OPEN SOURCE PSYCHIATRY
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Lab Monitoring for Mood Stabilizers


Carbamazepaine:
Baseline: CBC
1 month: CBC, LFTs, carbamazepine level, serum sodium
Then yearly: CBC, LFTs, serum sodium, carbamazepine level

Lithium
Baseline: TSH, BUN/Creatinine, antithyroid peroxidase antibody titers
2 weeks: lithium level, TSH, BUN/Creatinine
6 months: TSH, BUN/Creatinine
Then yearly: TSH, lithium level, chem 7

Oxcarbazepine:
Baseline: serium sodium
1 month: serium sodium
Then prn if concern for hyponatremia

Topiramate:
Baseline: bicarbonate
1 month: bicarbonate
Then prn if concern for metabolic acidosis

Valproic Acid:
Baseline: LFTs, CBC
2 weeks: LFTs, CBC, Depakote level
Then yearly: LFTs (more frequent if concern for hepatitis), CBC (more frequent if easy bruisability)






  • About
  • Clinical Care
    • Lab Monitoring >
      • Antipsychotics
      • Mood Stabilizers
    • Prescribing Guidelines >
      • Depakote Loading for Mania
      • Gabapentin for Alcohol Detoxification
      • Haloperidol for Delirium
      • Tapering Benzodiazepines
      • Vivitrol for Alcohol Use Disorder
    • Useful Clinical Links >
      • Cheapest prescriptions
      • Grand Rounds >
        • ASAM
        • UCLA
        • Yale
      • Independent lab testing of supplements and herbal medications
      • Women's mental health
  • Education
    • Proof-of-Concept Protocols >
      • Anti-Inflammatory Agents
      • ARA 290 (CNS Targeted Erythropoietin)
      • Low-Dose Naltrexone
      • The Incentive Salience Hypothesis: A Novel Treatment Strategy for Depression
    • Psychopharmacology >
      • All About Lithium
      • Talmudic Psychopharmacology
    • Technology & Medicine >
      • How to Curate the Medical Literature
      • How to Use Smartphrases
    • Wellness >
      • Inspirations
      • Limbic Listening
      • Music
      • Sleep