Psychiatric pharmacists must juggle the doses of these medications—which are prescribed for bipolar disorder, mania and hypomania, and recurrent, severe depression—so that they are effective in aiding mental health, while not causing or worsening liver and/or kidney disease, said Shadi Doroudgar, PharmD, a professor in the Clinical and Social Pharmaceutical Sciences Department at Touro University California College of Pharmacy, in Vallejo, and the lead clinical psychiatric pharmacist at the Pathways to Wellness medical group, in Oakland.