Doctor insights on:
Medications That Make Bipolar Disorder Worse
Unlikely, unless...: Hormones can have an affect on mood, but unless the ovaries are removed along with the uterus, hysterectomy is unlikely to have a direct affect on bipolar disorder. However, a person has not come to grip psychologically with losing their uterus (e.g. Not being able to get pregnant again), then hysterectomy can trigger a depressive episode and thus destabilized bipolar disorder. ...Read more
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
See answer: People with bipolar disorder are much more likely than the general population to be cigarette smokers. However this doesn't mean that nicotine worsens the disorder. Nicotine causes the release of many neurotransmitters and activates the brains reward system. It appears that patients with bipolar disorder self medicate with nicotine for its sedative and euphoric effects. **see comments ...Read moreSee 2 more doctor answers
Bipolar Medications: Mood stabilizers, as referred to in my previous response are the main ones for mood cycling. Antipsychotics are for manic phase with psychotic symptoms or the depressed phase with psychoses. Antidepressants are used cautiously in severe depressed phases, and sedating agents are used for aggression or agitation. ...Read moreSee 2 more doctor answers
WIth difficulty: There are things you can do in your lifestyle to mitigate the severity of manic and depressive episodes -- including consistent sleep, regular exercise, and good nutrition with at least 2-3 grams of fish oil (1-2g/day of epa) per day. However, you will most likely do better overall with a mood stabilizing medication taken daily. ...Read more
You can...but?: It is your life, your body. If you go to a respected psychiatrist who recommends meds you have a choice. You could go for a second opinion. You could try different psychotherapeutic techniques. It depends upon how crippling the condition is to you. But you always have the choice of refusing treatment. ...Read moreSee 2 more doctor answers
Treat bipolar: Mood stabilizing medications are most commonly prescribed for the treatment of bipolar. These include lithium, some anticonvulsants such as depakote, trileptal, and tegretol. Atypical antipsychotics have also been shown to be effective with bipolar, such as seroquel (quetiapine) and risperdal, to name a few. Sometimes, antidepressants are prescribed with a mood stabilizer. ...Read moreSee 1 more doctor answer
Mood stabilizer: Most common are lithium, depakote, or lamictal. Seroquel and Abilify (aripiprazole) are also used. Many other options if side effects or inadequate response to any of these. Antidepressants may cause mania if given alone without mood stabilizer, but are often given along with a mood stabilizer. Unfortunately all medications have potential side effects and is always risk vs benefit. Compliance is crucial. ...Read moreSee 1 more doctor answer
Lithium bicarbonate (sodium bicarbonate): Lithium, a mood stabilizer, is one of the most common medications used to treat bipolar disorder. Anticonvulsant meds for seizures, like Lamictal and depakote, are also frequently used. Additional medications also include atypical antipsychotics and antidepressants. ...Read more
Yes and no.: Does "better" mean improved or cure? There is no cure. If you have it, you have it for life. One has mood swings so one could get better with or without medication. Medication can improve the swings and also prevent them. The major problem with a Biploar is their going into denial when in a normal phase and stopping their medication. Patients who don't go into denial and continue to take the ...Read more
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
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