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Bipolar Disorder Health Feed

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Good evening,  I am diagnosed with bipolar mood disorder after a traumatic brain injury in 2008: impairment in frontal lobe/executive dysfunction, t2 wi am using the above for my brain injury, white matter hyperintensity suggestive of a focal area of demyelination, central nervousness system damage -multiple sclerosis (ms), memory/ concentration, depression and agitation, sleep, epilepsy I had subsequently suffered kidney failure in 2017 and was in a coma for 2 weeks. I am currently on the following medication: I am using the meds below for my brain injury: topamax 200 mg x2 odiven 75 mg x3 yelate 60 mg x2 at night zyprexa 10 mg at night diabetic medications: actraphane hm (ge) 24 units in the morning 22 units at night indo metformin (glucophase) 1000 mg x2 in february 2019 I woke up with the most excruciating pain in my jaw, next to my nose, cheek and lower face area. This intense, stabbing, electric shock-like pain will last for several seconds every 2 to 5 minutes. At the hospital the Dr. said I had a stroke but my brain scan showed that the stroke happened a while back. The neuro specialist diagnosed me with trigeminal neuralgia and is treating me with carbamazepine 400g x2 per day. The side effects are killing me. I have lost 21 kg since feb. I am 52 years old, 1.73 tall and weight 65 kg. I have continuous diarrhea. Can't keep any food in and have abdominal pain. Every time I weigh myself I have lost another kg. Am I busy getting anorexia? Is there any way to manage this? I am short of breath, dizzy and fainting. I am exhausted have no energy my body is tired. Which vitamins can I take to boost my system? Is there any medicine or  supplement that is on the market that will make me feel better? The psychiatrist said they can't change the medication (carbamazepine) because of the medication that i'm currently using. Could you please advice.

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MBBS, DPM

Psychiatrist•Bangalore
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Dear ,
are you still on topamac? Now that you are on carbamazepine (helpful for neuralgia and brain injury), you may not need topamac (for brain injury). Request your doctor whether you can reduce and stop it. Topamac reduces weight. Stopping it may help you to some extent. At this age weight reduction is good for your diabetes and other health conditions. With 65 kg, you are still not underweight.
991 people found this helpful
Asked for male, 21 years old from Mumbai
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I have taken ayurveda medicines and fish oils to increase serotonin, but now psychiatrist (from nimhans) has diagnosed me with bipolar depression, so he prescribed me oleanz plus 20 mg/5 mg tablet for 30 days (one tablet daily at night after food). He also given me a general advice on regular exercise which helps increase serotonin and dopamine. So, my question is…the mechanism of the prescribed drug: oleanz plus tablet is a combination of two medicines: fluoxetine and olanzapine. They work by increasing the activity of certain chemicals called serotonin, norepinephrine, and dopamine in the brain. These chemicals help relieve the symptoms of bipolar depression. But can I replace the prescribed drug with natural treatments like exercise, meditation/breathing exercises, gratitude, new hobbies like reading good books which naturally increase serotonin and dopamine in the brain? I want to replace it because, according to the psychiatrist, the prescribed drug (oleanz plus 20 mg/5 mg) will work 50% for me and with that if I do regular exercise, it will work more than 50% (but not 100%) I did’t start the medication (the prescribed one) yet… so can I replace it with exercise/fitness/meditation although the mechanism is similar i.e. To increase serotonin? And in past I used to take fish oils/ ayurveda medicines and I stopped it now.

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Doctorate in Clinical Psychology, Mphil ...read more

Psychologist•Trivandrum
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Hi. lybrate-user
there are several studies now on nutrional suppliments on brain and how neuro transmitters are being produced or balanced.
Particularly omega3, folic acid, minerals like zinc, magnesium etc
but a correct diagnosis is primary.
Acute management of your problem may need medication also.
Also avail psychologists evaluation and counselling.
Take care.
Asked for male, 35 years old from Delhi
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Reparenting Technique, BA, BEd, Transact...read more

Psychologist•Bangalore
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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 yo...more
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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Periods of high stress, such as the death of a loved one or other traumatic event, drug or alcohol abuse may increase the risk of developing bipolar disorder. But we have to look into the details of the problem. Let's have a detailed discussion to ensure proper treatment.
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Asked for male, 27 years old from Agra
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings that include emotional highs and lows. Let's have a detailed discussion for better advice and medication plan.
2 people found this helpful
Asked for male, 37 years old from Davanagere
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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.

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D. N. B. PSYCHIATRY, MBBS

Psychiatrist•Hyderabad
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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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Asked for male, 56 years old from Chennai
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Diploma in Psychological Medicine-DPM, M...read more

Psychiatrist•Ludhiana
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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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Reparenting Technique, BA, BEd, Transact...read more

Psychologist•Bangalore
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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, functiona...more
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