Korean Medication Algorithm for Bipolar Disorder(V): Comparisons with Other Treatment Guidelines.
- Author:
Bo Hyun YOON
1
;
Duk In JON
;
Young Chul SHIN
;
Kyung Joon MIN
;
Jun Soo KWON
;
Won Myong BAHK
Author Information
1. Naju National Hospital, Naju, Korea.
- Publication Type:Review
- Keywords:
Bipolar disorder;
Pharmacotherapy;
Treatment guideline;
Algorithm
- MeSH:
Adolescent;
Aged;
Antipsychotic Agents;
Bipolar Disorder;
Complement System Proteins;
Consensus;
Drug Therapy;
Humans;
Judgment;
Pregnancy
- From:Korean Journal of Psychopharmacology
2004;15(2):162-174
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: The Korean Medication Algorithm for Bipolar Disorder (KMAP-BP) was developed in 2002 and subsequent minor revisions for mania, bipolar depression and rapid cycling were published recently. To compare the similarity and discrepancy, the authors who engaged in developing KMAP-BP as the executive members reviewed treatment guidelines for bipolar disorder. METHODS: The authors fully reviewed 6 currently available treatment guidelines and many literatures on the described points of overlap and discordance among guidelines and then compared along with various phases of bipolar disorder. RESULTS: KMAP-BP was structurally similar to Expert Consensus Guideline Series for Bipolar Disorder. In aspects of treatment options, most treatment guidelines were similar, but KMAP-BP advocated the antipsychotics as early treatment options and had fewer consensus on the preferences among mood stabilizers. Also, KMAP-BP was not concerned about the special clinical situations such as pregnancy, adolescence and elderly patients and lacked the general descriptions of psychotrophics commonly used as mood stabilizers. CONCLUSION: This review suggests that consultation of treatment guidelines may provide clinicians with useful information and a rationale for making sequential treatment decisions. It also consistently stressed that treatment algorithm or guidelines are not a substitute for clinical judgment; they may serve as a critical reference to complement individual clinical judgment.
