Pharmacotherapeutic interventions for bipolar disorder type II: addressing multiple symptoms and approaches with a particular emphasis on strategies in lower and middle-income countries

Massele, Amos Y.

Pharmacotherapeutic interventions for bipolar disorder type II: addressing multiple symptoms and approaches with a particular emphasis on strategies in lower and middle-income countries

dc.contributor.author	Massele, Amos Y.
dc.date.accessioned	2022-01-20T10:19:55Z
dc.date.available	2022-01-20T10:19:55Z
dc.date.issued	2019
dc.description.abstract	Introduction: Appropriately managing mental disorders is a growing priority across countries in view of the impact on morbidity and mortality. This includes patients with bipolar disorders (BD). Management of BD is a concern as this is a complex disease with often misdiagnosis, which is a major issue in lower and middle-income countries (LMICs) with typically a limited number of trained personnel and resources. This needs to be addressed. Areas covered: Medicines are the cornerstone of managing patients with Bipolar II across countries including LMICs. The choice of medicines, especially antipsychotics, is important in LMICs with high rates of diabetes and HIV. However, care is currently compromised in LMICs by issues such as the stigma, cultural beliefs, a limited number of trained professionals and high patient co-payments. Expert opinion: Encouragingly, some LMICs have introduced guidelines for patients with BD; however, this is very variable. Strategies for the future include addressing the lack of national guidelines for patients with BD, improving resources for mental disorders including personnel, improving medicine availability and patients’ rights, and monitoring prescribing against agreed guidelines. A number of strategies have been identified to improve the treatment of patients with Bipolar II in LMICs, and will be followed up.	en_US
dc.identifier.citation	Godman, B., Grobler, C., Van-De-Lisle, M., Wale, J., Barbosa, W.B., Massele, A., Opondo, P., Petrova, G., Tachkov, K., Sefah, I. and Abdulsalim, S., 2019. Pharmacotherapeutic interventions for bipolar disorder type II: addressing multiple symptoms and approaches with a particular emphasis on strategies in lower and middle-income countries. Expert opinion on pharmacotherapy, 20(18), pp.2237-2255.	en_US
dc.identifier.issn	oi.org/10.1080/14656566.2019.1684473
dc.identifier.uri	http://hdl.handle.net/123456789/865
dc.language.iso	en	en_US
dc.publisher	Expert opinion on pharmacotherapy	en_US
dc.subject	Bipolar disorders	en_US
dc.subject	Lower- and middle-income countries	en_US
dc.subject	Bipolar disorder type II	en_US
dc.title	Pharmacotherapeutic interventions for bipolar disorder type II: addressing multiple symptoms and approaches with a particular emphasis on strategies in lower and middle-income countries	en_US
dc.type	Article	en_US