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Bipolar Disorder Questions

Hello sir I am suffering bipolar disorder and my medicine fluzapin take night and lithium 300 mg din me two time and amitriptyline 25 mg three times leta hun but mere bath or kaam karne ka man nhi karta m job bhi nhi kar rha hun kuchh bataye.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore
Hello sir I am suffering bipolar disorder and my medicine fluzapin take night and lithium 300 mg din me two time and ...
I didn't all that you said in hindi. However, relying only on medication isn't enough to solve this problem. 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.
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Hello sir/ma'am, i'm 37-year-old male weighing 53 kg. My entire blood report including thyroid, vitamin b12 etc. Is normal. I have no other known illness apart from dry eyes. One month before I discovered that I think I have a bipolar disorder. Mania has occurred very rarely over my life so far, in 2007, 2009, 2017, 2020. My manias were not so severe: I did not see hallucination or nor was I psychotic but they did affect my personal and professional life very badly. They lasted for months and were also followed by the periods of depression. Some depressions lasted about a year. Last time my year-long mania ended just recently on 25/07/2020 (just one and half month before) and I crashed into a bout of depression. I couldn't sleep for 5 days and my stomach was churning with pain. Then, I visited a general physician on 29/07/2020 and he prescribed me medicines for acidity and arrest (clonazepam 5 mg). He prescribed this clonazepam for 6 days to help me fall asleep. With it's help I was able to sleep but i'm still still taking it even after one and half month. I researched a lot: studied, watched and read books about mood disorders and I think I have I have bipolar disorder. I found that clonazepam belongs to benzodiazepine family of drugs which should be taken only 2 to 4 weeks otherwise it creates dependency. Now, sir/ma'am, shall I stop clonazepam suddenly and switch to fluoxetine (20 mg) to help me come out of depression? I am still in depressive phase of my bipolar and still I am not able to sleep without taking clonazepam. You are expert in this field so please suggest me what should I do? I greatly appreciate your help.

D. N. B. PSYCHIATRY, MBBS
Psychiatrist, Hyderabad
Hello sir/ma'am,
i'm 37-year-old male weighing 53 kg. My entire blood report including thyroid, vitamin b12 etc. Is n...
Greetings of the dat Mr. lybrate-user. Bipolar disorder is diagnosed when an individual has distinct periods of mood and behavioural changes. Mania and depression. To diagnose a manic episode, its always better to consult a psychiatrist. Management of depressive episodes in bipolar disorder is quite different from management of unipolar depressive episodes. Bipolar depression will require a mood stabilizer and antidepressant combination. Kindly meet a psychiatrist for further plan of action.
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I am a bipolar patient and I was taking medicines for the last 20 years, lithosun sr400 mg 1-0-1, quetiapine 300 mg 0-0-1, sertift 300 mg 0-0-1, alprax 0.25 mg 0-0-1 since my age was 55, to take care of my kidney functions, doctor advised to taper off lithium and came out of lithium about a month back. Doctor advised me, if any mood changes after of lithium, he asked me to take paxidep cr 12. 5 mg at night only. I am taking paxidep cr 12. 5mgfor the last one week. I need your suggestions and advise for the above. Doctor.

Diploma in Psychological Medicine-DPM, MBBS
Psychiatrist, Ludhiana
I am a bipolar patient and I was taking medicines for the last 20 years, lithosun sr400 mg 1-0-1, quetiapine 300 mg 0...
If your diagnosis is correct (bipolar disorder) than you should review your treatment once again. You are taking too much antidepressant if serlift is at 300 mg dose. You should mention history of manic and depressive episode and inter episodic recovery. If you are taking sertraline then paxidep is not required. Kindly review your medicine.
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I am diagnosed with bipolar disorder now I am taking lithium ,lamotrigine, and clozapam. I start lamotrigine 25 mg from last 4 days but I am now feeling very tired severe headache stiff neck ,felling very bad ,irritating what am I do.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore
I am diagnosed with bipolar disorder now I am taking lithium ,lamotrigine, and clozapam. I start lamotrigine 25 mg fr...
You desperately need therapy. The challenges of everyday living pose a major stress to people and they learn to cope with it through various adaptations, techniques, and tools. In the case of the bipolar condition your adjustability is more difficult than the normal population. Apart from this there are many issues of the mind that medication cannot address, and these are ideally worked out in therapy. Please put yourself on a tight time-schedule with exercises, interesting activities, functional occupations; and being a contributor to your family and society at large. Eat healthily, sleep well, and go for regular counseling. There is a lot of anger that is not being dealt with for many years too. You can live a good life subject to your doing more in the manner explained above. Life will then look full of hope; and many of your desires will and can be fulfilled.
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Sir mujhe bipolar disorder hain. Maine nimh ki website par padha hain ki bipolar disorder ek lifelong illness hain. Kya ye baat sahi hain?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Sir mujhe bipolar disorder hain. Maine nimh ki website par padha hain ki bipolar disorder ek lifelong illness hain. K...
Developing bipolar disorder, having a first-degree relative, such as a parent or sibling, with bipolar disorder. Periods of high stress, such as the death of a loved one or other traumatic event. Drug or alcohol abuse. Let's have a detailed discussion for better advice and healthy lifestyle.
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I was diagnosed bipolar and taking medicines for the last 20 years. One of the medicine lithosun sr 400 mg x2 per day. I used to chk latest once in 6 months. In 2019 november my lithium serum was 1.0 and my egfr was 64. In july 2020 my egfr was 76 and my lithium is 0.69. I am 55 years old. Why there is drop off kidney functions?

