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Texas Medication Algorithm Project

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This is a collapser for 728x90
2007, Texas Department of State Health Services TEXAS MEDICATION ALGORITHM
PROJECTPROCEDURAL MANUALBIPOLAR DISORDER ALGORITHMSM. Lynn Crismon, PharmD,
BCPPTami R. Argo, PharmD, MS, BCPPSherrie D. Bendele, BSTrisha Suppes, MD, PhD

This is a collapser for Adult


Bipolar Disorder Physician s Manual Page ii Updated:July 2007 Bipolar Disorder
Algorithms Procedural ManualTable of
ContentsDisclaimer-----------------------------------------------------------------------------------------------------------1
Author
Affiliations------------------------------------------------------------------------------------------------2
Financial
Disclosures-------------------------------------------------------------------------------------------2
Overview of the Texas Medication Algorithm
Project-------------------------------------------------3 Clinical
Management--------------------------------------------------------------------------------------------5
At-a-Glance Bipolar Disorder Medication
Algorithms-------------------------------------------------6 Bipolar Disorder
Algorithms----------------------------------------------------------------------------------7
Algorithm for the Treatment of Bipolar Disorder
Currently Hypomanic/Manic
------------------------------------------------7 Algorithm for the Treatment
of Bipolar Disorder Currently
Depressed----------------------------------------------------------8 Description
of Algorithm
Stages--------------------------------------------------------------------------11
Algorithm for Treatment of BDI
Currently Hypomanic/Manic
------------------------------------------------------------------ 11 Algorithm
for Treatment of BDI
Currently
Depressed--------------------------------------------------------------------------12 Tactics and Critical Decision
Points----------------------------------------------------------------------13
Process Measures: Evaluation of Patient
Response------------------------------------------------15 Brief Bipolar
Disorder Symptom Scale
(BDSS)------------------------------------------------------------------------------------15 Clinician
Ratings-----------------------------------------------------------------------------------------------------------------------15 Medications and
Dosing--------------------------------------------------------------------------------------16
Transition to Maintenance
Treatment---------------------------------------------------------------------17
Continuation Treatment
---------------------------------------------------------------------------------------------------------------17 Maintenance Treatment
---------------------------------------------------------------------------------------------------------------17 Maintenance Treatment
Guidelines-----------------------------------------------------------------------19
Maintenance Treatment Guidelines: Most Recent Episode
Hypomanic/Manic/Mixed------------------------------------------ 19 Evidence for

Efficacy in Maintenance Treatment: Most Recent Episode


Hypomanic/Manic/Mixed-------------------------- 19 Maintenance Treatment
Guidelines: Most Recent Episode
Depressed------------------------------------------------------------ 20
Evidence for Efficacy in Maintenance Treatment: Most Recent Episode
Depressed-------------------------------------------- 20
Documentation--------------------------------------------------------------------------------------------------21
Bipolar Disorder Physician s Manual Page iiii Updated:July 2007 Outpatient
Documentation------------------------------------------------------------------------------------------------------------21 Inpatient Data Collection
-------------------------------------------------------------------------------------------------------------22 Modifications for Inpatient
Use----------------------------------------------------------------------------23
Inpatient to Outpatient
Transition-------------------------------------------------------------------------24
Outpatient to Inpatient
Treatment-------------------------------------------------------------------------24
Appendix A: Process
Measures---------------------------------------------------------------------------25
Brief Bipolar Disorder Symptom
Scale----------------------------------------------------------------------------------------------26 Appendix B:
Communications-----------------------------------------------------------------------------38
Appendix C: Medication
Charts---------------------------------------------------------------------------39
Mood Stabilizers,
Anticonvulsants---------------------------------------------------------------------------------------------------40 Antipsychotics,
Atypical---------------------------------------------------------------------------------------------------------------42 Antipsychotics,
Typical----------------------------------------------------------------------------------------------------------------45 Antidepressants,
SSRI------------------------------------------------------------------------------------------------------------------47 Antidepressants, Miscellaneous
------------------------------------------------------------------------------------------------------49 Adjunctive Agents
----------------------------------------------------------------------------------------------------------------------51 Additional References for Drug Information
---------------------------------------------------------------------------------------52 Appendix D: Side Effect and Associated or Co-Existing Symptom
Management---------53 Treatment-Emergent Side Effects

----------------------------------------------------------------------------------------------------53 Associated or Co-Existing


Symptoms------------------------------------------------------------------------------------------------56 Appendix E: Overlap and Taper
Guidelines------------------------------------------------------------58
Appendix F: TMAP
Publications--------------------------------------------------------------------------59
Appendix G: Minimum Data Set for
Documentation------------------------------------------------61 This is a
collapser for 728x90This is a collapser for 728x90This is a collapser for
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Texas Medication Algorithm Project
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