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Overview

Dayo Od 1000Mg Tablet

Manufacturer: Lupin Ltd
Medicine composition: Divalproex
Prescription vs.OTC: Prescription by Doctor required
Dayo Od 1000Mg Tablet is an anticonvulsant that is used to control seizures and migraine headaches. Take this medicine at the same time regularly. Do not take this medicine if you have are suffering from impaired liver function.

Information given here is based on the salt and content of the medicine. Effect and uses of medicine may vary from person to person. It is advicable to consult a Psychiatrist before using this medicine.

Dayo Od 1000Mg Tablet is used in the treatment of Epilepsy which is a brain disorder that causes repeated seizures. Uncontrolled jerking movements and loss of consciousness are some of the symptoms of Epilepsy.
Dayo Od 1000Mg Tablet is used in the treatment of mania which is a mental disorder characterized by hyperactivity and racing thoughts.
Migraine Prophylaxis
Dayo Od 1000Mg Tablet is used as prophylaxis in migraine headaches characterized by severe headache, eye pain, nausea and vomiting.
Do not take this medicine if you have a known allergy to Dayo Od 1000Mg Tablet.
Do not take if you have any liver injury or a family history of liver injury.
Urea cycle disorders
Do not use in patients with urea cycle disorder (high ammonium levels in the blood) or family history of urea cycle disorder.
Mitochondrial disorders
Do not use in patients and in children who are suspected to have the mitochondrial disorder (POLG e.g Alpers-Huttenlocher Syndrome).
In addition to its intended effect, Dayo Od 1000Mg Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Diarrhea Major Common
Confusion Major Common
Headache Major Common
Muscle pain Major Common
Unusual tiredness and weakness Major Common
Sleepiness Major Common
Anxiety Major Less Common
Blurred vision Major Less Common
Yellow colored eyes or skin Major Less Common
Weight gain Major Less Common
Acid or sour stomach Minor Common
Skin rash Minor Common
Forgetfulness Minor Common
Irregular menstrual periods Minor Less Common
Ear pain Minor Less Common
How long is the duration of effect?
The effect of this medicine lasts for an average of 1 to 2 days.
What is the onset of action?
The peak effect of this medicine can be observed in 2 hours for a delayed release tablet.
Are there any pregnancy warnings?
This medicine is not recommended for pregnant women.
Is it habit forming?
No habit forming tendency has been reported
Are there any breast-feeding warnings?
This medicine is recommended only if clearly needed when no safer alternative is available. Monitoring of undesired effects like discoloration of eyes and skin is necessary.
Below is the list of medicines, which have the same composition, strength and form as Dayo Od 1000Mg Tablet , and hence can be used as its substitute.
Abbott India Ltd
Are there any missed dose instructions?
If you miss a dose of Dayo Od 1000Mg Tablet, take the missed dose as soon as you remember. If it's almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
Are there any overdose instructions?
Seek emergency medical treatment or contact the doctor in case of an overdose.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.
Interaction with Disease
Depression Major
Dayo Od 1000Mg Tablet should be given with caution in the patients with depression and suicidal thoughts. Frequent monitoring of depression symptoms is necessary. Dose adjustments are to be made based on the outcomes in the patient.
Liver Disease Major
Dayo Od 1000Mg Tablet is not recommended in patients with liver injury or a family history of liver injury. This risk is more in children less than 2 years of age. Liver function tests are to be performed before starting the treatment. Discontinue the medicine if any abnormality is identified.
Interaction with Alcohol
Alcohol Moderate
Consumption of alcohol with this medicine is not recommended as it increases the risk of side effects like dizziness, difficulty in concentration. Do not perform activities that require mental alertness like driving or operating machinery.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Lamotrigine Major
Dayo Od 1000Mg Tablet may increase the concentration of lamotrigine and can cause serious skin reactions. Frequent monitoring of undesired effects like skin rash, seizures, tremors is necessary. Suitable dose adjustments or an alternate medicine should be considered based under the doctor's supervision.
Imipenem Major
Use of these medicines is not recommended as it increases the concentration of Dayo Od 1000Mg Tablet. An alternate medicine should be considered based on the clinical condition under the doctor's supervision.
Warfarin Moderate
Dayo Od 1000Mg Tablet should be given with caution in patients with warfarin or other anticoagulants as this combination may increase the risk of bleeding. Frequent monitoring of blood cells count and prothrombin time is necessary. Suitable dose adjustments or an alternate medicine should be considered based on the clinical condition under the doctor's supervision.
Ethinyl Estradiol Moderate
The desired effect of Dayo Od 1000Mg Tablet will not be observed if taken with oral contraceptives. Inform the doctor if you are receiving either of the medications. Monitoring of behavior changes and seizures are necessary. An alternate medicine should be considered based on the clinical condition of the under the doctor's supervision.
Metoclopramide Moderate
Use of Dayo Od 1000Mg Tablet with metoclopramide should be avoided if possible. Do not operate heavy machinery if you are using these medicines. Suitable dose adjustments or an alternate medicine should be considered based on the clinical condition under the doctor's supervision.
Dayo Od 1000Mg Tablet belongs to the class anticonvulsants. it works by increasing the levels of neurotransmitter GABA and inhibits sodium and calcium channels thus it reduces the excitation of the brain cells
What are you using Dayo Od 1000Mg Tablet for?
Other
How much was the improvement?
Poor
How long did it take before seeing improvement?
Within a day
How frequently did you take this medicine?
Once a day
How did you take this medicine?
With Food
What were the side effects of this medicine?
Unusual tiredness and weakness
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

