ABSTRACT
Polydipsia is a less examined but prevalent condition in patients with psychiatric disorders. It is usually described in schizophrenia but is rarely reported in bipolar affective disorder (BPAD). It is important to recognize and treat this entity as it can lead to serious complications. One needs to be cautious in choosing the mood stabilizer while treating this condition. We report the successful treatment of a patient with BPAD and polydipsia on a combination of valproate and risperidone.
Subject(s)
Bipolar Disorder , Water Intoxication/diagnosis , Adult , Female , Humans , Hyponatremia/etiology , Risperidone/administration & dosage , Risperidone/therapeutic use , Valproic Acid/administration & dosage , Valproic Acid/therapeutic use , Water Intoxication/physiopathology , Water Intoxication/therapyABSTRACT
Denovo obsessive-compulsive (OC) symptoms are associated with the use of atypical antipsychotics, clozapine in particular. Treatment of clozapine-associated OC symptoms is challenging and often difficult because continuation of clozapine can result in worsening of OC symptoms, whereas discontinuation may result in worsening of psychosis. We report, for the first time, the use of maintenance electroconvulsive therapy, in clozapine-associated OC symptoms, in a patient with schizophrenia.
