For acute maniac episode:
Give antipsychotic (preferably IM) like Olanzapine, Haloperidol first because they act fast.
Give antipsychotic (preferably IM) like Olanzapine, Haloperidol first because they act fast.
Long term treatment for Bipolar disorder: Mood stabilizer like lithium.
If patient is on mood stabilizer and presents with maniac episode: Give antipsychotic.
For patients who have a history of multiple recurrences or have a partial but inadequate response to a maintenance drug that is tolerated, add a second drug:
For patients who have a history of multiple recurrences or have a partial but inadequate response to a maintenance drug that is tolerated, add a second drug:
Common combinations include lithium or valproate:
- Plus a second-generation antipsychotic, such as quetiapine, long-acting injectable risperidone, ziprasidone, or olanzapine
- Lamotrigine
- Carbamazepine
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