A doctor gave divalproex sodium extended release tablets. Is it a correct tablet for reducing hyperactiveness ? What are the actual uses of that tablets?

PDDM, MHA, MBBS
General Physician, Nashik
A doctor gave divalproex sodium extended release tablets. Is it a correct tablet for reducing hyperactiveness ? What ...
Divalproex sodium is used to treat certain types of seizures (epilepsy). This medicine is an anticonvulsant that works in the brain tissue to stop seizures. Divalproex sodium is also used to treat the manic phase of bipolar disorder (manic-depressive illness), and helps prevent migraine headaches.

I am diagnosed by my doctor as to have bipolar disorder. I am under medication for last 9 months. But I am still depressed. I am prescribed to take Divalproex Sodium 250 m. G. And Fluoxetine 40 mg a day. What should I do?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
It can be a crippling disease if not treated, and if treated early, the prognosis is good. So quickly visit a counsellor apart from your psychiatrist and you must then follow the medication and therapy prescribed. 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 an appropriate manner. I suspect that much of this anger may have origins in early childhood that you may never be aware of 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 are 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 are doing fine and 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.
1 person found this helpful

I am having hairfall problems due to divalproex salt medicine I am taking. To combat that, doctor told me to take biotin tablets once a day, but nothing has changed. Please suggest, hairfall is not stopping.

MBBS, MD (Skin & V.D. MAMC) - Dermatology
Dermatologist, Delhi
I am having hairfall problems due to divalproex salt medicine I am taking. To combat that, doctor told me to take bio...
Mr. Lybrate-user, you can plan for mesotherapy sessions along with prp, the earlier it is started better are the results,

I feel I am suffering from hypochondriasis many symptoms are present in my daily life of this .What can I do for this? Presently I take diagnosis of divalproex tablet in consultant through doctor.

Masters In Clinical Psychology
Psychologist, Lucknow
I feel I am suffering from hypochondriasis many symptoms are present in my daily life of this .What can I do for this...
Ok. For hypochondriasis Cognitive behavioral therapy, bibliotherapy, and behavioral stress management have been proven to successfully address the roots of health anxiety. Consult with me or any psychologist for counseling & therapy Talk about it connect with me through text or audio on Lybrate app all the best.
1 person found this helpful

Popular Health Tips

How to Control Recurrent Headaches?

Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
How to Control Recurrent Headaches?

Headaches arise due to various reasons. Stress, tension, migraine, overwork and several medical conditions may cause headaches of different types. Such headaches are also called chronic headaches, and many cases of headaches are recurrent in nature. This indicates that the headaches might reappear or reoccur.

Headaches are quite frustrating and affect your entire health and performance. Recurrent headaches are even more troublesome as they strike back when you almost thought they were gone. There are several ways to deal with or control recurrent headaches. They include the following:

A. Medical treatment: Medicines can be used to treat the underlying cause of a headache and if these fail, medicines to cure the headache are used.

