Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) collaborative update of CANMAT guidelines for the management of patients with bipolar disorder: update 2009
Identifieur interne : 000523 ( Main/Exploration ); précédent : 000522; suivant : 000524Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) collaborative update of CANMAT guidelines for the management of patients with bipolar disorder: update 2009
Auteurs : Lakshmi N. Yatham [Brésil] ; Sidney H. Kennedy [Brésil] ; Ayal Schaffer [Brésil] ; Sagar V. Parikh [Brésil] ; Serge Beaulieu [Brésil] ; Claire O'Donovan [Brésil] ; Glenda Macqueen [Brésil] ; Roger S. Mcintyre [Brésil] ; Verinder Sharma [Brésil] ; Arun Ravindran [Brésil] ; L Trevor Young [Brésil] ; Allan H. Young [Brésil] ; Martin Alda [Brésil] ; Roumen Milev [Brésil] ; Eduard Vieta [Brésil] ; Joseph R. Calabrese [Brésil] ; Michael Berk [Brésil] ; Kyooseob Ha [Brésil] ; Flávio Kapczinski [Brésil]Source :
- Bipolar Disorders [ 1398-5647 ] ; 2009-05.
English descriptors
- KwdEn :
Abstract
The Canadian Network for Mood and Anxiety Treatments (CANMAT) published guidelines for the management of bipolar disorder in 2005, with a 2007 update. This second update, in conjunction with the International Society for Bipolar Disorders (ISBD), reviews new evidence and is designed to be used in conjunction with the previous publications. The recommendations for the management of acute mania remain mostly unchanged. Lithium, valproate, and several atypical antipsychotics continue to be first‐line treatments for acute mania. Tamoxifen is now suggested as a third‐line augmentation option. The combination of olanzapine and carbamazepine is not recommended. For the management of bipolar depression, lithium, lamotrigine, and quetiapine monotherapy, olanzapine plus selective serotonin reuptake inhibitor (SSRI), and lithium or divalproex plus SSRI/bupropion remain first‐line options. New data support the use of adjunctive modafinil as a second‐line option, but also indicate that aripiprazole should not be used as monotherapy for bipolar depression. Lithium, lamotrigine, valproate, and olanzapine continue to be first‐line options for maintenance treatment of bipolar disorder. New data support the use of quetiapine monotherapy and adjunctive therapy for the prevention of manic and depressive events, aripiprazole monotherapy for the prevention of manic events, and risperidone long‐acting injection monotherapy and adjunctive therapy, and adjunctive ziprasidone for the prevention of mood events. Bipolar II disorder is frequently overlooked in treatment guidelines, but has an important clinical impact on patients’ lives. This update provides an expanded look at bipolar II disorder.
Url:
DOI: 10.1111/j.1399-5618.2009.00672.x
Affiliations:
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Yatham</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Kennedy, Sidney H" sort="Kennedy, Sidney H" uniqKey="Kennedy S" first="Sidney H" last="Kennedy">Sidney H. Kennedy</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Schaffer, Ayal" sort="Schaffer, Ayal" uniqKey="Schaffer A" first="Ayal" last="Schaffer">Ayal Schaffer</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Parikh, Sagar V" sort="Parikh, Sagar V" uniqKey="Parikh S" first="Sagar V" last="Parikh">Sagar V. Parikh</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Beaulieu, Serge" sort="Beaulieu, Serge" uniqKey="Beaulieu S" first="Serge" last="Beaulieu">Serge Beaulieu</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="O Donovan, Claire" sort="O Donovan, Claire" uniqKey="O Donovan C" first="Claire" last="O'Donovan">Claire O'Donovan</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Macqueen, Glenda" sort="Macqueen, Glenda" uniqKey="Macqueen G" first="Glenda" last="Macqueen">Glenda Macqueen</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Mcintyre, Roger S" sort="Mcintyre, Roger S" uniqKey="Mcintyre R" first="Roger S" last="Mcintyre">Roger