Rono Korra*, Syed Najeemuddin, Ramu Vadukapuram, Atif Muhammad, Amal Massad and
Raheel Naseeruddin


Ms X, a 32-year-old woman with no significant past psychiatric history, presented to an outpatient psychiatric clinic with acute mania. The patient had grandiosity, flight of ideas, impulsivity, racing thoughts, pressured speech, euphoric mood high energy, hasn’t slept more than few hours in a week. Symptoms began 8 days prior to presentation, acutely after she was prescribed a beclomethasone inhaler 3 inhalations each nostril twice daily to treat her poorly controlled asthma. She was not on any other medications. No history of ADHD, recreational drug/alcohol use, thought or mood disorders, drug allergy, any health problems except recent history of asthma. No family h/o mood disorder. Patients father and mother has long standing hypertension which is well controlled by medication. All of her lab-examinations, including CBC, BMP were within normal limits. After consultation with her physician, the beclomethasone was discontinued and her manic symptoms resolved within the next 3 days. She did not require a mood stabilizer or psychiatric hospitalization.

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