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Bipolar disorder - Management
How should I manage acute mania in a pregnant woman?
Clarification / Additional information
- Treatments that may be considered by a psychiatrist include:
- Stopping the antidepressant (if the woman is taking one).
- Starting an atypical or typical antipsychotic if the woman is not taking any drug treatment.
- Increasing the dose of the current drug treatment.
- Changing the current drug treatment to an antipsychotic.
Basis for recommendation
These recommendations are based on two published guidelines from the National Institute for Health and Clinical Excellence (NICE), Bipolar disorder: the management of bipolar disorder in adults, children and adolescents, primary care and secondary care [National Collaborating Centre for Mental Health, 2006], and Antenatal and postnatal mental health [National Collaborating Centre for Mental Health, 2007].
- Referral or admission may be required so that the woman can have an expert assessment, and the most appropriate treatment initiated.
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