Acute and long-term treatment of mania.

摘要: The treatment of mania starts with a correct diagnosis and elementary measures to prevent risks for the patient, relatives, others. Sometimes, compulsory admission may be required few days. Patients psychotic or mixed more difficult treat. At present time, there is solid evidence supporting use lithium, anticonvulsants valproate carbamazepine, antipsychotics chlorpromazine, haloperidol, risperidone, olanzapine, quetiapine, ziprasidone, aripiprazole, asenapine in acute mania, some clozapine electroconvulsive therapy treatment-refractory cases. However, clinical practice, combination rule rather than exception. deserves long-term view, base treatments stronger When taking decisions about treatment, tolerability should also major concern, as differences safety exceed efficacy most compounds. Psychoeducation patients caregivers powerful tool that used medication optimal outcome. Functional recovery ultimate goal.