Psychotropic Management in Cotard Syndrome: Case Reports Supporting Dual Medication Management.

Cotard syndrome is a rare presentation where patients present with nihilistic thoughts of dying or already being dead. These delusions manifest from either a medical or psychiatric etiology and can be difficult to treat. Recently Couto and Gonçalves purposed that treatment should include an atypical antipsychotic alone or in combination with either a mood stabilizer or antidepressant.

Electroconvulsive Therapy in a Patient With a Liver Transplant.

Depression is common in patients after liver transplantation and, when severe, can threaten both viability of the graft and the patient's life. Electroconvulsive therapy (ECT) is a safe and highly effective therapy for severe depression, but there have been very few reports of its use in liver transplant recipients. We describe a patient who had undergone a successful orthotopic liver transplant 26 years previously, who developed severe major depression.

Lithium for Carbamazepine-Induced Syndrome of Inappropriate Antidiuretic Hormone.

Objectives: To examine the effectiveness of low-dose lithium carbonate for managing carbamazepine-induced hyponatremia.

Methods: Single case study in an 88 year old man with bipolar illness and vascular dementia who had failed to respond to other mood stabilizers.

Results: The patient had developed hyponatremia on two separate occasions when treated with carbamazepine.

Delirium Secondary to Lamotrigine Toxicity.

Background: Lamotrigine is a phenyltriazine medication that has been approved by the United States Food and Drug Administration as monotherapy and as an adjunctive agent for the treatment of seizure disorder. It was later approved by the FDA for the treatment of bipolar disorder. Lamotrigine is generally well tolerated by patients, but some serious symptoms can occur during treatment.