ACUTE MEDICAMENTOUS TREATMENT OF MANIC IL LNESS IN INPATIENTS - EFFECTS OF INDEPENDENT VARIABLES ON DOSAGE OF NEUROLEPTICS AND DURATION OF STAY IN-HOSPITAL

Investigations of drug therapy regimens in the treatment of acute mani a are rare, selective, methodically problematic, and contradictory. Th e goal of the present study is to describe the practice of mania treat ment in a large unselected collective of patients for the first time, and, following reduction of the data to global parameters such as leng th of stay, neuroleptic daily and total doses, to determine sources of variance and the strength of their effects by means of explorative da ta analysis. In contrast to widely held opinions, neuroleptics are use d as primary medication in all grades of severity of manic illness. Th e daily dose comprises 496 +/- 379 mg of chlorpromazine (CPZ) equivale nts; this result supports the first dose determination study and is at odds with other studies with much higher dosages. The amount of mean daily medication is only influenced by the severity of illness accordi ng to variance analysis, the effect is moderately strong. Neuroleptics appear to have causal effects, a property that has so far only been a ttributed to prophylactic medication, which is given in 80 % of cases; the different application forms have no effect on the neuroleptic dos age, although they do affect the length of stay slightly. The mean len gth of stay is 46.6 +/- 35.7 days and is slightly affected by age, sex , severity of illness and compliance.