Uncooperative and manic
Current Psychiatry. 2010 August;09(08):47-51
August 1, 2010|Current Psychiatry
Author and Disclosure Information
After refusing medications and hemodialysis, Ms. Z, age 69, develops mania. She experiences mild anxiety and has multiple medical comorbidities. What’s causing her mania?
OUTCOME: Lasting improvement
At discharge 17 days after admission, Ms. Z is back to her baseline mental state. Her aripiprazole dose is tapered to 20 mg/d with no return of manic symptoms. After 10 weeks, aripiprazole is discontinued, with no recurrence of mania.
Related Resource
- Arora M, Daughton J. Mania in the medically ill. Curr Psychiatry Rep. 2007;9(3):232-235.
Drug Brand Names
- Amlodipine • Norvasc
- Aripiprazole • Abilify
- Atorvastatin • Lipitor
- Carbamazepine • Tegretol
- Carbidopa/levodopa • Sinemet
- Escitalopram • Lexapro
- Haloperidol • Haldol
- Isoniazid • Nydrazid
- Lithium • Eskalith, Lithobid
- Metoprolol • Lopressor
- Olanzapine • Zyprexa
- Pantoprazole • Protonix
- Quetiapine • Seroquel
- Valproic acid • Depakote
- Zidovudine • Retrovir
Disclosure
The authors report no financial relationship with any company whose products are mentioned in this article or with manufacturers of competing products.
