Priority 33 from the Bipolar PSP

UNCERTAINTY:How often should medication plans be reviewed, and should dosage change? (JLA PSP Priority 33)
Overall ranking 33
JLA question ID 0041/33
Explanatory note Not available for this PSP.
Evidence

None identified

Health Research Classification System category Mental Health
Extra information provided by this PSP
Original uncertainty examples For full examples, see Category ID T3 on spreadsheet.  Do bipolar medications that work continue to work over a lifetime - particularly in women considering hormone changes  what effect do life events such as having children, marrying or trauma have on the course of the illness? ~ How long should someone wait before asking their GP to change meds? ~ Will I have to come off Lithium in older age?  ~  How can someone under treatment explore whether or not continued medication is needed - in a safe way? ~  I always have to ask my GP surgery for my blood tests, now that I've been discharged back to primary care. I wonder if others experience the same and if so are some people on drugs like lithium being monitored. ~ How often should a psychiatrist see you to monitor your medication etc or is it okay to just see your GP?     
Submitted by Patients x 57 ~ Carers x 24 ~ Health Professionals x 6 ~ others x 3
PSP information
PSP unique ID 0041
PSP name Bipolar
Total number of uncertainties identified by this PSP. 363  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 14 June 2016