Lithium continues to be highly recommended in international guidelines for the pharmacotherapy of bipolar disorder, but worldwide usage by clinicians seems less frequent than expected. This may be due to a lack of appreciation of the strength of the evidence base favoring lithium use, but also, studies show high discontinuation rates in patients started on lithium, and clinical experience may be similar, leading to a reluctance to initiate prescriptions. The side effect burden of lithium is considerable, and clinicians may not be up to date on reasonable strategies for managing the side effects. This presentation reviews the advantages and disadvantages of lithium as a treatment in bipolar disorder in children and discusses the major side effects and how they can be optimally managed.
**This content was captured at the 2017 APA Annual Meeting and may reference information from various sources and terminology from previous editions of the DSM.
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- Discuss the latest evidences regarding the benefit of using lithium to treat bipolar disorder in children
- Identify the risks and side effects of using lithium in the pediatric population
- Describe strategies for minimizing lithium’s long-term renal damage in children and adolescents
Estimated Time to Complete
Estimated Duration: 30 minutes
Begin Date: May 1, 2018
End Date: December 31, 2020
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Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 100% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned.
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The APA designates this enduring CME activity for a maximum of 0.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
- Othman M. Mohammad, M.D., Baystate Medical Center. Reports no financial relationships with commercial interests.
- Tristan Gorrindo, M.D., Director of Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
- Ricardo A. Juarez, M.S., Director, District Branch and International Relations, American Psychiatric Association. Reports no financial relationships with commercial interests.
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