A violent manic patient should not be treated with:
Correct Answer: Cognitive therapy
Description: (Ref: Goodman & Gillman 13th ed. P 281-282)* For acute manic attacks, preferred agents are atypical antipsychotics, benzodiazepines, anticonvulsants (Valproate, carbamazepine), Lithium* All atypical antipsychotics medications with the exception of clozapine, iloperidone, brexpiprazole, and lurasidone, have indications for acute mania, and doses are titrated rapidly close to or at the maximum FDA- approved dose over the first 24-72 hours of treatment. Typical antipsychotic drugs are also effective in acute mania, but often are eschewed due to the risk for EPSs.
Category:
Pharmacology
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