A member asked:

I have bipolar disorder type 2 will it worsen or effect me if i smoke marijuana? i'm a 18 year old male and i take lithium 900ml and zyprexa 5ml for my medication and i was wondering, if i smoke medical marijuana, would it do a bad effect on me or will it

8 doctors weighed in across 2 answers
Dr. Heidi Fowler answered

Specializes in Psychiatry

I : I would be very concerned about using marijuana if you have bipolar ii disorder. One of the main reasons for bipolar patients not getting well is abuse of alcohol or illicit drugs. Contrary to popular opinion, marijuana can be very mood altering- especially if you already have a serious psychiatric illness. Even a person without bipolar ii disorder, could develop hallucinations, paranoia, delusions, ilusions, psychosis, out of body experiences and a wide variety of other very unpleasant effects. Medical marijuana is only prescribed for specific conditions in most states. Medical marijuana is only legal in 15 states plus the district of columbia right now. I hope this information was helpful.

Answered 10/3/2016

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Dr. Jeffrey Satinover answered

Specializes in Psychiatry

Yes: Bipolar appears to be mediated by multiple neurotransmitter systems in the brain, in particular serotonin. Therefore, when people with bipolar (1 or 2) take antidepressants it can provoke outright mania. Thc has a similar effect (among others) and also provokes a paranoid response. Your brain is a delicate mechanism--when manic, it's an untuned ferrari. Don't throw a wrench into the pistons!

Answered 4/11/2016

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