The different preventive medicines for recurrent headaches are:

  1. Antidepressants: Tricyclic antidepressants by the likes of nortriptyline can be prescribed for treating recurrent headaches. These medications help in curing any kind of depression, anxiety and disturbances in sleep, which usually lead to recurrent headaches. Antidepressants like the selective serotonin reuptake inhibitor or SSRI and fluoxetines are also used.
  2. Beta blockers: Beta blockers, commonly used to treat hypertension, also prevent migraine-related headaches. They include atenolol, metoprolol and propranolol.
  3. Anti-seizure medicines: Several anti-seizure medicines help in the prevention of migraine and also cure daily, recurrent headaches. They include topiramate, divalproex sodium and gabapentin.
  4. NSAIDs: Prescribed nonsteroidal anti-inflammatory drugs like naproxen sodium also help in reducing headaches, which appear daily. NSAIDs are used in cases of severe headache.
  5. Botulinum toxin: Onabotulinum toxin A or Botox injections can be used to get relief from recurrent headaches and are ideal for people whose daily medications are not effective enough.

B. Alternative medicine procedures
Other than medications, alternative therapies to get relief from concurrent headaches can be utilized. They include:

  1. Acupuncture: This ancient procedure involves the use of thin needles, which are inserted into certain areas of the skin at defined points. Acupuncture reduces the frequency and intensity of headaches.
  2. Massage therapy: Massage therapy reduces stress, gives relief to pain and provides relaxation. Massaging of the tight muscles at the back of the head provides relief.
  3. Herbs and nutrients: Several organic herbs help in preventing migraine headaches and reduce the intensity of headaches. They include butterbur and feverfew. Vitamin and mineral supplements can be taken to reduce headaches and prevent them from reoccurring. Coenzyme Q10 supplements, magnesium sulfate supplements can reduce the frequency of several headaches as well.
  4. Investigational approach: A surgical implant, which is a battery operated electrode, can be placed around the occipital nerve. The electrode implant sends energy pulses to the nerve, and headache is eased.

Recurrent headaches can be controlled in various ways, which include medicines and several alternative procedures. You should consult a doctor before you start using some method.

4567 people found this helpful

Treatment of Cyclothymia!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Treatment of Cyclothymia!

Treatment of Cyclothymia
Homeopathic Treatment of Cyclothymia
Acupuncture & Acupressure Treatment of Cyclothymia
Psychotherapy Treatment of Cyclothymia
Conventional / Allopathic Treatment of Cyclothymia
Surgical Treatment of Cyclothymia
Dietary & Herbal Treatment of Cyclothymia
Other Treatment of Cyclothymia
What is Cyclothymia
Symptoms of Cyclothymia
Causes of Cyclothymia
Risk factors of Cyclothymia
Complications of Cyclothymia
Lab Investigations and Diagnosis of Cyclothymia
Precautions & Prevention of Cyclothymia

Treatment of Cyclothymia 

Homeopathic Treatment of Cyclothymia

Homeopathy is safe and natural treatment of mood disorders. It stabilizes mood and creates calm alert mind. It  treats the person as a whole. Treatment is constitutional. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some common homeopathic medicines for cyclothymia are:

Cann I
Coffea
Lach
Stann
Tarent 

Acupuncture & Acupressure Treatment of Cyclothymia

Acupuncture can be a very effective alternative to treat depression and emotions swings resulting in long-term benefits.  It involves the insertion of fine needles into different parts of the body to correct the imbalance of energy in the body. It seeks to address body, mind, emotions and spirit.

Psychotherapy and Hypnotherapy Treatment of Cyclothymia

Psychotherapy treatment of cyclothymia involves the following types of therapies:

Hypnotherapy is very successful in balancing mood. It can help in resolving subconscious factors.
Cognitive behavioral therapy –It helps to learn effective strategies to manage stress and to cope with upsetting situations.
Group therapy – Group therapy helps to build better relationship skills. It helps to communicate and learn from others in a similar situation.
Family therapy – Family therapy can help identify and reduce stressors within your family that may contribute to unhealthy behavior patterns.
Social rhythm therapy – It helps you manage your daily routines, including your sleep schedule, and improve your relationships so that interpersonal problems don’t disrupt your routines.

Conventional / Allopathic Treatment of Cyclothymia

The allopathic Medications that may help control cyclothymia are mood stabilizers, anti-seizure medications and antidepressants. Mood stabilizers help regulate and stabilize mood so that you don’t swing between depression and hypomania. Anti-seizure medications include valproic acid, divalproex sodium and lamotrigine.