S. Mcintyre</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Sharma, Verinder" sort="Sharma, Verinder" uniqKey="Sharma V" first="Verinder" last="Sharma">Verinder Sharma</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Ravindran, Arun" sort="Ravindran, Arun" uniqKey="Ravindran A" first="Arun" last="Ravindran">Arun Ravindran</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Young, L Trevor" sort="Young, L Trevor" uniqKey="Young L" first="L Trevor" last="Young">L Trevor Young</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Young, Allan H" sort="Young, Allan H" uniqKey="Young A" first="Allan H" last="Young">Allan H. Young</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Alda, Martin" sort="Alda, Martin" uniqKey="Alda M" first="Martin" last="Alda">Martin Alda</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Milev, Roumen" sort="Milev, Roumen" uniqKey="Milev R" first="Roumen" last="Milev">Roumen Milev</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Vieta, Eduard" sort="Vieta, Eduard" uniqKey="Vieta E" first="Eduard" last="Vieta">Eduard Vieta</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Calabrese, Joseph R" sort="Calabrese, Joseph R" uniqKey="Calabrese J" first="Joseph R" last="Calabrese">Joseph R. Calabrese</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Berk, Michael" sort="Berk, Michael" uniqKey="Berk M" first="Michael" last="Berk">Michael Berk</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Ha, Kyooseob" sort="Ha, Kyooseob" uniqKey="Ha K" first="Kyooseob" last="Ha">Kyooseob Ha</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author><author><name sortKey="Kapczinski, Flavio" sort="Kapczinski, Flavio" uniqKey="Kapczinski F" first="Flávio" last="Kapczinski">Flávio Kapczinski</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>AffiliationsaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, bDepartment of Psychiatry, University of Toronto, Toronto, ON, cDepartment of Psychiatry, McGill University, Montreal, QC, dDepartment of Psychiatry, Dalhousie University, Halifax, NS, eDepartment of Psychiatry, University of Calgary, Calgary, Alberta, fDepartment of Psychiatry, University of Western Ontario, London, ON, gDepartment of Psychiatry, Queen’s University, Kingston, ON, Canada, hBipolar Disorder Program, University of Barcelona Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain, iMood Disorders Program, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA, jDepartment of Clinical and Biomedical Sciences, University of Melbourne, Parkville, Australia, kDepartment of Psychiatry, Seoul National University, Seoul, Korea, lBipolar Disorders Program, Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre</wicri:regionArea><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Bipolar Disorders</title><idno type="ISSN">1398-5647</idno><idno type="eISSN">1399-5618</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2009-05">2009-05</date><biblScope unit="volume">11</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="225">225</biblScope><biblScope unit="page" to="255">255</biblScope></imprint><idno type="ISSN">1398-5647</idno></series><idno type="istex">C46746CBD7A9C801528285335F3131C36D3A3BD2</idno><idno type="DOI">10.1111/j.1399-5618.2009.00672.x</idno><idno type="ArticleID">BDI672</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1398-5647</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>CANMAT</term><term>bipolar</term><term>depression</term><term>guidelines</term><term>mania</term><term>treatment</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The Canadian Network for Mood and Anxiety Treatments (CANMAT) published guidelines for the management of bipolar disorder in 2005, with a 2007 update. This second update, in conjunction with the International Society for Bipolar Disorders (ISBD), reviews new evidence and is designed to be used in conjunction with the previous publications. The recommendations for the management of acute mania remain mostly