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Doctor insights on: Bipolar I Disorder

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Dr. Heidi Fowler
196 doctors shared insights

Bipolar I Disorder (Overview)

Is a mood disorder characterized by at least 1 manic or mixed episode, with history of 1 or more major depressive episode. It is a type of manic depression. It is not accounted for by schizoaffective disorder or superimposed on schizophrenic disorder, delusional disorder, or other psychotic disorders, or relates to medical illnesses or substances or toxins/medications.


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What meds are good for bipolar I disorder?

What meds are good for bipolar I disorder?

Many: This is a very complex disorder that is treated with a very broad array of meds.I am "old school" and often use lithium as the basis and add atypical's like seroquel (quetiapine). You really need to have a dr following closely to manage this difficult illness.I hope you are getting treatment. ...Read more

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Dr. Heidi Fowler
196 doctors shared insights

Bipolar I Disorder (Overview)

Is a mood disorder characterized by at least 1 manic or mixed episode, with history of 1 or more major depressive episode. It is a type of manic depression. It is not accounted for by schizoaffective disorder or superimposed on schizophrenic disorder, delusional disorder, or other psychotic disorders, or relates to medical illnesses or substances or toxins/medications.


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What are the most common symptoms of bipolar disorder? Do I need to have all of them to really have it?

What are the most common symptoms of bipolar disorder? Do I need to have all of them to really have it?

Not all,: But the diagnosis is made on the basis of at least one episode of mania or mixed presentation. So there must be one period when you had lots of energy, didn't feel the need to sleep or eat and may have been very irritable. ...Read more

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Dr. Jan Lei Iwata Dr. Iwata
1 other doctor agreed:
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Living with Manic Depressive Disorder (Tip)

Living with Manic Depressive Disorder

The depression is more serious than the manic phase. ...See more

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Living with Manic Depressive Disorder (Checklist)

Keep a crisis list with doctor and family phone numbers
Once
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Can abruptly discontinuing Adderall (dextroamphetamine and racemic amphetamine) cause a mixed state in bipolar patients? I have Bipolar I Disorder and ADHD. I quit Adderall (dextroamphetamine and racemic amphetamine) for the summer break

Can abruptly discontinuing Adderall (dextroamphetamine and racemic amphetamine) cause a mixed state in bipolar patients? I have Bipolar I Disorder and ADHD.  I quit Adderall (dextroamphetamine and racemic amphetamine) for the summer break

Probably not but ...: It is likely not to be a problem but the wisest thing would be to discontinue the adderall (dextroamphetamine and racemic amphetamine) slowly and note the effect of doing so. I strongly advise patient with bipolar I disorder to only change meds with medical supervision since the consequences of things going badly can be so great. ...Read more

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What as the maximum dosage of topamax (topiramate) usually prescribed to treat bipolar disorder? I am currently taking a total of 100mg a day.

FDA approved maximum: Dose needs to be adjusted to discover optimal individual patient dose. I always find it misguided to use the fda approved dose range as gospel in clinical practice. Your 100mg is below maximum that has been studied by drug company but it does not mean it is helpful or safe to go higher. You need to work closely with your doctor to figure out the right dose for you. ...Read more

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Living with Manic Depressive Disorder (Tip)

Living with Manic Depressive Disorder

Manic episodes can last for days to weeks. ...See more

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Living with Bipolar Disorder (Checklist)

Take your medications
Daily
Balance work and play
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Know your limits
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Visit your doctors regularly
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As teen, is lithium a safe treatment for bipolar I disorder?

As teen, is lithium a safe treatment for bipolar I disorder?

Lithium: One of oldest mood stabilizers, is well studied & results documents. Is safe if lithium blood levels are closely monitored, along with routine checks on blood count, electrolytes & heart & kidney functions. ...Read more

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3000 mg of niacin with 3000 mg vitaminc are able to cure bipolar disorder. If I do this and take the half pill of 10 mg abilify, (aripiprazole) would it be a good start?

3000 mg of niacin with 3000 mg vitaminc are able to cure bipolar disorder. If I do this and take the half pill of 10 mg abilify, (aripiprazole) would it be a good start?

Not so simple: Each person is an individual & there are no easy cures for bipolar. Niacin will help many but not all & should be started slowly as it causes flushing. Many with bipolar have pyoluria- see http://www.Primalbody-primalmind.Com/?P=398 i also recommend the books natural healing for bipolar disorder & natural medicine guide to bipolar disorder. Please find a good doctor to work with as well. ...Read more

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Dr. Alan Ali
1,717 doctors shared insights

Bipolar Disorder (Definition)

Also known as manic-depressive illness, bipolar disorder is a brain disorder that in its most severe form causes dramatic shifts in mood, from mania to depression. Symptoms of mania include markedly elevated mood and energy, reduced sleep and a reduced need for sleep, racing thoughts, and grandiose ideas. When mood changes are severe, psychotic ideation may be present. Symptoms of depression can include low energy, feeling sad, feelings of guilt and hopelessness that are out of proportion to the patient's actual situation, low motivation, inability to experience pleasure, and suicidal ideation. Sleep may be increased, and concentration may be impaired. Some manic patients may be extremely irritable rather than euphoric. Less severe but clearly abnormal mood ...Read more


Dr. Donald Jacobson
737 doctors shared insights

Manic Depressive Disorder (Definition)

Though depression is not required for diagnosis most people have both manic and depressive episodes and may have mixed episodes with features of both. Length of episodes vary, but are separated by "normal" periods of emotion and behavior. See my answers to similar ...Read more