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Health Query

Hello myself dharmendra baraiya from gujarat and my age is 37 years. I am suffering from bipolar disorder since last 10 years and I am on lithium bicarbonate 450 mg, oxcarbazepine 300 mg, nortriptyline 25 mg twice a day, trazodone 50 mg twice a day, fluoxetine 20 mg a day and 5 mg nitrazepam. But although I am getting depressed since from last 10 to 12 days and I would like to know that also whether deep brain stimulation surgery will effective for bipolar patients or not. Please anyone help me out in my this worst condition. Thank you.

Dr. Akshay Lele85%(34 ratings)

MD - Psychiatry, DNB (PSYCHIATRY)

Psychiatrist•Lucknow

Hello Mr. lybrate-user, it's really tough to be in a situation which you are going through, would you be able to specify how many manic or hypomanic episodes have you had previously. There are certainly more drugs in our kitty as psychosurgery or dbt are not as evolved yet to address bipolar depression, ect & rtms are also available non invasive options. Don't lose hope, you may definitely fight this out.

Health Query

I'm 43 years of male taking antidepressants sertraline 50 mg and trazodone 200 mg clonazepam 4 mg. I'm facing libido issue induced by antidepressants. No medicine even sildenafil 200 does not work for me. No lascivious thoughts, no urge for sex completely impotent for three years. Any homoeopathic treatment to enhance my libido and impotence. I shall be thankful for your help and prescription.

Dr. Rahul Gupta93%(46318 ratings)

MD-Ayurveda, Bachelor of Ayurveda, Medic...read more

Sexologist•Haldwani

Hello-
antidepressants may cause sexual side effects but depression itself may also affect sex drive and arousal. Most prescription antidepressants are part of a drug family called ssris (selective serotonin reuptake inhibitors). By raising levels of serotonin in the body, the person taking the drug experiences a feeling of calm and less anxiety.
However, that same sense of calm and stability can lower our libido. It prevents the hormones that cause our bodies to respond to sex from tran...more

82 people found this helpful

Health Query

42, gender: male hello, I had an anxiety and insomnia issue in early june triggered by job loss. A physiatrist I saw prescribed xanax -xr 1 mg everyday after dinner and 0.25 mg as needed. Although I got another job right after, anxiety remained and is triggered easily by work interactions for many weeks. Medication did help with my anxiety and insomnia. I don’t have as much anxiety issue anymore but whenever I try to taper of xanax, I cannot sleep. When I asked him again, he said keep taking xanax -xr for three months as he thinks different medications will have other side effects. I took a second opinion and the other Dr. told me to taper off xanax and use trazodone 50 mg everyday. 1 mg xanax is definitely helping me with sleep but I am apprehensive about switching drugs especially the first Dr. was emphatic about staying on xanax. Since the two opinions are conflicting, I feel like I need a third opinion to resolve this, as I am very uncomfortable staying on xanax but feel like tapering off it is not an option given my inability to sleep. A mild anxiety that I sometime have during the work days is manageable I feel like I don’t need medication for it. I would like your opinion on whether I continue on xanax or try to taper off and start taking trazodone 50 mg. I am also planning to have sessions with therapists also.

Ms. Kajol Birawat90%(104 ratings)

MSC - Counselling Psychology

Psychologist•Bangalore

Hey! long standing anxiety is often dealt with in therapy. Medications work on symptoms and is absolutely important. Therapy works on the underlying thoughts leading to the anxiety and provides a safe space to process and manage these thoughts. Visit a therapist in your city or alternatively you could reach out to us to book a session at heartitout.in/book-a-session hope this helps! take care!

1107 people found this helpful

Asked for male, 60 years old from Bangalore

I am on nexito 20 mg 1-0-0, trazodone 50 mg 0-0-1 for depression and cizorest 200 mg 0-0-1 and sizopin 25 mg 0-0-1 for schizophrenia. There is a lot of relief from the above drugs for the above conditions. I am put on alprazolam 0.25 1-1-1 for anxiety and panic attacks. This is only a confirmation and as a second opinion. Does alprazolam 0.25 mg 1-1-1 relieve my anxiety and panic attacks? Is it habit forming and will it harm my body in the long run? Please confirm. This question is to a qualified and a competent psychiatrist only. I am ending this paragraph as I have got great trust with your team.

Dr. Jagadeesan M.S.94%(13332 ratings)

MD - Psychiatry

Psychiatrist•Chennai

Your medications are well prescribed. Alprazolam does reduce anxiety and panic attacks, and should be taken for a short term only. On a longer run, it is very much habit forming and does cause harm. All the best.

Asked for Male, 37 years old from Anand

I am from Gujarat I am suffering from bipolar disorder since from last 10 years n my age is 37 years old male. I am on lexpin 25 mg, listab 450 mg, lexdex 500 mg, nortriptyline 50 mg, prodep 50 mg, trazodone 50 mg, nipam 5 mg. All of this medicines I am taking regularly from my starting of the illness n I had undertaken 10 ect also with 4 .4.2 spells then also I am feeling worthless, not doing job, not interested in work and sometimes feeling alone n getting suicidal thoughts n feeling lack of confidence n due to my this illness I decided not to do marriage n all. I did m.pharm n I was a lecturer n I had taken lots of opinion with doctors around gujarat. But now I am tired with this illness please suggest me right directions what I would have to do so I can improve my condition. Thanks.

