Bipolar Disorder

Clinical Features:

• 1)Abnormally upbeat, jumpy or wired
• 2)Increased activity, energy or agitation
• 3)Exaggerated sense of well-being and self-confidence (euphoria)
• 4)Decreased need for sleep
• 5)Unusual talkativeness
• 6)Racing thoughts
• 7)Distractibility
• 8)Poor decision-making — for example, going on buying sprees, taking sexual risks or making foolish investments

Investigations:

• CBC
• RBS/HbA1c
• ECG
• Lipid profile
• SGPT

Rx:

Mania:

Mood Stbilizer:

1. Tab.Valex CR([post id="480" title="Sodium-Valproate"]) (500mg) 

• 1+0+0……...7 দিন

then

• 1+0+1 ……..চলবে

Anti-pschotic :

2.Tab.Halop (Haloperidol)(5mg)

• 1+0+1…..continue

OR

Tab. Frenia (Risperidone) (2mg)

• 1+0+1..............continue

If extra-pyramidal symptom:

3.Tab. Hexinor(Trihexyphenidyl ) 2mg 

• 1+0+1..............continue

If Sleep disterbance:

4.Tab.Lozicum(Lorazepam)(1mg)

• 1/2+0+1……..1 month

4.Cap.Maxpro(esomeprazol)(20mg)

• 1+0+1……...10 Days

Depression:

Mood stabilizer:

1. Lamogin (lamotrigine) (25mg)

1+1+1..............continue

Cap. 

Anti-psychotic:

Tab.Quitepine (Quiet) 25mg 

In severe case may add:

0+0+1...........continue 

Cap.Prodep (Fluoxetine) (20mg)

 নিচের কথা গুলো কখনই রোগীকে বলা যাবেনাঃ

• You're Just Overreacting Again"
  
• Anything That Doesn't Kill You Makes You Stronger"
  
• Everybody Has Mood Swings Sometimes"
  
• Everyone Is a Little Bipolar Sometimes"
  
• You Are Psycho"
  
• You're Acting Like a Maniac"
  
• I Wish I Was Manic so I Could Get Things Done"