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Clinical, Review, Journal: Lithium effects on Hippocampus volumes in patients with bipolar disorder. (Pubmed Central) - Oct 31, 2021 A timely diagnosis with subsequent effective prophylactic treatment, such as lithium, may prevent poor functional outcomes in real-world patients with BD. Lithium may be associated with increased hippocampal volume in BD, potentially due to its putative neurotrophic action, but further research is needed better define the morphological alterations of hippocampus in BD and the longitudinal effects of lithium in the short and long-term.
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Journal: Lamotrigine in bipolar disorder: preventing depression to treat the disease (Pubmed Central) - Oct 30, 2021 In patients with a clinical history characterized by severe and repeated manic episodes, it is advisable to combine LTG with an antimanic agent (e.g. lithium or second generation antipsychotic) even in the maintenance phase. Lamotrigine is a valid therapeutic option in the long-term prevention and stabilization of the depressive phases in patients with bipolar I disorder.
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Journal: Pharmacotherapy Prescriptions for Relapse Prevention of Psychotic Depression After Electroconvulsive Therapy. (Pubmed Central) - Oct 28, 2021 The combination of an antidepressant plus an antipsychotic was the most commonly prescribed regimen at the completion of ECT for relapse prevention in patients with psychotic depression acutely treated with ECT. Although this report offers a view of the clinical practice of 4 academic medical centers, it also points to the need of randomized controlled trials on continuation pharmacotherapy after treatment of psychotic depression with ECT.
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Clinical, Journal: Triamterene in lithium-induced nephrogenic diabetes insipidus: a case report. (Pubmed Central) - Oct 27, 2021 After improvement in hypercalcemia and unsuccessful indapamide treatment, triamterene was administrated to control polyuria...Lithium enters the collecting duct's principal cells mainly via the epithelial sodium channel (ENaC) located on their apical membranes, ENaC shows high selectivity for both sodium and lithium, is upregulated by aldosterone, and inhibited by triamterene. To our knowledge, this is the first publication on triamterene use in lithium-induced NDI patients.
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Review, Journal: Treatment of Comorbid Psychiatric Disorders with Bipolar Disorder. (Pubmed Central) - Oct 22, 2021 With this rationale, quetiapine can be listed as a first line treatment for anxiety disorders comorbidity in bipolar disorders while serotonergic antidepressants and olanzapine are recommended as second line options...However, both treatment agents might cause to manic switch and mood destabilization. Thus, clinicians should be aware of these complications when prescribing in bipolar disorders comorbidity.
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Journal: Contrasting Effects of Inhibitors Li and Be on Catalytic Cycle of Glycogen Synthase Kinase-3β. (Pubmed Central) - Oct 22, 2021 Ultimately, our simulations show that Li inhibition is driven by decreasing the phosphorylation reaction rate, rather than reducing catalytic turnover through tight binding to different GSK-3β states like Be inhibition. The effect of these metals derive from electrostatic differences and especially their smaller atomic radii compared to the native Mg and thus provide insight for the development of GSK-3β inhibitors based on other paradigms.
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Preclinical, Review, Journal: Mood Stabilizers in Psychiatric Disorders and Mechanisms Learnt from In Vitro Model Systems. (Pubmed Central) - Oct 22, 2021 Another significant contribution of iPSC models can be attributed to studying the molecular etiologies of schizophrenia such as abnormal differentiation of patient-derived neural stem cells, decreased neuronal connectivity and neurite number, impaired synaptic function, and altered gene expression patterns. Overall, despite significant advances using these novel models, much more work remains to fully understand the mechanisms by which these disorders affect the patients' brains.
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Journal: Ultrastructure of the kidney filtration barrier in conditions of distant tumor growth and lithium treatment. (Pubmed Central) - Oct 15, 2021 Podocyte hypertrophy was detected, the width of foot process and glomerular membrane were increased. The number of fenestrae was decreased and cell hypertrophy was developed in the structure endothelium of glomerular capillary. Lithium carbonate had some protective effect on podocytes, but caused a significant hypertrophy of endotheliocytes leading to glomerular capillary occlusion.
