Mood & Emotion (우울조울병)

Korean Society for Affective Disorders (대한우울조울병학회)
권호 표지

Korean Medication Algorithm for Bipolar Disorder 2018 : The Elderly

한국형 양극성 장애 약물치료 알고리듬 2018 : 노인

  • Jung, Young-Eun (Department of Psychiatry, School of Medicine, Jeju National University) ;
  • Kim, Moon-Doo (Department of Psychiatry, School of Medicine, Jeju National University) ;
  • Bahk, Won-Myong (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Yoon, Bo-Hyun (Department of Psychiatry, Naju National Hospital) ;
  • Jon, Duk-In (Department of Psychiatry, Sacred Heart Hospital, Hallym University) ;
  • Seo, Jeong Seok (Department of Psychiatry, School of Medicine, Konkuk University) ;
  • Kim, Won (Department of Psychiatry, Seoul Paik Hospital, College of Medicine, Inje University) ;
  • Lee, Jung Goo (Department of Psychiatry, Haeundae Paik Hospital, College of Medicine, Inje University and Paik Institute for Clinical Research) ;
  • Woo, Young Sup (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Jeong, Jong-Hyun (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Sohn, InKi (Department of Psychiatry, Keyo Hospital, Keyo Medical Foundation) ;
  • Shim, Se-Hoon (Department of Psychiatry, Soonchunhyang University Cheonan Hospital, Soonchunhyang University) ;
  • Song, Hoo-Rim (Department of Psychiatry, Myongji Hospital) ;
  • Min, Kyung Joon (Department of Psychiatry, College of Medicine, Chung-Ang University)
  • 정영은 (제주대학교 의과대학 정신건강의학교실) ;
  • 김문두 (제주대학교 의과대학 정신건강의학교실) ;
  • 박원명 (가톨릭대학교 의과대학 정신과학교실) ;
  • 윤보현 (국립나주병원 정신건강의학과) ;
  • 전덕인 (한림대학교 의과대학 성심병원 정신건강의학과) ;
  • 서정석 (건국대학교 의학전문대학원 충주병원 정신건강의학과) ;
  • 김원 (인제대학교 의과대학 서울백병원 정신건강의학과) ;
  • 이정구 (인제대학교 의과대학 해운대백병원 정신건강의학과 및 백인제기념 임상의학연구소) ;
  • 우영섭 (가톨릭대학교 의과대학 정신과학교실) ;
  • 정종현 (가톨릭대학교 의과대학 정신과학교실) ;
  • 손인기 (계요의료재단 계요병원 정신건강의학과) ;
  • 심세훈 (순천향대학 의과대학 천안병원 정신건강의학과) ;
  • 송후림 (명지병원 정신건강의학과) ;
  • 민경준 (중앙대학교 의과대학 정신건강의학교실)
  • Received : 2018.10.08
  • Accepted : 2018.10.12
  • Published : 2018.11.30

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Abstract

Objectives : The fourth revision of Korean Medication Algorithm Project for Bipolar Disorder (KMAP-BP) was performed to provide more proper guidelines for clinicians. In this study, we evaluated treatment strategies of elderly patients with bipolar disorders of KMAP-BP 2018. Methods : Sixty-one psychiatrists of the review committee with vast clinical experiences in treating bipolar disorders, completed the survey. An expert consensus was obtained, on pharmacological treatment strategies for elderly patients with bipolar disorder. The executive committee analyzed results, and discussed the results to produce the final algorithm. Results : In elderly patients with bipolar disorder, first-line treatment option for acute manic episode is monotherapy, with atypical antipsychotics or mood stabilizer, and a combination of mood stabilizer and atypical antipsychotics. First-line treatment option for acute depressive episode, was a combination of mood stabilizer and atypical antipsychotics, monotherapy with atypical antipsychotic or mood stabilizer, and atypical antipsychotics with lamotrigine. Conclusion : In KMAP-BP 2018, the recommendation for treatment option in elderly patients with bipolar disorder, was newly introduced. We expect this algorithm may provide valuable information, and facilitate treatment of elderly patients with bipolar disorder.

Keywords

Acknowledgement

Supported by : 대한우울.조울병학회, 대한정신약물학회

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