What is Cyclothymia?

Cyclothymia is a chronic mood disorder that causes emotional ups and downs. It is also called cyclothymic disorder. In cyclothymic disorder, moods swing between short periods of mild depression and hypomania, an elevated mood.

Symptoms of Cyclothymia

Unusually good mood or cheerfulness (euphoria)
Extreme optimism
Inflated self-esteem
Appetite problems
Poor judgment
Problems concentrating
Rapid speech
Racing thoughts
Aggressive and risky behavior
Increased physical activity
Increased drive to perform or achieve goals
Increased sexual drive
Sleep problems
Tendency to be easily distracted
Inability to concentrate

Causes of Cyclothymia

It’s not known specifically what causes cyclothymia.

Complications of Cyclothymia

Risk of developing bipolar disorder
Emotional problems 
Diagnosis of Cyclothymia

The exams and tests for cyclothymia includes: 

Physical exam
Thyroid tests
Blood tests
Psychological evaluation
Precautions & Prevention of Cyclothymia

There is no way to prevent cyclothymia. Only the early treatment can help prevent cyclothymia from worsening.

2 people found this helpful

Bipolar Affective Disorder: Causes, Symptoms and Treatment

MD - Psychiatry, MBBS
Psychiatrist, Bhopal
Bipolar Affective Disorder: Causes, Symptoms and Treatment

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person’s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders. 

There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior (known as manic episodes) to very sad, “down,” or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.

  1. Bipolar I Disorder— defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
  2. Bipolar II Disorder— defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
  3. Cyclothymic Disorder (also called cyclothymia)— defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
  4. Other Specified and Unspecified Bipolar and Related Disorders— defined by bipolar disorder symptoms that do not match the three categories listed above.

The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.

Mania-

Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.

The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals. 

You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
 
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both your relationships and your work. When it isn't so extreme, it is called 'hypomania'.
 
If you become manic, you may notice that you are:

Emotional:

  • very happy and excited
  • irritated with other people who don't share your optimistic outlook
  • feeling more important than usual. 

Thinking:

  • full of new and exciting ideas
  • moving quickly from one idea to another
  • hearing voices that other people can't hear.

Physical:

  • full of energy
  • unable or unwilling to sleep
  • more interested in sex.  

Behaviour:

  • making plans that are grandiose and unrealistic
  • very active, moving around very quickly
  • behaving unusually
  • talking very quickly - other people may find it hard to understand what you are talking about
  • making odd decisions on the spur of the moment, sometimes with disastrous consequences
  • recklessly spending your money
  • over-familiar or recklessly critical with other people
  • less inhibited in general.

If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong – although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues – and with other people's feelings. 

Depression- 

The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:

Emotional:

  • feelings of unhappiness that don't go away
  • feeling that you want to burst into tears for no reason
  • losing interest in things
  • being unable to enjoy things
  • feeling restless and agitated
  • losing self-confidence
  • feeling useless, inadequate and hopeless
  • feeling more irritable than usual
  • thinking of suicide.  

Thinking:

  • can’t think positively or hopefully
  • finding it hard to make even simple decisions
  • difficulty in concentrating. 

Physical:

  • losing appetite and weight
  • difficulty in getting to sleep
  • waking earlier than usual
  • feeling utterly tired
  • constipation
  • going off sex. 

Behaviour:

  • difficulty in starting or completing things – even everyday chores
  • crying a lot – or feeling like you want to cry, but not being able to
  • avoiding contact with other people.

Causes:

  1. Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
  2. Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
  3. Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as ‘neurotransmitters’.

Treatment Methods:

  1. Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.

  2. Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.

  3. Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.

  4. Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).

  5. Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications. If you wish to discuss any specific problem, you can consult a psychiatrist.

3438 people found this helpful

Causes, Symptoms and Treatment for Bipolar Affective Disorder

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Causes, Symptoms and Treatment for Bipolar Affective Disorder

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person’s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders. 

There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior (known as manic episodes) to very sad, “down,” or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.

  1. Bipolar I Disorder— defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
  2. Bipolar II Disorder— defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
  3. Cyclothymic Disorder (also called cyclothymia)— defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
  4. Other Specified and Unspecified Bipolar and Related Disorders— defined by bipolar disorder symptoms that do not match the three categories listed above.

The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.

Mania-

Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.

The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals. 

