How can mania be treated?

Hi,

Welcome to icliniq.com.

The treatment option for mania is many including antipsychotic such as Arpizole and other antipsychotic, and mood stabilizing drug such as Sodium valproate or Lithium and/or Carbamazepine. The choice of drug depends upon the patients choice and side-effects profile of drug. So, please let me know exactly what you want.

Thank you.

Hi,

Welcome back to icliniq.com.

Arpizole is used in dose of 10 to 30 mg for mania and it may be sufficient for a few cases and may require other mood-stabilising drug in other cases. It depends upon person to person. However, lower doses can be used if person is showing good response, others need to increase the doses to 30 mg per day. If you are stable on 7.5 mg of Arpizole then it is good, otherwise need to increase the doses first and then add other drug.

Hope it helps.

Thanks and regards.

Hi,

Welcome back to icliniq.com.

Lithium is a good drug along with Arpizole. Why your daughter is reluctant to take Lithium, any reason she is providing? Arpizole 10 mg is effective in many patients but not in all. Arpizole in 10 mg may not be as effective as Lithium but it is effective in many cases. If she is not agreeing to take Lithium then ask your doctor to follow up earlier with only Arpizole and if needed, doses of Arpizole can be increased and that may be helpful. This will probably increase her compliance of medicine as her wishes to take only Arpizole are listened. You can wait for a week on Arpizole 10 mg and see the response and visit your psychiatrist more frequently to assess the response to Arpizole alone.

Hope it helps.

Thank you.

Hi

Welcome back to icliniq.com.

Lithium should be continued for at least 12 months and if there are no symptoms after this period then Lithium can be tapered slowly over a month and then can be stopped. Yes, Lithium can indeed cause hypothyroidism so you need to check your thyroid hormone levels regularly along with renal function also.

If you think that compliance is an issue then avoid lithium. A sudden stop of Lithium can cause manic symptoms to reappear. Among atypical antipsychotics, Arpizole comparatively has lesser metabolic side effects. So as of now follow your psychiatrist's advice.

Thank you.