I am taking inspiral 20 mg and also going through bipolar disorder. Can this increase maniac phase?

Question

Dear lybrate-user, if you are diagnosed as bipolar disorder by a psychiatrist, she/he would have offered a mood stabiliser for the long run. If you take inspiral or any antidepressant under cover of a mood stabiliser, the chances of manic switch is minimal.

Saranya Devanathan · Accepted Answer

Dear lybrate-user, if you are diagnosed as bipolar disorder by a psychiatrist, she/he would have offered a mood stabiliser for the long run. If you take inspiral or any antidepressant under cover of a mood stabiliser, the chances of manic switch is minimal.

Prof. Jagadeesan M.S. · Answer

It can improve your inattention, whether it directly triggers manis, is unlikely. Consult your psychiatrist, before taking the same and also attend review periodically. Good luck.

Saul Pereira · Answer

I don't know of it can increase the manic phase but it might make you feel a little high. I don't know how long you have been on this dosage but it is good to periodically review the medication and dosage to watch for reactions, like the manic. Do speak to your doctor who can guide you best when any out-of-turn reactions manifest. You must comply with all the medical prescriptions and work in tandem with a counselor for a long time and learn coping skills and techniques to handle the daily challenges you will face. There are certain adaptations that will suit you during the elation phase and there are certain behaviors that are required during the depressed phases. In the meantime, you can do certain things that will give you benefits anyway. Emotional therapy will alleviate a lot of the problems faced in this condition because it is a mood disorder. You need to particularly look at your levels of anger both for its reasonableness and to express it in appropriate manner. I suspect that much of this anger may have origins in early childhood that you may never be aware of it now. Talk to your parents and explore that angle. This information will help the counselor too. Also you will need to check whether there is any genetic factor involved. You must exercise regularly, eat healthily and sleep normally too. If your motivation and cooperation is good much can be achieved. You must have a time-structured schedule filled with interesting and reasonable activities and it must be monitored for compliance and delivery. The reason I say this is that many times you will be inclined to have grandiose notions and confidently believe that you can do without the medication. This will set you back many months in the treatment and delay and sabotage the recovery: forewarned you are forearmed. If this combination of medication with therapy is maintained for at least three years without any episodes or breakdowns, it is possible to taper the medication in consonance with the doctor.

Shashank Raikwar · Answer

Madam, you are on inspiral (drug needs regular prescription and follow up) and a case of bipolar disorder. You will need to consult your psychiatrist regarding it- with your past episodes of mood disorders and family history of psychiatric illness. He will guide you in the process. Without this you will get all sorts of answers on internet and will be worried.