; Serafini, Gianluca.
Afiliación
  • Amerio A; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, Genoa, Italy.
  • Arduino G; IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
  • Fesce F; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, Genoa, Italy.
  • Costanza A; IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
  • Aguglia A; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, Genoa, Italy.
  • Amore M; IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
  • Serafini G; Department of Psychiatry, Faculty of Medicine, University of Geneva (UNIGE), Geneva, Switzerland.
Expert Rev Neurother ; 24(10): 1011-1024, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39101769
ABSTRACT

INTRODUCTION:

Early diagnosis and treatment concerning bipolar disorder (BD) are related to a better functioning over the long-term period. Although pharmacotherapy is indicated for approximately all youths with BD, nearly one-third of patients do not receive adequate medications for their condition. AREAS COVERED The authors discuss the available scientific evidence from the current literature about the management of BD in both children and adolescents, giving particular focus to the efficacy and tolerability of the available pharmacological agents. Studies were identified searching MEDLINE and retrieved from reference listings of relevant articles and through consultation with experts in the field. EXPERT OPINION Many D2-blockers, approved by the Food and Drug Administration (FDA) based on their antimanic properties in youths, are related to both short- and long-term side effects. Lurasidone was found to be effective for the treatment of acute juvenile bipolar depression, while lithium for the treatment and recurrence prevention of manic/mixed episodes. The most common anticonvulsants were found to be most useful as adjunctive antimanic agents in non-responders to first-line monotherapies. No data was found to support the use of antidepressants in juvenile BD.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno Bipolar / Anticonvulsivantes Límite: Adolescent / Child / Humans Idioma: En Revista: Expert Rev Neurother Asunto de la revista: NEUROLOGIA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno Bipolar / Anticonvulsivantes Límite: Adolescent / Child / Humans Idioma: En Revista: Expert Rev Neurother Asunto de la revista: NEUROLOGIA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido