Friday, February 23, 2018 4:37

Treatment For Mania

Posted by on Tuesday, August 25, 2009, 12:38
This news item was posted in Children category and has 0 Comments so far.

The treatment of mania includes a mood stabilizer such as lithium or valproate (depakote). Because it takes about 2 to 4 weeks for these medications to work, an anti psychotic medication (usually a second generation or novel anti psychotic) is added if your child is agitated, violent, or psychotic.

These medications control agitation, violent behaviours, and mood faster than other mood stabilizers. A benzodiazepine can sometimes be added instead of an anti psychotic, but if your child is experiencing hallucinations or delusions, using and anti psychotic medication is preferred. Once the agitation or the psychosis has subsided, the anti psychotic or benzodiazepine may be very slowly tapered down and discontinued.

Recent reports in adults with mania have shown that the second generation of anti psychotics such as olanzapine (Zyprexa), risperidone (Risperal), quetiapine (Seroquel), and ziprasidone (Geodon) may be used alone for the treatment of acute manic symptoms, but thie treatment has not been well studied in children.

If your child is responding to treatment , you should see progressive improvement. For example, your child will be less agitated, impulsive, and talkative, he or she will have better judgment, and his or her sleep wake habits will begin to normalize.

But it is important to be patient because it takes time ( 2 to 4 weeks) for the mood stabilizers to take action. Moreover, some mood stabilizers need to be at a certain level in the blood to work effectively. These medications also need to be started at low dosages and slowly increased in order to avoid side effects, further adding to the lag in response time.

If your child has not shown improvement within 2 to 4 weeks, you must speak with your child’s clinician since it is possible that the blood levels or dosages of the medication(s) are too low. If the dosages or blood level of the medications is appropriate, but your child is not responding to treatment, other medications may be added.

For example, it is common to combine two mood stabilizers such as lithium and valproate. Psychosocial management strategies as well are always important for helping you and your child and family manage and cope with child’s manic symptoms.

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