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CASE REPORT
Year : 2011  |  Volume : 20  |  Issue : 2  |  Page : 142-144

Aripiprazole for acute mania in an elderly person


Department of Psychiatry, JIPMER, Puducherry, India

Correspondence Address:
Balaji Bharadwaj
Department of Psychiatry, JIPMER, Puducherry- 605 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-6748.102532

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New-onset bipolar disorder is rare in the elderly. Symptom profile is similar to that in young adults but the elderly are more likely to have neurological co-morbidities. There are no case reports of elderly mania being treated with aripiprazole, an atypical antipsychotic. A 78-year-old gentleman presented to us with symptoms suggestive of mania of 1 month's duration. He had similar history 3 years ago and a family history of postpartum psychosis in his mother. There were no neurological signs on examination and work-up for an organic etiology was negative except for age-related cerebral atrophy. He improved with aripiprazole and tolerated the medications well. The use of psychotropic medications in the elderly is associated with side-effects of sedation, increased cardiovascular risk, and greater risk of extra-pyramidal side-effects. The use of partial dopaminergic antagonists like aripiprazole may be useful in the balancing of effects and side-effects.


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