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Vol. 22. Issue S2.
Antipsicóticos y trastorno bipolar. Tolerabilidad y aspectos clínicos
Pages 10-12 (July 2015)
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Vol. 22. Issue S2.
Antipsicóticos y trastorno bipolar. Tolerabilidad y aspectos clínicos
Pages 10-12 (July 2015)
Caso clínico : La importancia del aumento de peso en la adherencia al tratamiento
The importance of weight gain in the treatment adherence
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María Paz García-Portilla
Corresponding author
albert@uniovi.es

Autor de correspondencia.
, Pilar A. Sáiz, Julio Bobes
Área de Psiquiatría, Facultad de Medicina, Universidad de Oviedo, Oviedo, España.
Servicio de Psiquiatría, Universidad de Oviedo, CIBERSAM, Oviedo, España.
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Resumen

Se presenta el caso de una paciente con trastorno bipolar que incrementó su peso y desarrolló síndrome metabólico tras la instauración del tratamiento farmacológico. El incremento de peso fue muy mal tolerado por la paciente y estaba relacionado considerablemente con la falta de adherencia al tratamiento.

Se describen evolutivamente los cambios sufridos y las intervenciones iniciales realizadas con el fin de corregir esos efectos adversos, y se plantean cuestiones para las siguientes estrategias que sería necesario implementar según el juicio clínico del lector.

Palabras clave:
Antipsicóticos
Aumento de peso
Síndrome metabólico
Trastorno bipolar
Abstract

The vignette describes the case of a patient with bipolar disorder who increased weight and developed metabolic syndrome after pharmacological treatment. Weight gain was poorly tolerated by the patient and was significantly associated with poor adherence to treatment.

We describe the progressive changes in weight and metabolic parameters as well as the initial interventions to correct these adverse effects. Afterwards, questions about the therapeutic strategies that should be adopted according to the clinical judgment of the reader were formulated.

Keywords:
Antipsychotics
Weight gain
Metabolic syndrome
Bipolar disorder

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