There are chlorpromazine, haloperidol and clozapine, which can generally be taken orally, and those with obvious excitement symptoms can be injected intramuscularly. 2. Lithium carbonate is a commonly used lithium salt preparation for lithium salt treatment. The oral dose is adjusted according to the blood concentration, and the general therapeutic dose is 600mg-2000mg/ day. Lithium salt treatment has obvious curative effect on mania. The onset time of lithium salt therapy is later than that of antipsychotics, and it generally begins to relieve after the blood lithium concentration reaches the effective concentration of 4 ~ 10 days (average 7 ~ 8 days). In order to obtain quick curative effect, chlorpromazine or haloperidol can be added in the early stage. Mania symptoms can disappear after treatment, but some cases will recur after drug withdrawal. Lithium salt can play a good role in preventing recurrence. The dose of lithium salt maintenance treatment can be half of that of acute treatment, and the blood lithium is maintained between 0.4 ~ 1.0 meq/L (average 0.7mEq/L), and the maintenance treatment lasts for several years. Those who have an initial attack or an interval of more than one year do not need maintenance treatment, and should be treated again when there are signs of recurrence.
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Mania is characterized by high mood, extreme excitement and hyperactivity. I feel that my brain has become more flexible and people have become smarter. When I speak, I am in high spirits and happy. I feel energetic, sleep less, inattentive, nosy and angry. In severe cases, it is easy to be irritable, even irritable, and aggressive behavior occurs. So pay attention to: 1. Patients who are agitated by family environment should not live in a family with irregular family life or disharmony with their families. The color of the room should be cool, such as green and blue, and the layout of the room should be simple and generous. During the onset of the patient, try to keep quiet at home and receive as few guests as possible, such as dinners and parties. When listening to music, we should also try to play some slow-paced serenades or light music, not too intense and fast music, so as not to cause patients to be excited.