My brother in law suffered his 3rd mania episode in 7 years on April 18,2020. He is getting better, doctor gradually increased the dosage & says he will be fine in 30 days. Despite heavy dosage he doesn't sleep more than an average of 5.30hrs a night, occasionally 8hrs & some nights only 3.30hrs. As he is getting better unlike previously when dosage was increased he doesn't seems sleepy during the day.
His current dosage - Diva OD 750 x 2 times, Respidon 2 mg x twice a day & Lonazep 3 mg a day ( two days back added additional 1 mg). Despite lonazep 3 mg from past two days he has slept only 5.40 hours and 3.40 hours where as we were expecting with increased lonazep to sleep at-least 8 hours. One of the over all improvement is whatever hours he sleeps he sleeps in one go unlike previously when he was sleeping, awaking, sleeping& continued to do so. Also time taken to get to sleep after taking medicines has increased from 60 min to 90 min to 180 min
Please advise
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Hello,
Detail evaluation is needed, may be another anti psychotic or mood stabiliser could be added. Even in remission phase maintain the patient on low doses of medications as patient has relapsed multiple times in the past 7 years.
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Probably his mania has still not gone into remission.
As the number of episodes increase, the time to remission can also increase.
Doses can be further optimized
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detailed evaluation and detailed discussion about the management plan is needed
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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