Lithium to improve manic symptoms

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Jane is discharged from the hospital on lithium 900mg bid. Her lithium level is 1 mEq/L. Her manic symptoms are less severe, and she has gained some insight into her illness. She reports she continues to exhibit some manic symptoms, rapid/thoughts, pressured speech, impulsivity, getting about 5-6 hours of sleep nightly. You offer to add an atypical antipsychotic, but she does not want to take a medication from that drug class. What other medication would you add to lithium to improve manic symptoms? Describe the mechanism of action for the medication that would help to modify these symptoms.

Reference no: EM133787077

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