Pattern of outcome of management of bipolar-1 disorder in manic phase during hospital stay: a case series

Background: Most of the unmanageable patients bipolar-1 disorder need hospital admission during manic episode. Pharmacological management is challenging because severity condition, presence co-morbidity, for poly-pharmacy, side effects medication etc. The purpose this article to evaluate treatment pattern hospitalized and effectiveness drug combinations in controlling symptoms reducing stay. Methods: This a case series on 7 admitted patients, who were treated within last 6 months at Department Psychiatry, BSMMU. Young Mania Rating Scale (Y-MRS) was applied just after before discharge. All given psycho-education follow up plan. Results: Average stay around 30 days (maximum 73 minimum days). Based Y-MRS score, 2 cases found have severe symptom, other 5 categorized as having moderate admission. score discharge showed that all achieved remission from acute symptoms. Patient with first/second episode, younger age no family history mental illness tend respond better single agent (first/second generation antipsychotic) less multiple episodes, non-compliance positive correlated polypharmacy had prolonged Conclusion: Treatment mania should be personalized respect several clinical criteria, which include symptoms, course specifiers patient factors. BIRDEM Med J 2023; 13(2): 103-106