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Doctor insights on: Medicine For Bipolar I Disorder

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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

Dr. Heidi Fowler
209 Doctors shared insights

Bipolar I Disorder (Definition)

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 ...Read more


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What is the definition or description of: bipolar I disorder?

What is the definition or description of: bipolar I disorder?

Bipolar 1: 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. ...Read more

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Which tests are available for schizoaffective bipolar I disorder?

Which tests are available for schizoaffective bipolar I disorder?

Tests? No Help? Yes!: Have you been diagnosed? Mostly, this fairly rare diagnosis is made by listening to the persons description. Talk with the doctor about how they came to this conclusion and your thoughts/feelings about it. Many, if not most mental/emotional disorders are lacking objective, biologically based definitive tests. It makes it hard for you and the doctor - so work together on both diagnosis & treatment. ...Read more

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Could you tell me if someone's dad has bipolar I disorder, can his child inherit it to a lesser extent?

Could you tell me if someone's dad has bipolar I disorder, can his child inherit it to a lesser extent?

Possibly: Bipolar disorder runs in families but there is no need to worry because it is not one hundred percent. You have to make sure that the person is aware of a slightly higher risk and intervenes early if some of the symptoms appear. ...Read more

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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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Will Vyvanse's mood destabilizing effects (bipolar I disorder) be reduced over time at a constant dosage (30mg)? Taking 30mg Abilify (aripiprazole) to compensate.

Will Vyvanse's mood destabilizing effects (bipolar I disorder) be reduced over time at a constant dosage (30mg)? Taking 30mg Abilify (aripiprazole) to compensate.

Monitor Carefully: Stimulants like Vyvanse (lisdexamfetamine) can be very helpful in patients with mood disorders and ADHD, but they can also be highly variable in their effect--in other words, time will tell for you, and you alone, how effective this will be. If possible try and include as many people as you can in your "circle of trust" to help monitor your progress. ...Read more

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What is the mechanism of action for Trileptal? How does an anticonvulsant help stabilize mood in someone with bipolar I disorder?

What is the mechanism of action for Trileptal? How does an anticonvulsant help stabilize mood in someone with bipolar I disorder?

Sodium channels: All of the anticonvulsants routinely used to treat bipolar disorder are blockers of voltage-gated sodium channels, affecting the brain's glutamate system. But the exact mechanism is not fully known yet. ...Read more

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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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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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Will I be able to recover from bipolar 1 disorder?

Will I be able to recover from bipolar 1 disorder?

Depends on: What you mean by recover. With proper medication, therapy, social support, and psychoeducation (learning about your triggers, stressors, and your emotional limits), many with bipolar can live fairly normal lives. Problems arise when people with bipolar fail to realize that it is often a chronic relapsing disease and stop taking their medications (especially when they miss the manic highs). ...Read more

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Do I have bipolar disorder? I looked up symptoms and they matched

Do I have bipolar disorder? I looked up symptoms and they matched

Maybe, maybe not.: The best way to determine if you have bipolar or something else is to have an evaluation by a mental health provider. If you’re concerned about something, please have an evaluation with a psychiatrist or a psychologist for appropriate evaluation, where your diagnosis can be clarified and proper treatment may be implemented.
Good luck! ...Read more

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Can you tell me what it's like to have bipolar disorder - I need advice please?

Can you tell me what it's like to have bipolar disorder - I need advice please?

Bipolar is a mood: Disorder in which the person experiences up's ; downs of mood and energy level. Mania or hypomania: 1 may show aggression, agitation, v judgment ; impulse control, distractability, rapid thoughts ; speech, ^ libido, v sleep, spending sprees, high risk behaviors, elation, ^ physical activity or psychosis.
When depressed 1 may have low mood, v energy level, v concentration, amotivation, ^ or v. ...Read more

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Could I get some advice my husband has bipolar disorder I need some help usderstanding this?

Could I get some advice my husband has bipolar disorder I need some help usderstanding this?

Education ; Support: Are two important things to help you and your husband. A good place to get both of these is through nami. Here is the link for your local nami chapter in ohio. On the website you can find info on bipolar disorder. They also have meetings which can be very beneficial. Http://www. Namifc. Org/. ...Read more

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Please help! I have ajust been diagnosed with bipolar 1 disorder and am kind of freaking out?

Bipolar Disorder: Having a serious mental health disorder is a cause for concern. But once accurately diagnosed then an effective treatment plan can be developed. Bipolar spectrum disorders are treatable. Have hope. ...Read more

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I have type 1 bipolar disorder, I rapid cycle. I haven't slept in 68 hours, is there something I can take OTC? I can't afford my medications.

I have type 1 bipolar disorder, I rapid cycle. I haven't slept in 68 hours, is there something I can take OTC? I can't afford my medications.

