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Doctor insights on: Medicine For Bipolar Disorder

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Dr. Donald Jacobson
779 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


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For how long 1 has to take medicine for recurring bipolar disorder (mania) valence od500mg valium10mg serenace 25mg, is it completely curable?

For how long 1 has to take medicine for recurring bipolar disorder (mania) valence od500mg valium10mg serenace 25mg, is it completely curable?

Med Regimen: Bipolar disorder may not be curable but there are excellent medications available to treat the condition. Regarding your medications, you and your doctor will need to work as a team to see how you respond to your medications. This will dictate when medications are titrated, started or stopped. Although the medications you take may change over time, it isn't advisable to stop use of all meds. ...Read more

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Has anyone else had too much medicine for bipolar affective disorder?

Has anyone else had too much medicine for bipolar affective disorder?

I've seen it: I often see patients with bipolar disorder who are over medicated. However, clinical experience shows us that 90% of bipolar patients require 2-5 medications to achieve symptom control. The goal is to use combinations that make sense while paying attention to overlapping side effects that can negatively effect quality of life. ...Read more

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Which medicines are used to treat bipolar disorder?

Which medicines are used to treat bipolar disorder?

Bipolar D/O Tx: Meds fall into classes of mood stabilizers (Lithium‚Äč/ anticonvulsants like valproic acid, divalproex or lamotrigine) & atypical antipsychotics (Quetiapine, aripiprazole, olanzapine or risperidone). Other tx: psychoeducation, cognitive behavioral therapy, psychotherapy & family or group therapy. Refractory cases- Transcranial magnetic stimulation or electroconvulsive therapy. ...Read more

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Are there any energy medicine techniques that help with bipolar disorder?

Yes, but...: The key to any problem is to find the causes. This includes all "mental" conditions. Energy medicine is poorly understood by most practitioners, and I am very cautious about receiving these types of therapies from most people. For the best information in this area, visit christine schenk's website and purchase a book or two. She also offers training and therapy sessions. ...Read more

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Can you please list strong drugs that people with bipolar disorder take?

Can you please list strong drugs that people with bipolar disorder take?

Mood stabilizer: Mood stabilizers are commonly used for treatment of bipolar disorder - i.E depakote, lithium, tegretol, Trileptal and lamictal. Antipsychotic medications are also used to stabilize one's mood - i.e. Abilify, zyprexa, seroquel, Risperdal and latuda (lurasidone). In some cases patients need both a mood stabilizer and an antipsychotic to stabilize their symptoms. ...Read more

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What are the ways that certain recreational drugs affect those with bipolar disorder?

What are the ways that certain recreational drugs affect those with bipolar disorder?

Worsens symptoms: Don't know which recreational drugs you are referring to. However, the response is usually pretty universal in that it causes deterioration emotionally. ...Read more

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I need to find dr who understands the correlation between bipolar disorder and drugs?

I need to find dr who understands the correlation between bipolar disorder and drugs?

That's a shame: You need to try and find either a board certified addiction psychiatrist or a board certified psychiatrist who is also board certified in addictionology (like me). I think that drugs of abuse most certainly makes bipolar d/o worse and those with bipolar d/o suffer from a greater risk of substance abuse and dependency. I treat both at the same time in my clinic. You should be able to find someone. ...Read more

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What is the usual combination of drugs that someone diagnosed with bipolar disorder ends up needing to remain stable?

Not One Combination: There really isn't one "usual" combination. In my experience there are some indicators that can guide selecting medications based on the nature of your cycles (how do you go from energized to depressed, which direction is the switch faster, etcetera), but there is also quite a lot of variability in responses. ...Read more

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How do drugs affect someone with cyclothymia or bipolar disorder?

How do drugs affect someone with cyclothymia or bipolar disorder?

Worsen sxs: The two worst decisions you cam make if you have bipolar spectrum disorder are: 1. Not to take prescribed psychotropic medications & 2. To use illicit drugs. Illicit drugs usually markedly decrease effectiveness of other treatments and leads to deterioration. ...Read more

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Help please! Is bipolar disorder caused by drug abuse?

No: Drug abuse is bad. Abuse is by definition bad. But drug abuse cannot be blamed for everything. The symptoms that can lead to a person being diagnosed bipolar should be able to be distinguished from da. It may be difficult and they may co-exist, but they don't "cause" each other. Treatment is a good idea for either and certainly for both. Good luck! ...Read more

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Could you develop bipolar disorder and/or schizophrenia by doing drugs?

Could you develop bipolar disorder and/or schizophrenia by doing drugs?

If there is a: Predisposition - it could be triggered by use of mood altering drugs. ...Read more

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Not looking for controlled substances - travel a lot so need tele - psychiatrist for bipolar disorder. Taking 10 drugs. Can go once or twice/year to chi, milwaukee, madison. How to locate suitable dr?

Not looking for controlled substances - travel a lot so need tele - psychiatrist for bipolar disorder. Taking 10 drugs. Can go once or twice/year to chi, milwaukee, madison. How to locate suitable dr?

Friends are best: See if you have any friends or family that recommend a mental health provider. Just be sure that the new provider you seek is within your insurance network. Other great sources are your pcp or your exiting mental health provider. ...Read more

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I try to avoid toxic drugs and treatments. What can I try before I go for traditional medical care for bipolar disorder?

I'm sorry,: But I know of no "natural" mood stabilizers other than lithium, which is a salt listed on the periodic chart of the elements. It is only available by prescription because even natural things can kill you. ...Read more

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I have bipolar disorder. I am taking hydroxizine 50mg as needed. It is good, but I need a more effective drug for anxiety?

