Some bits and bobs re: learning goals
So it turns out you can co-administer zuclopenthixol decanoate with acuphase in the same syringe - both oil based vehicle. First dose of depot can be conveniently given together with more acute treatment.
Prof Castle and his team in OZ have developed a set of guidelines around the use of acuphase. A course of injections is recommended in preference to unsystematic use of crash Acuphase for patients its indicated for - recommend not exceeding >4 injections consecutively or stopping injections if total dose = 400mg.
Review articles say that most depots are much of a muchness but in general depot seem to improve compliance vs orals for various reasons - some more obvious.
Lithium - not much evidence supporting its use in teenagers with bipolar d/o.
Also not great for depressive phase of bipolar disorder.
Gender identity disorder (social/cultural)
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