Identifying Causes of Secondary Mania: Medication and Medical Factors

When evaluating a patient with mania, it is crucial to review their medication list as certain medications can trigger manic symptoms. Antidepressants, stimulants, certain blood pressure medications, and some dietary supplements have been known to cause mania. Additionally, substance use, including recreational drugs and even caffeine, can also induce manic episodes. Medical causes such as endocrine disorders, electrolyte abnormalities, infectious diseases affecting the brain, and neurological conditions like strokes or tumors should be considered. Conducting further tests, such as neurologic exams, imaging, or CSF analysis may be necessary to identify the underlying cause and initiate appropriate treatment for secondary mania.