Zhengzhou Spirit: What to do with mania
what to do about mania
When the mania is severe, relevant treatment should be taken. The principle of Western medicine treatment is to use the medicine under the guidance of a doctor. If the mania is serious, hospitalization is recommended. Generally, some drugs are injected drugs in the treatment, and there are the following types:
Rapid treatment, such as rapid treatment with haloperidol. At present, during the treatment of haloperidol, you must be hospitalized and carried out under the supervision of doctors and nurses;
Some patients may be injected with chlorpromazine intravenously. During the treatment of chlorpromazine, 50mg dissolved in 5% glucose will be injected. The intravenous drip also needs to be hospitalized and treated under supervision;
If there is restlessness and impulsive behavior, intramuscular injection of clonazepam can also be given. Clonazepam 1-2mg, intramuscularly injected 3 times a day, for the most severe impulsive injury, give injections during behavior, and it can take effect quickly;
When the patient has no impulsive behavior, oral medication can be used, such as lithium carbonate. The blood drug concentration must be monitored during the treatment process. At present, lithium carbonate tablets are not used too much, and the sustained-release tablets are mainly used. The blood drug concentration should be monitored regularly during the use of the sustained-release tablets; there are also clozapine or olanzapine treatment , is now used internationally for bipolar disorder and also for mania, and it is recommended that the treatment be gradually increased from a small dose. However, when using clozapine, it is necessary to regularly check the white blood cells and electrocardiogram of the patient to check whether there is leukopenia; in addition, clonazepam can be taken orally, 3 times a day, to relieve anxiety behavior, or use sodium valproate or phenytoin, carbamazepine corresponding treatment with drugs;
Electroconvulsive therapy is also very effective for mania. It is safe, effective and fast. It is recommended to use it once a day from the first week, and once every other day from the second week. Generally, 8-12 times is a course of treatment . The treatment of mania generally requires a certain maintenance treatment time. Even if all the manic symptoms are controlled within half a month, if the symptoms cannot be controlled, the drug should be stopped immediately. Maintenance treatment is required to prevent recurrence. The maintenance treatment for first-time patients should not be less than 6 months, and it is recommended to take medicine all year round for patients with multiple relapses. Mania has the characteristics of recurrent episodes and requires repeated treatment. Not only does the patient insist on treatment, it is recommended that the family support the patient to reduce the chance of relapse and insist on taking medicine according to the symptoms. The better the family support system, the lower the patient's chances of relapse.
