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

17yrgrdaughter hs bipolar, add, premenstrual dysphoric disorder.on vivanse 60mg, straterra 60mg.risperdal2.5.she is unhappy/goes off.wht meds cd work.sad?

1 doctor answer1 doctor weighed in
Dr. Donald Jacobson
A Verified Doctoranswered
A US doctor answeredLearn more
Patients on: Stimulants generally need Depakote to help prevent vyvanse from effecting the mood. Risperdal is cheap, but not approved for bipolar depression. A trial on Latuda (lurasidone) with Depakote would be warranted in my opinion. Vyvanse may need to be raised and i wonder if strattera is really needed. Pms may be managed by Prozac only when symptoms are present, or through the month unless racing thoughts set in.

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Last updated Jan 4, 2015

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