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Treating bipolar disorder in patients with renal failure having haemodialysis: two case reports
Maneesh Gupta1, Srinivas Annadatha
1Lancashire Care NHS Foundation Trust, Parkwood Hospital, East Park Drive, Blackpool, FY3 8PW, UK. maneesh_psych@yahoo.com.
Background:
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.
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