A 24 y/o male was brought to psychiatry emergency. He appeared very excited, and was wearing orange t shi and pink pants along with googles. On seeing the doctor he said- 'I am the ultimate doctor, i have done MD and MS in all the specialities and I can cure all the diseases'. The family members repoed that he has not slept in last two days and was saying that he is trying to find the magic formula to reach moon in one hour. What is the drug of choice in this patient?
High-Yield Explanation
The history is suggestive of a manic episode. Increased self esteem, grandiose ideas, colorful clothing and decreased sleep is al suggestive of manic episode. 1. The best treatment in such cases is a combination of mood stabilizers + antipsychotics 2. If the combination is not given, in the options. the best treatment for acute mania is antipsychotics 3. The drug of choice for treatment of mania in a pregnant female is also antipsychotics