A 30-year-old pregnant woman comes to your clinic with decreased sleep, increased appetite and hyperactivity for last 2 weeks. A diagnosis of mania is made. Fuher probing reveals four episodes of major depression in the past two years. What drug will you prescribe to this patient?
Correct Answer: Haloperidol
Description: Bipolar disorder - Bipolar disorder is characterized by marked mood swings between mania (mood elevation) and bipolar depression that cause significant personal distress or social dysfunction Bipolar I - mania + depression Bipolar II - depression + hypomania Mania: Decrease need for sleep Over talkativeness Abnormally increase activity levels Distractibility Increase self-esteem or grandiosity Flight of ideas Excessive involvement in pleasurable activities that have a high potential for painful consequences Duration - 7 days Hypomania - Less severe symptoms than mania Duration - 4 days Treatment:- Acute mania - mood stabilizer + antipsychotic >only antipsychotic In pregnancy antipsychotic is preferred because most of mood stabilizer are teratogenic Mood stabilizer - lithium (D/O/C for acute mania, causes ebstein's anomaly), valproate (most teratogenic), carbamazepine
Category:
Psychiatry
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now