MBBS, DPM
Psychiatrist, Mumbai
I was diagnosed bipolar and taking medicines for the last 20 years. One of the medicine lithosun sr 400 mg x2 per day...
There is no drop. Infact your kidney functions are better in july 2020 compared to last year. Some variation can occur due to the metabolism of the drug in the body. But as long as it is within normal range, you have nothing to worry. Just keep checking serum lithium levels every 6 months. You are doing good and maintaining well on lithium. Continue same.
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You asked: my daughter is diagnosed with bipolar 2, for the past two years. For the past 6 months she is on lithium 750 mg, qutipin 300 mg and lamotrigine started with 25 mg gradually increased to 200 mg. According to the psychiatrist she is having lamotrigine induced switch now with decreased sleep, flight of ideas and restlessness. Lamotrigine has been tapered to 75 mg. Serum lithium 8. Psychiatrist told this switch is rare and we will wait for more time for improvement. Kindly advice regarding further course of action. How long it will take for her to get better.

MBBS Bachelor of Medicine and Bachelor of Surgery, Diploma in Psychological Medicine
Psychiatrist, Nagpur
You asked:
my daughter is diagnosed with bipolar 2, for the past two years. For the past 6 months she is on lithium 7...
Please recheck serum lithium level. If she is having lamotrigine induced switch it will take at least 8 to 12 weeks to come back to normal. The other medicine given along will help in controlling the symptoms with proper dosses. Patience is required in such cases,
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I am taking medicines for bipolar disorder. I am taking medicines for 25 years. But still am not feeling well as I should be. Presently I am taking fludac, 20 mg in morning and lamotrigine100 in night. What changes should I do to be more better.

MBBS, DPM
Psychiatrist, Bangalore
I am taking medicines for bipolar disorder. I am taking medicines for 25 years. But still am not feeling well as I sh...
Dear lybrate-user, please visit your doctor often and discuss the changes you need to make. Both lamotrigine and fludac will be increased according to the assessment on that visit. In bipolar disorder. The mood changes from low to normal and high. At times, even mixed phase will be there. Accordingly the fludac will be increased or stopped, an anti-psychotic may be added for short term. Lamotrigine will be continuous for all phases of mood.
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My daughter is diagnosed with bipolar 2, for the past two years. For the past 6 months she is on lithium 750 mg, qutipin 300 mg and lamotrigine started with 25 mg gradually increased to 200 mg. According to the psychiatrist she is having lamotrigine induced switch now with decreased sleep, flight of ideas and restlessness. Lamotrigine has been tapered to 75 mg. Serum lithium 8. Psychiatrist told this switch is rare and we will wait for more time for improvement. kindly advice regarding further course of action. How long it will take for her to get better.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore
My daughter is diagnosed with bipolar 2, for the past two years. For the past 6 months she is on lithium 750 mg, quti...
More than the length of time of recovery, she needs good counseling in addiction to the medication. So kindly seek the help of a therapist immediately. 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 she will face. There are certain adaptations that will suit her during the elation phase and there are certain behaviors that are required during the depressed phases. In the meantime she 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. She needs to particularly look at her 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 she may never be aware of it now. You parents will know and this angle needs to be explored. This information will help the counselor too. Also you will need to check whether there is any genetic factor involved. She must exercise regularly, eat healthily and sleep normally too. If her motivation and cooperation is good much can be achieved. She should 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 she will be inclined to have grandiose notions and confidently believe that she can do without the medication. This will set her 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.
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Sir I am suffering from bipolar disorder from last 15 years I am taking veniz 75 morning and evening and gabantip at and lamitot dt 100 in night but not get satisfactory results it's have any permanent treatment or not can I live life like a normal person or not please help.

MBBS, DPM
Psychiatrist, Bangalore
Sir I am suffering from bipolar disorder from last 15 years I am taking veniz 75 morning and evening and gabantip at ...
Dear lybrate-user, you can live like normal person, if your tablets are adjusted frequently depending on the mood. Please maintain daily mood chart regularly and take it to the psychiatrist. Probably you may need to increase of lamitor dt, if mood switch is frequent, if it is worsening of depression, veniz may be increased. Frequent visit to the psychiatrist with your mood chart becomes the permanent treatment for leading a normal life.
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