Ms. Naumita Rishi92%(266 ratings)

MS - Counseling, M.Phil - Psychology

Psychologist•Gurgaon

Self management will help you. Make small plans which you can achieve. Actually start from following a daily schedule. Train your mind to do certain things at a certain time. Sometimes you will feel you are not able to do it. Then that is fine. Count the number of times you are able to do something. You can go for cognitive behaviour therapy and learn effective techniques for self management. Connect with people who have bipolar. Sometimes you get best support from the people who are facing simi...more

Asked for male, 32 years old from Delhi

1.my daughter who is 30, has the problem of anxiety and depression for last 3 years. She takes paroxetine 62.5 mg for the same but still faces depressive symptoms. 2.her psychiatrist told that she seems to have treatment-resistant-depression. She was given ample ssri ,snri, ndri plus at last - mirtazapine & trazodone as well but we got disappointment. 3. Doctor told us that we will be trying tca's on her, along with paroxetine. And he tried opipramol and prothidian recently. 4.thus could you suggest some good tricyclic antidepressants to be used with paroxetine? 5. We will surely discuss it with our psychiatrist first and then will start. Please suggest some good tcas with paroxetine. Will be very thankful.

Dr. Prasenjit Ray90%(127 ratings)

MBBS, DPM, MD - Psychiatry

Psychiatrist•Bardhaman

First of all a detail review needed to see any loose ends that might have been missed. Then some psychotherapeutic intervention needs to be planned to augment effect of medication.
Lastly, I have reservation about tolerability issues with a combination of paroxetine and tca.
We might need to explore other combinations.

1027 people found this helpful

Health Query

I am fourth year medical students gender female age 22 years I have back pain that started 3 month ago and it was mid thoracic and iterscapular with burning sensation and I had to sit for longer time for study but it did not resolve even after correcting posture and it radiated to corresponding ribs and sternum at that time but it is now in interscapular region with feeling of burning pain and it occurs almost daily and worse with sitting sometimes and go away with walking go away with rest and nsaids naproxen I use but it does not work and I am taking snri trazodone on one of doctors prescription but I don't have any anxiety I am worried because of upper back pain I could not study and am disturb please tell me about my diagnosis and treatment.

Dr. Saloni Jindal86%(34 ratings)

Physiotherapist•Mansa

Hello lybrate-user,
proper investigation like x-ray or mri should be done. Are you suffering from any stress? Are your sleep posture is fine? Are you having proper sleep? I am not sure about it. As it is not mention in your query. You can send me your reports. You can consult me on text or telephonically for proper assessment and further treatment.
Thanks.

223 people found this helpful

Asked for male, 34 years old from Delhi

I am suffering from epilepsy for th past 10 years taking eptoin 200 mg BD, topaz 25 mg BD and clonazepam 2-4 mg SOS in case of a seizure. I do get seizures inspite of these meds. Besides all of this I am suffering from insomnia hypersomnia circadian rhythm disorder borderline GAD mild delusional psychosis MDD and ADHD. The only medicines that I am taking for all of these psychological problems is quetiapine 200 mg at bedtime which does not cause any sleep. Insomnia is a very very big problem for me. I stay awake for 24-30-40-50 hrs without getting any sleep. Alprax calmpose quitipite phenergan trazodone meloset zolfresh tramacip lopez none of these meds work in prescribed doses. I have to take 3-4 pills to dose off. The only sleeping medicine that works is Mirnite (mirtazapine) 30 mg. I don't take it cause it causes drastic weight gain. My family doc has told me to consult a good neuropsychiatric. I reside in dwarka new delhi Please suggest a gppd one nearby if its possible. Thank you Nalin.

Dr. Rajesh Jain93%(15958 ratings)

MBBS

General Physician•Jalgaon

Please
Go for morning and evening walk daily
Do yogasanas and pranayam daily
Do meditation regularly
Take
Cap tagara by Himalaya
2 daily
Continue your current medicine for epilepsy
Reconsult after 15 days

Asked for Male, 37 years old from Anand

I am 37 years old men from gujarat. I did m.pharm and was a lecturer in pharmacy college at Gujarat. When I was talking my lecture on 10/03/2010 suddenly I felt fear n hallucinating condition and I diagnosed at that time with a paranoid schizophrenia n I was on combinations of medicine like antipsychotic n all but after that my doctor has told your disorder has been concerted to bipolar disorder n right now I am on lexpin 25 mg, lithium bicarbonate 450 mg, divalproex sodium 500 mg, nortriptyline 50 mg, trazodone 100 mg, fluoxetine 20 mg, nitrazepam 5 mg, trihexyphenidyl 2 mg on daily basis at night n this all medicines I am taking regularly although I am getting 2 to 3 episodes per year. Right now I had tried brintellix 10 mg for a month but I am getting depressed so I had stopped right now brintellix. Actually I am feeling tired from this condition n getting suicidal thoughts, lack of confidence, worthlessness n getting angry easily n feeling alone. Really I am feeling helplessness. Please can anyone tell me whether my treatment going is on a right way or not. Also I had taken 4.4.2 ect. And right now I am thinking about ultra brief pulse therapy n rtms but getting confused about this because this requires more sessions so financially also it will goes more. But ya if it gives a benefits to my conditions then I am ready to go ahead. I had taken many advice from various doctors in gujarat. Today I approximately passed 10 years with this illness. So please can anyone suggest me a right way. Thanks.

Dr. Omkar Mate89%(64 ratings)

MBBS, Diploma In Psychological Medicine,...read more

Psychiatrist•Navi Mumbai

I think a complete course of ects with medication will make you feel better. If affordability is an issue am sure there are good medical colleges nearby where a psychiatry department can treat you at affordable cost of treatment.

846 people found this helpful

Asked for male, 60 years old from Bangalore