A patient Ashwani has been brought to the hospital with non-stop talking, singing, uncontrollable behavior and apparent loss of contact with reality. You diagnose it to be a case of acute mania. Which of the following is the most suitable drug for rapid control of his symptoms?

## **Core Concept**
Acute mania is a psychiatric condition characterized by abnormally elevated or irritable moods, often associated with increased activity, decreased need for sleep, and impaired judgment. The management of acute mania involves the use of mood stabilizers or antipsychotics to rapidly control symptoms.

## **Why the Correct Answer is Right**
The correct answer, , is a typical antipsychotic that can be used for rapid control of symptoms in acute mania. Antipsychotics like are effective in managing symptoms such as agitation, aggression, and psychotic features often seen in acute mania. They work by antagonizing dopamine receptors in the brain, which helps in reducing the symptoms of mania.

## **Why Each Wrong Option is Incorrect**
* **Option A:** is not typically used as a first-line treatment for acute mania due to its side effect profile and the availability of more effective and safer alternatives.
* **Option B:** might be used in the treatment of mania but is not the most suitable for rapid control of symptoms due to its slower onset of action compared to antipsychotics.
* **Option D:** is not primarily used for the treatment of acute mania.

## **Clinical Pearl / High-Yield Fact**
In the management of acute mania, especially when rapid control of symptoms is required, antipsychotics like are often preferred due to their fast onset of action. However, it's crucial to monitor for side effects and consider long-term treatment with mood stabilizers.

## **Correct Answer:** . Lorazepam + Haloperidol.

✓ Correct Answer: C. Haloperidol