Selective Mutism Questions

Dear Sarkar,
Please get your serum lithium level done, 12 hours after the last tablet. If it is less than 0.8 mE/l, try increasing lithosun s r to 800 mg.

Dear Pradeep,
I don't know, since how long you are taking these medicines. I don't know the diagnosis of your disorder. All these 3 medicines have been started at a low dose for you to tolerate the side effects. After 2-3 weeks, it will be increased to an effective dose. Then, there will be improvement. Please inform your doctor about the effective medicine and dose of it, in your previous episode.

sir,

antipsychotic is the drug which regulates your thinking, perception and mood. also it may be used for various other reasons. The generation of antipsychotics just determines its time of invention of molecule - both of these are efficacious and good medicines.

hope I have answered your Query.

Dear Priya,
Good mood stabiliser like lamitec will help you in the long run. Please don't stop them. Olimelt may be lowered or stopped according to your need vs side effects.

Dear Nandlal,
Both are good. Such combination studies are not done usually. So, you can use whichever combination works for you. But at the age of 64, it is better to use etizolam.

It is a highly regulated medicine and schedule x drug. It may not be given online or tele consultation. So kindly consult a psychiatrist in person and get evaluated and if eligible get it prescribed in triplicate prescription. Good luck.

Low mood can be seen in variety of diagnosis. You need to be re-evaluated. Often comorbid physical illnesses and other psychological factors hinder in treatment response. They need to be ascertained and addressed. In most cases supportive and solution focused approach produce good results and are less time taking.

You are on suboptimal prophylactic dosage of medicines, possibly you are experiencing subsyndromal affective symptoms. Medicines need to be titrated in you which is possible only with consultation. Moreover you need to learn chronological and behavioral aspect of disorder in order to sustain normal mood state. This is an important aspect of bipolar disorder which if taken care along with medicines makes excellent outcome.

Atomoxetine is usually safe for heart, but in some cases it may increase heart rate an bp, that is kind of put more load on heart. Kindly check with a psychiatrist dealing with intellectual disabilities.

Dear Lybrate user
we would recommend you discuss the same with the psychiatrist. Psychiatrists can help in identifying whether to increase the dose or decrease it. Along with it, you have to make some lifestyle changes as well like adopting a physical exercise routine - gyming, yoga, cycling, etc. Consult a dietician for a healthy diet routine like avoiding too much sugar and carbs. Additionally to all these, you may try analyzing how this condition is affecting your life - relationship, wor...more