Can’t check currently but IIRC there is a marked neurotoxicity cause by too much cholinergic activity during mania, leading to quicker than average dementia onset and proportional to time spent in mania. Might be controversial among specialist. Might not apply to hypomania but be a useful prior none the less. I recommend the website elicit to quickly reduce uncertainty on this question.
Edit: also related to wether putting everyone on at least a low adderall dose might be a good thing
Can’t check currently but IIRC there is a marked neurotoxicity cause by too much cholinergic activity during mania, leading to quicker than average dementia onset and proportional to time spent in mania. Might be controversial among specialist. Might not apply to hypomania but be a useful prior none the less. I recommend the website elicit to quickly reduce uncertainty on this question.
Edit: also related to wether putting everyone on at least a low adderall dose might be a good thing