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Quantification of the Immunosuppressant Tacrolimus on Dried Blood Spots Using LC-MS/MS
Published on: November 8, 2015
Treatment-Refractory Mania with Psychosis in a Post-Transplant Patient on Tacrolimus: A Case Report
Muaid Ithman1, Kunal Malhotra2, Meelie Bordoloi1
1Department of Psychiatry, University of Missouri-Columbia, Columbia, Missouri.
Abstract:
Bipolar affective disorder type I imparts significant morbidity and disease burden in the population. It is characterized by occurrence of one or more manic episodes which may be preceded or followed by a depressive or hypomanic phase. About half of these manic episodes are characterized by the presence of psychotic features. The condition is further complicated when the patient has multiple comorbid conditions. We report here the case of a Caucasian woman, aged 66 years, previously diagnosed with Bipolar disorder who developed treatment refractory mania with psychotic feature after being on the immunosuppressive agent, tacrolimus, after kidney transplantation.
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