Law and Order
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"Manic"
SVU, Episode 5.02
Production number: E4401
First aired: 30 September 2003
  {{{nNthProducedInSeries}}}th of 502 produced in SVU  
{{{nNthReleasedInSeries}}}th of 502 released in SVU
  {{{nNthReleasedInAll}}}th of 1271 released in all  
Joe Blaine
Written By
Patrick Harbinson

Directed By
Guy Norman Bee


Summary

Misuse of a prescription drug is involved in the killing of two students.

Cast

Main cast

Recurring cast

Guest cast

References

Quotes

[the detectives arrest Reynolds for his role in the murders]
Benson: Dean Reynolds, you're under arrest for reckless endangerment and for criminal diversion of prescription medication. You have the right to remain silent.
Reynolds: But I haven't done anything! Stop it! You're hurting me!
Stabler: Take some Aptril. That'll make you feel better.
Moredock: Before you scoff, Alex, consult the Physicians' Desk Reference for the known side effects of Aptril: abnormal dreams, anxiety, insomnia...
Alex: I suffer from anxiety and insomnia. I don't go around and shoot people.
Alex: I need your advice.
Dr. Huang: Lie down on the couch.
Cabot: Not that sort of advice.
Reynolds: What's this, a hostile takeover?
Stabler: Funny man.

Background information and notes

  • The release of information without the patient's consent is a violation of HIPAA (the Health Insurance Portability and Accountability Act), which went into effect on 14 April 2003. The HIPAA allows release of medical health information to occur, with an appropriate subpoena or in other specified circumstances, without the patient's consent, but psychological and chemical addiction treatment records still require specific consent, as they did before HIPAA.
  • The Columbine High School massacre is mentioned. Eric Harris was mentioned to saying in the library "All jocks stand up!". He was also on the anti-depressant Luvox, which was found in his autopsy drug test.
  • "Aptril" is not a real drug. It is said to be a serotonin reuptake inhibitor (SSRI) antidepressant and its chemical name is even given - phenyloxypropylamine. This is an actual substance, however not a psychoactive drug; though chemically closely related to fluoxetine. This appears to be another reference to the Columbine shooter, what is mentioned in the episode itself.

Episode scene cards

1 2 3

Clinton Hospital
Emergency Room
603 West 57th Street
Saturday, September 6

Security Office
Grand Central Station
Saturday, September 6

Office of Dr. Engles
182 West 44th Street
Monday, September 8

4 5 6

Trial Part 46
Tuesday, September 9

Chelsea
Neighborhood Clinic
588 West 14th Street
Wednesday, September 10

Juvenile Detention Center
Wednesday, September 10

Previous episode:
"Tragedy"
"Manic"
Law & Order: Special Victims Unit
Season 5
Next episode:
"Mother"
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