unchanged. Lithium, valproate, and several atypical antipsychotics continue to be first‐line treatments for acute mania. Tamoxifen is now suggested as a third‐line augmentation option. The combination of olanzapine and carbamazepine is not recommended. For the management of bipolar depression, lithium, lamotrigine, and quetiapine monotherapy, olanzapine plus selective serotonin reuptake inhibitor (SSRI), and lithium or divalproex plus SSRI/bupropion remain first‐line options. New data support the use of adjunctive modafinil as a second‐line option, but also indicate that aripiprazole should not be used as monotherapy for bipolar depression. Lithium, lamotrigine, valproate, and olanzapine continue to be first‐line options for maintenance treatment of bipolar disorder. New data support the use of quetiapine monotherapy and adjunctive therapy for the prevention of manic and depressive events, aripiprazole monotherapy for the prevention of manic events, and risperidone long‐acting injection monotherapy and adjunctive therapy, and adjunctive ziprasidone for the prevention of mood events. Bipolar II disorder is frequently overlooked in treatment guidelines, but has an important clinical impact on patients’ lives. This update provides an expanded look at bipolar II disorder.</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>Rio Grande do Sul</li></region><settlement><li>Porto Alegre</li></settlement></list><tree><country name="Brésil"><region name="Rio Grande do Sul"><name sortKey="Yatham, Lakshmi N" sort="Yatham, Lakshmi N" uniqKey="Yatham L" first="Lakshmi N" last="Yatham">Lakshmi N. Yatham</name></region><name sortKey="Alda, Martin" sort="Alda, Martin" uniqKey="Alda M" first="Martin" last="Alda">Martin Alda</name><name sortKey="Beaulieu, Serge" sort="Beaulieu, Serge" uniqKey="Beaulieu S" first="Serge" last="Beaulieu">Serge Beaulieu</name><name sortKey="Berk, Michael" sort="Berk, Michael" uniqKey="Berk M" first="Michael" last="Berk">Michael Berk</name><name sortKey="Calabrese, Joseph R" sort="Calabrese, Joseph R" uniqKey="Calabrese J" first="Joseph R" last="Calabrese">Joseph R. Calabrese</name><name sortKey="Ha, Kyooseob" sort="Ha, Kyooseob" uniqKey="Ha K" first="Kyooseob" last="Ha">Kyooseob Ha</name><name sortKey="Kapczinski, Flavio" sort="Kapczinski, Flavio" uniqKey="Kapczinski F" first="Flávio" last="Kapczinski">Flávio Kapczinski</name><name sortKey="Kennedy, Sidney H" sort="Kennedy, Sidney H" uniqKey="Kennedy S" first="Sidney H" last="Kennedy">Sidney H. Kennedy</name><name sortKey="Macqueen, Glenda" sort="Macqueen, Glenda" uniqKey="Macqueen G" first="Glenda" last="Macqueen">Glenda Macqueen</name><name sortKey="Mcintyre, Roger S" sort="Mcintyre, Roger S" uniqKey="Mcintyre R" first="Roger S" last="Mcintyre">Roger S. Mcintyre</name><name sortKey="Milev, Roumen" sort="Milev, Roumen" uniqKey="Milev R" first="Roumen" last="Milev">Roumen Milev</name><name sortKey="O Donovan, Claire" sort="O Donovan, Claire" uniqKey="O Donovan C" first="Claire" last="O'Donovan">Claire O'Donovan</name><name sortKey="Parikh, Sagar V" sort="Parikh, Sagar V" uniqKey="Parikh S" first="Sagar V" last="Parikh">Sagar V. Parikh</name><name sortKey="Ravindran, Arun" sort="Ravindran, Arun" uniqKey="Ravindran A" first="Arun" last="Ravindran">Arun Ravindran</name><name sortKey="Schaffer, Ayal" sort="Schaffer, Ayal" uniqKey="Schaffer A" first="Ayal" last="Schaffer">Ayal Schaffer</name><name sortKey="Sharma, Verinder" sort="Sharma, Verinder" uniqKey="Sharma V" first="Verinder" last="Sharma">Verinder Sharma</name><name sortKey="Vieta, Eduard" sort="Vieta, Eduard" uniqKey="Vieta E" first="Eduard" last="Vieta">Eduard Vieta</name><name sortKey="Young, Allan H" sort="Young, Allan H" uniqKey="Young A" first="Allan H" last="Young">Allan H. Young</name><name sortKey="Young, L Trevor" sort="Young, L Trevor" uniqKey="Young L" first="L Trevor" last="Young">L Trevor Young</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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