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Free explainer2 min readNICE CG185 (2023)

Bipolar disorder: acute mania and maintenance

Understand the model, recognise it in a stem, separate the look-alikes, then apply it.

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Watch it explainedA full manic episode, two weeks after starting prednisolone for an asthma flare. The bipolar disorder is not what changed.
Per NICE CG185, 2014 (updated 2023)
= 'stop the antidepressant, start an antimanic'; maintenance = 'Lithium, check kidney + thyroid'.
References & guidelines

Checked against NICE CG185, 2014 (updated 2023)

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