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Bronx, NY
A 21-year-old female asked:

Suggestions for a good mood stabilizer for bipolar (rapid cycle, mostly mixed) with episodes of psychosis?

3 doctor answers4 doctors weighed in
Dr. Douglas Bey
Psychiatry 58 years experience
Several combinations: Probably a combination of a mood stabilizer & an antipsychotic--if u have someone in your family who is doing well on meds start with what is helping them.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Donald Jacobson
A Verified Doctoranswered
41 years experience
Fanapt (iloperidone): Fanapt (iloperidone) is a new antipsychotic with a low side effect profile. I have very good results in my patients with mixed mood states using this medication. It is not yet officially approved for this use, but not many things are. So, I am giving my perspective from my own clinical experience with it. I would obviously recommend discussing it with your psychiatrist. I hope it helps you as much as it has help some of my patients that were previously not treatable.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Daryl Tanski
Specializes in Psychiatry
Valproic acid: Valproic acid is a first line choice for treatment of bipolar disorder with a rapid cycling course and mixed episodes. Presence of psychosis leads need to consider combination treatment with antipsychotic medication. Antidepressants should be discontinued if prescribed.
Created for people with ongoing healthcare needs but benefits everyone.

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Last updated Feb 19, 2017

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