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CLINICAL PRACTICE GUIDELINES              MANAGEMENT OF BIPOLAR DISORDER (2ND ED.)



        Appendix 9   haloperidol  is  used  alone.   of   cases   but   occurred,   Appendix 9   in  metabolites   its   receiving   women   that  Appendix 9   to   reason   a   not   is   it   of  have  especially  while  nursing  a   cases   but   occurred,   preferred  in  a  dose-related  manner.   become   data   more  but







              LACTATION  LACTATION  However, use with other APs occasionally might negatively affect the  An  alternate  drug  may  be  preferred,  especially  while  nursing  a  newborn or preterm infant due to limited information available.  Aripiprazole  can  lower  serum  prolactin  in  a  dose-related  manner.  Monitor  infan
                adverse  developmental  effects  when  NOT RECOMMENDED DURING LACTATION.   lactation   of  especially if other APs are used concurrently.  infants whose mothers were taking aripiprazole.    of   amounts  **Relative Infant Dose (RID): 0.7 - 8.3%.   labelling  any AEs in breastfed infants.  asenapine should not breas












                      infant.    Monitoring:         o   Cases         breastfeeding.    However,         Manufacturer’s         asenapine   If                  Aripiprazole  can         Cases                  alternate   An   Cases      available.             Manufacturer’s         **RID: 0.3 - 4%.   
                    the          in   THIRD   the   the   in   in   the   and   limited.   in
                    aripiprazole,   RISK   aripiprazole,   aripiprazole,   aripiprazole,  ANIMAL  trimester  if  possible,   pregnancy  60
           SUMMARY OF MEDICATIONS FOR BIPOLAR DISORDER WITH PREGNANCY AND LACTATION          SUMMARY OF MEDICATIONS FOR BIPOLAR DISORDER WITH PREGNANCY AND LACTATION          SUMMARY OF MEDICATIONS FOR BIPOLAR DISORDER WITH PREGNANCY AND LACTATION  asenapine      IN       SUMMARY OF MEDICATIONS FOR BIPOLAR DISORDER WITH PREGNAN

                    with         of   use   the   POTENTIAL   with   with   of   use   the  PREGNANCY  SUGGEST MODERATE   of   use   the   weight  maternal  with   DATA   in   of   use   the   DATA  for  use  in  pregnancy;  however,  if   DATA   ANIMAL   DATA   ANIMAL   DATA   ANIMAL
                Avoid first trimester exposure if possible.  HUMAN DATA SUGGEST LOW RISK.  Aripiprazole crosses placenta.      requires  to reduce risk of AEs.    condition   defects, miscarriage, maternal or foetal outcomes.   adequate   no  HUMAN DATA SUGGEST LOW RISK.  Aripiprazole crosses placenta.  DATA   HUMAN  effects were
              PREGNANCY  PREGNANCY  Preferred drug if first generation APs is needed in pregnant  patients. However, minimum effective dose should be used  Due  to  limited  data,  avoid  use  in  pregnancy.  However,  if  the   treatment  lowest  effective  dose,  avoiding  the  first  trimester  if  possible,  Insufficient  data












                               mother’s   should be used.             RISK.   are   There      LIMITED         TRIMESTER.            mother’s         lowest     should be used.      mother’s       RISK.      RISK.     should be used.                RISK.   RISK.   maternal use.    are   There           pregn


              MEDICATION  MEDICATION   Aripiprazole*   Lumateperone*   Asenapine*      MEDICATION   Aripiprazole*   Lurasidone*   MEDICATION   Aripiprazole*   Cariprazine*   Olanzapine*   Asenapine*   Clozapine*      Asenapine*  MEDICATION      Aripiprazole*   Haloperidol*   Cariprazine*   Paliperidone*   Cariprazine*   Clozapine*


                                                ANTIPSYCHOTICS         ANTIPSYCHOTICS   ANTIPSYCHOTICS            ANTIPSYCHOTICS


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