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[VIRTUAL] THE SEARCH FOR BIOMARKERS TO GUIDE CLINICIANS IN LITHIUM PRESCRIPTION FOR BIPOLAR DISORDERS (Hall E) - Oct 14, 2021 - Abstract #WPAI2021WPA_I_261; At present, around 30-55% of individuals selected for treatment with Lithium will not have the good outcome predicted – that is, even though the clinical response phenotype can be reliably described it has insufficient predictive validity on its own. Important research efforts are being dedicated to the development and the validation of predictive biomarkers to guide clinicians in the management of bipolar disorders, in particular with respect to lithium prescription.
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[VIRTUAL] MOOD SWINGS AND A DEADLY ECG PATTERN () - Oct 13, 2021 - Abstract #CHEST2021CHEST_1151; Information in regard to syncope, presyncope, family history of premature death, and a detailed medication list is critical in risk stratification. Based on this information, a decision about ICD implantation, loop recorder placement, EP study or close follow up is determined.
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Trial completion, HEOR: Longitudinal Comparative Effectiveness of Bipolar Disorder Therapies (clinicaltrials.gov) - Oct 7, 2021 P=N/A, N=1037352, Completed, In breastfeed infant no sustained accumulation of lithium and no adverse effects on development or growth were observed. Enrolling by invitation --> Completed
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Trial completion date, Trial primary completion date: Low-Dose Lithium for the Treatment of Behavioral Symptoms in Frontotemporal Dementia (clinicaltrials.gov) - Oct 5, 2021 P2, N=60, Recruiting, Finally, we concluded that LiCl treatment protects the cells from ER-stress induced by the NDV infection. Trial completion date: Mar 2021 --> Mar 2023 | Trial primary completion date: Sep 2020 --> Sep 2022
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[VIRTUAL] Polygenic Predictors of Treatment Outcome Following Lithium Augmentation in Major Depression () - Oct 3, 2021 - Abstract #WCPG2021WCPG_473; Polygenic scores for TRD (HR=0.97, 95% CI [0.75, 1.24], p=0.80) and MDD (HR=0.85, 95% CI [0.68, 1.07], p=0.17) did not significantly predict lithium response. Our preliminary results suggest that individuals with treatment-resistant MDD who carry a higher polygenic burden for SCZ and BIP are more likely to respond to lithium augmentation and that lithium treatment outcomes in MDD might be influenced by similar genetic factors as response to lithium in bipolar disorder.
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[VIRTUAL] Neurobiological Basis of Bipolar Disorder () - Oct 3, 2021 - Abstract #WCPG2021WCPG_376; His group has also been working on genomics of mental disorders and revealed the role of retrotransposon LINE-1 in schizophrenia and the role of de novo mutations in bipolar disorder, among others. In 2020, he moved to the current position trying to translate the findings in his laboratory into clinical research.
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[VIRTUAL] Polygenic Predictors of Treatment Outcome Following Lithium Augmentation in Major Depression () - Oct 3, 2021 - Abstract #WCPG2021WCPG_343; Polygenic scores for TRD (HR=0.97, 95% CI [0.75, 1.24], p=0.80) and MDD (HR=0.85, 95% CI [0.68, 1.07], p=0.17) did not significantly predict lithium response. Our preliminary results suggest that individuals with treatment-resistant MDD who carry a higher polygenic burden for SCZ and BIP are more likely to respond to lithium augmentation and that lithium treatment outcomes in MDD might be influenced by similar genetic factors as response to lithium in bipolar disorder.
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Lithium severe poisoning due to urinary tract infection : a case report () - Oct 1, 2021 - Abstract #EUSEM2021EUSEM_4553; She was medicated by irbesartan and cyamemazine...Serum lithium levels should be closely monitored in patients taking this drug. Besides, delayed neurological effects in lithium intoxication must be watched out for .
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