Anxiety and Bipolar: I am wondering what mood stabilizer you're taking for your bipolar disorder, because none is listed in your medications. I see you're taking wellbutrin, (bupropion) which in itself causes anxiety in some people and could expose you to the risk of hypomania or mania. Please talk with your psychiatrist about this -- you may be leaving out some of your medications, or they may need to be re-evaluated. ...Read more

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Wanted to know where can I go to find a doctor who specializes in bipolar disorder or adolescent medicine?

Wanted to know where can I go to find a doctor who specializes in bipolar disorder or adolescent medicine?

Your PCP: I would talk with your family doctor. They usually know who the best physicians in the area are and they can then make a referral. I usually don't trust internet rating sites. ...Read more

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Hi. Do lamotrigine have weigh gain side effects? Can I get medicine without this side effects for bipolar disorder?

Hi. Do lamotrigine have weigh gain side effects? Can I get medicine without this side effects for bipolar disorder?

Lamotrigine: Lamotrigine is not generally a weight-gain causing medication -- some other mood stabilizers are much worse for this. Topomax is another option, and in some it causes weight loss. ...Read more

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My doctor has prescribed me Isotroin 20. But I have a history of Bipolar disorder l. So, is this medicine safe for me?

My doctor has prescribed me Isotroin 20. But I have a history of Bipolar disorder l. So, is this medicine safe for me?

Just work closely: It's good that you know to be careful about side effects and interactions. This should be no worse a risk for you than others but it is more important to advise your Dr (s) of ALL other meds you take and to ALL watch closely for possible side effects. There may be none - but if there are - you'll catch it in time to be okay. Best! ...Read more

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My previous child (now 16 yrs) has bipolar disorder. What preventive measures/drugs can I take to avoid it for my twins (currently 29th week)?

My previous child (now 16 yrs) has bipolar disorder. What preventive measures/drugs can I take to avoid it for my twins (currently 29th week)?

Bipolar Disorder: There are no drugs which prevent bipolar disorder. It is largely genetic. However, consistent parenting skills, nonuse of corporal punishment, consistent and age appropriate discipline, good sleep hygeine and nutrition are all important for mental health in general. Hope this helps! ...Read more

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I want to know the difference of mechanisms in this drugs: aripiprazole 15 mg, and quetiapine 5 mg (1/2 of pill). I have a bipolar disorder.

I want to know the difference of mechanisms in this drugs: aripiprazole 15 mg, and quetiapine 5 mg (1/2 of pill). I have a bipolar disorder.

Close but not cigar: Independently of their dosages, they are both atypical antipsychotics. They share similar properties as antipsychotics and mood stabilizers. What's different is their side effect profile, life time, tolerance, etc. Seriquel is more edating and increases appetite. Abilify (aripiprazole) can be more activating, less weight gain. ...Read more

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Do any drugs exist for bipolar disorder that are not in the valproic acid classification?

Absolutely: For many patients, valroate has lots of side-effects, esp. Weight gain as well as others. Lithium, which is an element, is indicated for bipolar disorder. Other medications are carbamazapine (tegretol) and the medications in the class called second generation antipsychotics. A common problem with many medications can be weight gain issues. I always try to avoid this with my patients. ...Read more

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How to deal with bipolar disorder without medicines. I'm very afraid of the side effects but my doctor refused to treat me without medicines. I can't take any decision in my life.

How to deal with bipolar disorder without medicines. I'm very afraid of the side effects but my doctor refused to treat me without medicines. I can't take any decision in my life.

Bipolar Disorder: The track record for non-pharmaceutical treatment of true bipolar disorder (except tms) is not good. Certainly psychotherapy has a place in this treatment, but not by itself. Mood stabilizing medications are needed to avoid mania & depression. Using these can allow you to feel more stable and able to make solid decisions in your life. Alternative treatments may help, but also not by themselves. ...Read more

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Father not taking his bipolar disorder (mania) medicine (valence500mg valium10mg)as he is better now. He only takes haloperidol liquid (. 25mg) is it ok?

Father not taking his bipolar disorder (mania) medicine (valence500mg valium10mg)as he is better now. He only takes haloperidol liquid (. 25mg) is it ok?

Russian Roulette: As is often the case with many individuals who suffer from mental illness, they decide to reduce or discontinue their psychotropic medications when they begin to feel better. Certain conditions especially bipolar disorder and schizophrenia often require long term use of medications. The patient is feeling better because of the medications and they risk relapse when stopping them. Consult with md. ...Read more

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I have type 2 bipolar disorder and its been unbearable. I'm either depressed or I'm so hyper I'm fighting my brain to calm down. I have no insurance for medicines. What shouldi do?

I have type 2 bipolar disorder and its been unbearable. I'm either depressed or I'm so hyper I'm fighting my brain to calm down. I have no insurance for medicines. What shouldi do?

There are options: This is a great question. There are older, effective medications for bipolar disorder that are much less expensive than the newer ones. Lithium is one example. Alternatively, many pharmaceutical companies have programs to help with the cost of medications that are based on income. Finally, some doctors or clinics have free samples of medications please ask your doctor about these alternatives. ...Read more

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Digonosed with Bipolar disorder, don't feel depressed just very on edge, easily frustrated and angery any advice on medicine control anger outburst?

Digonosed with Bipolar disorder, don't feel depressed just very on edge, easily frustrated and angery any advice on medicine control anger outburst?

Anger: Medication may be helpful but think about your lifestyle. What is your nutrition and exercise like? How much sleep do you get? Consider the difference between constructive and destructive anger. Peace and good health. ...Read more

Dr. Alan Ali
1,770 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, ...Read more