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Cited by 330

The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.

The Texas Implementation of Medication Algorithms: Update to the Algorithms for Treatment of Bipolar I Disorder

Suppes, Trisha, Dennehy, Ellen B., Hirschfeld, Robert M. A., Altshuler, Lori L., Bowden, Charles L., Calabrese, Joseph R., Crismon, M. Lynn, Ketter, Terence A., Sachs, Gary S., Swann, Alan C., Texas Consensus Conference Panel on Medication Treatment of Bipolar Disorder·2005·The Journal of Clinical Psychiatry

Abstract

BACKGROUND: A panel consisting of academic psychiatrists and pharmacist administrators of the Texas Department of State Health Services (formerly Texas Department of Mental Health and Mental Retardation), community mental health physicians, advocates, and consumers met in May 2004 to review new evidence in the pharmacologic treatment of bipolar I disorder (BDI). The goal of the consensus conference was to update and revise the current treatment algorithm for BDI as part of the Texas Implementation of Medication Algorithms, a statewide quality assurance program for the treatment of major psychiatric illness. The guidelines for evaluating possible medications, the criteria for selection and ranking, and the updated algorithms are described. METHOD: Principles from previous consensus conferences were reviewed and amended. Medication algorithms for the acute treatment of hypomanic/manic or mixed and depressive episodes in BDI were developed after examining recent efficacy and safety and tolerability data. Recommendations for maintenance treatments were developed. RESULTS: The panel updated the 2 primary algorithms (hypomanic/manic/mixed and depressive) based on clinical evidence for efficacy, tolerability, and safety developed since 2000. Expert consensus was utilized where clinical evidence was limited. Prevention of new episodes or prophylaxis treatment recommendations were developed based on recent data from longer-term trials. Maintenance recommendations are provided as levels versus a specified staged algorithm, as for acute treatment, due to the relatively limited database to inform treatment. CONCLUSIONS: These algorithms for the treatment of BDI represent the recommendations based on the most recent evidence available. These recommendations are meant to provide a framework for clinical decision making, not to replace clinical judgment. As with any algorithm, treatment practices will evolve beyond the recommendations of this consensus conference as new evidence and additional medications become available.

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Metadata

Authors
Suppes, T., Dennehy, E. B., Hirschfeld, R. M. A., Altshuler, L. L., Bowden, C. L., Calabrese, J. R., Crismon, M. L., Ketter, T. A., Sachs, G. S., Swann, A. C., & Disorder, T. C. C. P. O. M. T. O. B.
Venue
The Journal of Clinical Psychiatry
Published
2005-07-15
Volume
66
Issue
07
Pages
870-886
ISSN
0160-6689 (ISSN-L)
OpenAlex
W2170351165
Cited by
330
References
15
FWCI
18.15
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Texas Implementation of Medication Algorithms: Update to the Algorithms for Treatment of Bipolar I Disorder. https://app.cochat.ai/papers/10.4088/jcp.v66n0710
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Suppes, T., Dennehy, E. B., Hirschfeld, R. M. A., Altshuler, L. L., Bowden, C. L., Calabrese, J. R., Crismon, M. L., Ketter, T. A., Sachs, G. S., Swann, A. C., & Disorder, T. C. C. P. O. M. T. O. B. (2005). The Texas Implementation of Medication Algorithms: Update to the Algorithms for Treatment of Bipolar I Disorder. The Journal of Clinical Psychiatry. https://doi.org/10.4088/jcp.v66n0710

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