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Author6 Posts

what is the first line of rx in a pt with mania?confused

in B& W given as -----carbamazepine,valproate

in kaplan---given as lithium

Edited by usmletopper2 on May 19, 2008 - 4:27 AM


first line of rx: lithium
but in pt with renal d's : vlproate, carbamazepine

Edited by hir on May 20, 2008 - 7:58 AM


agree with hir and also for acute mgt of mania (eg agitated) use haloperidol.lithium takes 2-4 days for effect


yep acute mania is treated with haloperidol and not with lithium....!

u wanna calm down the buddy first!


I think that if he is agitated, alternatevely to haldol, you can use valproate...isn't it?


My suggestion would be to use olanzapine as first line treatment, haloperidol is kind of old school isn't it?

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