Lithium carbonate · 600 mg
Evening
Mood stabiliser. The core medication for bipolar I — it lowers the height of the highs.
What you may feel: Thirst, mild hand tremor, nausea in the first two weeks.
Medication
Nothing in the cup you can't name
Adherence after discharge is the single biggest predictor of whether the second episode comes. That starts with understanding it here.
Olanzapine · 5 mg
Evening
Settles racing thoughts and restores sleep during the acute phase. Usually tapered off after discharge.
What you may feel: Drowsiness, increased appetite.
Melatonin · 3 mg
20:30
Supports the sleep-wake rhythm that keeps the episode settling.
What you may feel: Vivid dreams.
Discharge readiness
4 of 6 complete
- Sleep stable ≥ 6h for 3 nights
- Medication tolerated, blood levels in range
- Early-warning card written
- Family planning session completed
- Outpatient appointment booked within 7 days
- Pharmacy confirmed and meds sent