Post-COVID Syndrome in Bipolar Affective Disorder Patient

Ahmad Firdaus, Adelita Vega Dwiputri, Aderisti Irkadiratna, Adi Satria Nugraha, Adinda Narulitia, Era Catur Prasetya, Absa Secka, Muhammad Muslih
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Abstract

Background: Post-COVID is a multifactorial disease that describes the residual effects of acute COVID-19 infection that are continuous or relapsing and in remission. The study found that 87% of people who recovered and were discharged from the hospital showed persistence of at least one symptom even within 60 days. COVID-19 patients who have bipolar disorder require therapeutic adjustments to avoid specific drug interactions between psychotropic drugs and those used in COVID-19 protocols. Objective: To determine the treatment of post-COVID patients with bipolar affective disorder.Methods: Collect and analyze research articles on Update Therapy for Post-COVID Syndrome Patients with Bipolar Affective Disorder. These articles were obtained by searching using Google Scholar, PubMed/NCBI, and SAGE Journal. Results: The use of combination drugs between antipsychotics and antidepressants with hydroxychloroquine/azithromycin is not recommended because it has side effects that can induce psychiatric symptoms. COVID-19 patients with bipolar disorder (BD) who do not respond to pharmacotherapy may receive electroconvulsive therapy (ECT). Non-pharmacological therapies such as counseling and the use of telepsychiatry are effective in treating mental health and overcoming adverse psychological effects.Conclusion: COVID-19 patients with bipolar affective disorder require unique therapy to avoid drug interactions and pharma-cotherapy. Non-pharmacological efforts include counseling and telepsychiatry to cope with emotional distress and mental health challenges. However, challenges remain in providing care for these patients.
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双相情感障碍患者的后冠状病毒综合征
背景:COVID-19后是一种多因素疾病,描述了急性COVID-19感染持续或复发并处于缓解期的残余效应。研究发现,87%的康复出院患者在60天内至少有一种症状持续存在。患有双相情感障碍的COVID-19患者需要进行治疗调整,以避免精神药物与COVID-19方案中使用的药物之间的特定药物相互作用。目的:探讨新冠肺炎后双相情感障碍患者的治疗方法。方法:收集和分析有关covid后综合征双相情感障碍患者更新治疗的研究文章。这些文章是通过Google Scholar、PubMed/NCBI和SAGE Journal检索得到的。结果:抗精神病药物和抗抑郁药物不建议与羟氯喹/阿奇霉素合用,因为其副作用可诱发精神症状。药物治疗无效的COVID-19双相情感障碍(BD)患者可接受电休克治疗(ECT)。非药物疗法,如咨询和远程精神病学的使用,在治疗心理健康和克服不良心理影响方面是有效的。结论:COVID-19双相情感障碍患者需要独特的治疗方法,以避免药物相互作用和药物联合治疗。非药物治疗包括心理咨询和远程精神病学,以应对情绪困扰和心理健康挑战。然而,在为这些患者提供护理方面仍然存在挑战。
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