You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
 
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both your relationships and your work. When it isn't so extreme, it is called 'hypomania'.
 
If you become manic, you may notice that you are:

Emotional:

  • very happy and excited
  • irritated with other people who don't share your optimistic outlook
  • feeling more important than usual. 

Thinking:

  • full of new and exciting ideas
  • moving quickly from one idea to another
  • hearing voices that other people can't hear.

Physical:

  • full of energy
  • unable or unwilling to sleep
  • more interested in sex.  

Behaviour:

  • making plans that are grandiose and unrealistic
  • very active, moving around very quickly
  • behaving unusually
  • talking very quickly - other people may find it hard to understand what you are talking about
  • making odd decisions on the spur of the moment, sometimes with disastrous consequences
  • recklessly spending your money
  • over-familiar or recklessly critical with other people
  • less inhibited in general.

If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong – although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues – and with other people's feelings. 

Depression- 

The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:

Emotional:

  • feelings of unhappiness that don't go away
  • feeling that you want to burst into tears for no reason
  • losing interest in things
  • being unable to enjoy things
  • feeling restless and agitated
  • losing self-confidence
  • feeling useless, inadequate and hopeless
  • feeling more irritable than usual
  • thinking of suicide.  

Thinking:

  • can’t think positively or hopefully
  • finding it hard to make even simple decisions
  • difficulty in concentrating. 

Physical:

  • losing appetite and weight
  • difficulty in getting to sleep
  • waking earlier than usual
  • feeling utterly tired
  • constipation
  • going off sex. 

Behaviour:

  • difficulty in starting or completing things – even everyday chores
  • crying a lot – or feeling like you want to cry, but not being able to
  • avoiding contact with other people.

Causes:

  1. Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
  2. Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
  3. Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as ‘neurotransmitters’.

Treatment Methods:

  1. Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.

  2. Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.

  3. Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.

  4. Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).

  5. Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

3711 people found this helpful

Bipolar Affective Disorder - How To Treat It?

DPM, MBBS
Psychiatrist, Mumbai
Bipolar Affective Disorder - How To Treat It?

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person’s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders. 

There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior (known as manic episodes) to very sad, “down,” or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.

  1. Bipolar I Disorder— defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
  2. Bipolar II Disorder— defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
  3. Cyclothymic Disorder (also called cyclothymia)— defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
  4. Other Specified and Unspecified Bipolar and Related Disorders— defined by bipolar disorder symptoms that do not match the three categories listed above.

The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.

Mania-

Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.

The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals. 

You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
 
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both your relationships and your work. When it isn't so extreme, it is called 'hypomania'.
 
If you become manic, you may notice that you are:

Emotional:

  • very happy and excited
  • irritated with other people who don't share your optimistic outlook
  • feeling more important than usual. 

Thinking:

  • full of new and exciting ideas
  • moving quickly from one idea to another
  • hearing voices that other people can't hear.

Physical:

  • full of energy
  • unable or unwilling to sleep
  • more interested in sex.  

Behaviour:

  • making plans that are grandiose and unrealistic
  • very active, moving around very quickly
  • behaving unusually
  • talking very quickly - other people may find it hard to understand what you are talking about
  • making odd decisions on the spur of the moment, sometimes with disastrous consequences
  • recklessly spending your money
  • over-familiar or recklessly critical with other people
  • less inhibited in general.

If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong – although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues – and with other people's feelings. 

Depression- 

The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:

Emotional:

  • feelings of unhappiness that don't go away
  • feeling that you want to burst into tears for no reason
  • losing interest in things
  • being unable to enjoy things
  • feeling restless and agitated
  • losing self-confidence
  • feeling useless, inadequate and hopeless
  • feeling more irritable than usual
  • thinking of suicide.  

Thinking:

  • can’t think positively or hopefully
  • finding it hard to make even simple decisions
  • difficulty in concentrating. 

Physical:

  • losing appetite and weight
  • difficulty in getting to sleep
  • waking earlier than usual
  • feeling utterly tired
  • constipation
  • going off sex. 

Behaviour:

  • difficulty in starting or completing things – even everyday chores
  • crying a lot – or feeling like you want to cry, but not being able to
  • avoiding contact with other people.

Causes:

  1. Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
  2. Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
  3. Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as ‘neurotransmitters’.

Treatment Methods:

  1. Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.

  2. Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.

  3. Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.

  4. Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).

  5. Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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