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Abstract
Sir, Previous studies in bipolar disorder (BD) have reported near equal gender prevalence and age at onset of BD. In terms of the clinical presentation and course of BD, females have been reported to have more depressive symptoms, more mixed episodes, greater presence of psychotic symptoms, and more rapid cycling than males. All patients who received a diagnosis of mania with/without psychotic symptoms and a diagnosis of BD - mania with/without psychotic symptoms (with a history of only depressive episodes) (ICD-10; WHO, 1992) in the calendar year 2008 were included in the review (n = 108). No significant differences were observed between the genders with respect to the drug class of the medication prescribed (mood stabilizer vs. antipsychotic), adverse effects, compliance, and number of follow-up visits (all P > 0.4).