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Manic depressive psychosis

Description
Manic-depressive psychosis, more commonly known as ‘Bipolar disorder’ is a psychiatric disorder in which the patient alters between episodes of depression and periods of elevated mood (hypomania). It is a serious mental health condition, appearing around 15-24 years of age and lasting for a lifetime. . It is a serious disorder. It’s defined by manic or hypomanic episodes (changes in mood from normal to high energy states). It often involves sleeplessness along with hallucinations, delusions, or paranoid rage. The severity of mood ranges from mild to severe and that can happen suddenly or gradually within a time frame days to weeks.
Causes

The main cause of manic depressive psychosis is not known. What is known is that it involves dysregulation of brain functioning and it can also run in families. It can also occur due to other medical conditions.

Risk factors

The risk factors are:

  • Genetics – a strong factor
  • Borderline personality (people who have difficulty in controlling their emotions)
  • Self or family history of other psychiatric disorders
  • Alcohol or drug abuse
Symptoms

The symptoms of this disease can be divided into two types. 

Depressive symptoms:

  • Persistent low mood
  • Loss of appetite
  • Fatigue
  • Feeling of worthlessness
  • Changes in sleep
  • Weight gain or loss
  • Loss of interest in activities

 

Maniac symptoms:

  • Easily distracted or unable to concentrate
  • Feeling of grandiosity
  • Elevated mood
  • Increased sexual desire
  • Increased energy
  • Decreased sleep due to overactivity
  • The increased tone when speaking
Diagnosis

To diagnose Manic depressive psychosis, evaluation may include : 

  • Physical examination : The doctor may do a physical exam and may run a few laboratory tests to identify any underlying medical conditions that could be causing the symptoms.

  • Psychiatric assessment: The doctor might refer to a psychiatrist, who will talk to you about feelings, thoughts and behaviour patterns. With the patient's permission, family or friends may be asked to provide information about your symptoms. 

  • Criteria for bipolar disorder: Your doctor may compare your symptoms with the other related disorders.

  • Mood charting: Doctor may ask the patient to keep a daily record of moods. Sleep patterns or other factors that could help with diagnosis and finding the correct treatment.
Management

Medical treatment is mainly based on controlling depressive and manic episodes.

Following drugs are given:

  • Anti-depressants such as SSRIs (Selective Serotonin Re-uptake Inhibitors)
  • Antipsychotics
  • Anti-anxiety e.g. Benzodiazepine
  • Mood stabilizers e.g. Lithium

Other treatment option includes:

  • Counseling
  • Psychotherapy
When to consult a doctor?

Usually, the patients themselves are not able to identify the symptoms. If family or friends observe any usual behavior or the above-mentioned symptoms, the doctor should be consulted.

Patients with bipolar disorder often get suicidal thoughts. Such an extent is a medical emergency and needs immediate hospitalization. 

Available Medicine for Manic depressive psychosis

Carbanil 100mg

Rs.48.11

Dosaco

Carbanil 200mg

Rs.33

Dosaco

Carbapin 200mg

Rs.33

Genome Pharma

Cazap 200mg

Rs.33

Usawa

Convul 200mg

Rs.0

Siza

Convul 400mg

Rs.0

Siza

Epicar 100mg

Rs.91.14

Adamjee Pharmaceuticals

Epicar 200mg

Rs.46.78

Adamjee Pharmaceuticals

Epigral 200mg

Rs.20

Medicraft

Epilepsin 100mg/5ml

Rs.45.32

Macter

Epilepsin 200mg

Rs.22.59

Macter

Epilex 100mg

Rs.75.72

Bryon

Epilex 200mg

Rs.51.62

Bryon

Episiez 200mg

Rs.15

Medicaids

Epitab XR 200mg

Rs.37.95

Werick

Epitab XR 400mg

Rs.70.15

Werick

Leptic 200mg

Rs.33

Bio Labs

Lexopine 200mg

Rs.18

Highnoon

Mazetol 200mg

Rs.22.2

Cibex

Mezapine 200mg

Rs.22

Valor

Mezine 200mg

Rs.33

Bloom Pharma

Sadmic 200mg

Rs.28

Zeb

Seizunil 100mg

Rs.120.5

Platinum

Seizunil 200mg

Rs.42.4

Platinum

Seizunil 400mg

Rs.32.75

Platinum

Tegral 100mg

Rs.81.62

Novartis

Tegram 200mg

Rs.28

Mediate

Teril 200mg

Rs.58.85

Martin Dow

Tegral 200mg

Rs.63.56

Novartis

Seizunil Tablet 200mg

Rs.147

Platinum

Carbatit 200mg

Rs.98.08

Titlis Pharma