The list of treatments mentioned in various sources for Mania includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Mania may include:
Hidden causes of Mania may be incorrectly diagnosed:
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Some of the different medications used in the treatment of Mania include:
Unlabelled alternative drug treatments for Mania include:
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Widely used to treat bipolar disorders, lithium has proved to be highly effective in relieving and preventing manic episodes. It curbs the accelerated thought processes and hyperactive behavior without producing the sedating effect of antipsychotic drugs. In addition, it may prevent the recurrence of depressive episodes; however, it’s ineffective in treating acute depression.
Because lithium has a narrow therapeutic range, treatment must be initiated cautiously and the dosage must be adjusted slowly. Therapeutic blood levels during the active manic period are 0.4 to 1.4 mEq/L. For safety, the level should never exceed 1.5 mEq/L. Therapeutic blood levels must be maintained for 7 to 10 days before the drug’s beneficial effects appear; for this reason, antipsychotic drugs commonly are used in the interim to provide sedation and symptomatic relief. Because lithium is excreted by the kidneys, any renal impairment necessitates withdrawal of the drug.
Anticonvulsants, such as carbamazepine, valproic acid, and clonazepam, are used either alone or with lithium to treat mood disorders. Carbamazepine and divalproex are effective in many patients who are lithium-resistant. Other anticonvulsant drugs have also been used. Electroconvulsive therapy is also effective.
Antidepressants are used to treat depressive symptoms, but they may trigger a manic episode.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Specific symptom clusters are treated empirically. Antidepressants and low-dose antipsychotic drugs are helpful for those with cluster A type symptoms (paranoid and schizoid types). Anticonvulsant mood stabilizers and monamine oxidase inhibitors are helpful for those showing marked mood reactivity, behavioral dyscontrol, and rejection hypersensitivity.
Anticonvulsants — such as carbamazepine, valproic acid, and clonazepam — are used either alone or with lithium to treat mood disorders. (See Preventing complications of lithium therapy.) Carbamazepine, a potent antimanic drug, is effective in many lithium-resistant patients.
Antidepressants are used to treat depressive symptoms, but they may trigger a manic episode.
Source: Handbook of Diseases, 2003
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