Bipolar Research Today is a free monthly online journal that collates and summarizes the latest research about Bipolar, including details on bipolar disorder, symptoms, treatment, depression, medication.

Psychotic mania associated with mefloquine in a bipolar patient.

Brumbaugh M, Price P, Fagan N, Hsieh H

Pharmacy Department, Alegent Health, Immanuel Medical Center, Omaha, NE 68122, USA. mbrumbau@alegent.org

A 63-year-old male patient with a history of bipolar I disorder presented to the emergency department in an acutely psychotic state. The patient had just returned from vacation in a malarial high-risk area and, as a result, had taken five weekly doses of mefloquine for prophylaxis. The patient's bipolar disorder was being treated with lithium, and he had been stable for about 8 years. All organic causes of psychosis were ruled out. The patient was admitted to the inpatient psychiatric unit and was treated with quetiapine until he was stable enough to return home.

Published 7 May 2008 in South Med J, 101(5): 550-1.
Full-text of this article is available online (may require subscription).

© 2004-2008 Bipolar Research Today. All Rights Reserved.