Treatment of mania

Hospital admission may be desirable to prevent the adverse consequences of extravagance or disinhibited behaviour. Compulsory admission under the Mental Health Act 1983 may be required, since many manic patients have no insight into their illness. Neuroleptic drugs (see Chapter 23) are the first-line treatment; for example, olanzepine 5 mg b.d. Lithium is an effective adjunct to neuroleptics, but does not act so quickly and would not be used alone for treatment of a manic episode except for mild cases.

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