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Drug: Bipolar patient with Steven Johnson's syndrome?

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Final answer:

The drug lithium should be avoided in bipolar patients with Steven Johnson's syndrome.

Step-by-step explanation:

Lithium is a commonly prescribed mood stabilizer for bipolar disorder. However, it is associated with a risk of causing severe skin reactions, including Steven Johnson's syndrome (SJS).

SJS is a rare but potentially life-threatening condition characterized by a severe skin rash, blistering, and mucosal involvement. Given the serious nature of SJS, it is crucial to avoid the use of lithium in patients with a history of or predisposition to this condition.

The link between lithium and SJS underscores the importance of carefully evaluating the risk-benefit profile of medications, especially in vulnerable populations. Lithium's potential for triggering SJS necessitates close monitoring of patients, and healthcare providers should be vigilant for any signs of skin reactions.

In cases where there is a history of SJS or other severe skin reactions, alternative medications with lower risks of dermatological adverse effects may be considered for managing bipolar disorder. The decision to use lithium or any other medication should be made collaboratively between the healthcare provider and the patient, taking into account the individual's medical history, current health status, and the potential risks associated with the medication.

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