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Shelby charter Township, MI
A 74-year-old female asked:

Has bipolar, add, & premenstrual dysphoric disorder. what meds wd work w bipolar.she unhappy/moody. she is on vivanse 60m/stratterra 60mg&risperdal 25mg?

2 doctor answers2 doctors weighed in
Dr. Miguel Pappolla
Pain Management 43 years experience
Options available: First, make sure the diagnoses are correct. Add and bipolar disorder are notoriously overdiagnosed, particularly add. There are several medications that could be tried as mood stabilizers which are not mentioned in your question such as topiramate, lithium, valproic acid and several others. The first line of treatment for menstrual dysphoric disorder are serotonin specific reuptake inhibitors.
Dr. James Wells
Psychiatry 44 years experience
Are facts accurate?: Either your age is not 74 or premenstrual dysphoric disorder can't be a current diagnosis. I also suspect that the dose of Risperdal is 2.5 mg daily and not 25 mg. Is the fever recent and coincident with cough and headache or did they start with a change in a medicine? If 47, then Abilify (aripiprazole) (2 to 5 mg) in place of Risperdal may improve mood and general emotional stability. Suggest talk with your dr.

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Last updated Jul 1, 2014

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