Challenging question: It is well-known that insomnia is a trigger for mania and rapid cycling, hence it is important to combat that. Even though sleep md's don't recommend antihistamines for sleep, they can work and are otc. The bigger issues: 1: you need to be working with your md. 2: some drug co's make their products available to you, free of charge-ask your md how. 3: your md may have samples of certain meds. ...Read more

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What are some effective medications for bipolar 1 disorder? I have been on many over the last 6 years and am very symptomatic. I would love some feedb

What are some effective medications for bipolar 1 disorder? I have been on many over the last 6 years and am very symptomatic. I would love some feedb

Trazadone: Use as a mood stabilizer in a female of reproductive age is usually a consideration. It requires a gradual dose titration (minor drawback) Lithium rewquires monitoring of thyroid function and levels. Atypical antipsychotics are also used to stabilize mood. I'd hold off on antidepressant use initially as they can precipitate mania if not on a mood stabilizer ...Read more

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Have bipolar 1 disorder. With meds always in euthymic mood. Problem is I used to be a gifted. Now Feel 2bHonest below average. Please rationalize this?

Bipolar 1 Disorder: • Commend yourself for your achievements
• Do not compare yourself with others
• Do not think a lot about being below average.
• Focus on your Good Functioning in your daily life.
• Become Captain over your symptoms, Not Victim.
• See Psychiatrist for
• Diagnosis at this time
• Benefits and side effects of Medication you are taking
• Your concerns
• Therapy to cope with stress, Self-esteem ...Read more

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I think I have deppresion and bipolar disorder. I looked at the signs and me and I have most of the sytom. Shoulditell some1.My personality changesalot.?

Good to Seek Help: It sounds like you are very concerned about your mood. It would be an excellent idea for you to seek out help, and it would be best to set up an appointment with a mental health professional with whom you could discuss your concerns. ...Read more

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Hubbie thinks this bipolar disorder. I thhink just normal hormones/emotions?

Hubbie thinks this bipolar disorder. I thhink just normal hormones/emotions?

Ask for help: Ask for help from your doctor or see a psychiatrist will be a good start. ...Read more

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Could you tell me what are good jobs for people with bipolar 1 disorder.?

Self- employment: Self-employment works best so you can take time off as needed. Otherwise it depends upon your education and credentials as well as the job market. Pick a job that is interesting and enjoyable while not being too stressful. Go to bed at the same time 7 days a week and get up at the same time every day. Get exercise if you are able and eat a healthy diet. Keep a good social support group around you. ...Read more

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I was perscribed a high dose of multiple medications for bipolar disorder, I do not know if I am taking a safe dose?

I was perscribed a high dose of multiple medications for bipolar disorder, I do not know if I am taking a safe dose?

Without knowing: Specific meds and doses - can't comment on that. However, it is important that you feel safe with your treatment plan. Encourage you to discuss this with your prescribing medical provider and your pharmacist is another great source of information. Take care. ...Read more

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I've been diagnosed with bipolar 1 disorder, could I possibly somehow develop personality disorder? What are signs to look out for?

I've been diagnosed with bipolar 1 disorder, could I possibly somehow develop personality disorder? What are signs to look out for?

Relationship problem: Hi, people with personality disorders often have a long lasting pattern of relationship problems including alternating been being extremely clingy with someone on the one hand and consistently rejecting the same person on the other. A now dated book was entitled, "i hate you, don't leave me" to describe borderline personality disorder. Consider having an evaluation by a psychologist or psychiatris. ...Read more

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Affection bipolar disorder - I heard that cognitive remediation can help cure the disease, can you suggest some freebies website or info?

Affection bipolar disorder - I heard that cognitive remediation can help cure the disease, can you suggest some freebies website or info?

Bipolar disorder: Bipolar d/o is a biologically based disease that affects Pts moods. It can't be cured by cognitive remediation. Cognitive remediation can be helpful in improving cognitive deficits that may accompany the illness (visuospacial processing, for instance). Lumosity is a website that offers cognitive "games" (& others similar exist). Medication & psychotherapy will be necessary to keep ur illness @ bay ...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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I have bipolar disorder. I stopped medication and go to psychotherapy but still it's very hard for me to control my mood changes. Any advice please?

Go back on meds: Bipolar disorder is very hard to adequately treat without the use of medications to help correct the imbalance of neurotransmitters in your brain. Both counselling/psychotherapy and medicines have important roles. ...Read more

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How can I know if I'm dealing with bipolar disorder. I always feel down and get really sad at times. I have been cutting, also thought about suicide.

This is not...: ...Something you should have to go through by yourself; getting help from a mental health professional will do much more for you than put a label on your suffering. Tell your doctor about this. ...Read more

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Is lithium medication for bipolar 1 disorder causing thyroid swelling?

Is lithium medication for bipolar 1 disorder causing thyroid swelling?

Lithium: Lithium lowers thyroid functions when used for a while, hence possible enlargement of the thyroid gland (goiter). ...Read more

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I have bipolar disorder I take medications zyprexa, (olanzapine) lamictal and Depakote 500 e.R and I smoked hash weed with medications sometimes I need an advice?

Bipolar Treatment: The research clearly shows that people suffering from bipolar disorder have the best outcomes with a combination of medication and psychotherapy. Psychotherapy should occur for an hour at least 1 or 2 times a month and sometimes more often during the course of treatment. Such treatment by good doctors can result in excellent outcomes. Smoking weed or hash is not associated with good outcomes. ...Read more

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Bipolar 1 disorder, my 17 yr old babygirl....I need more help 2 help her! Was recently put on lamactil, is that a good med? She had bad reactions 2 a

Bipolar 1 disorder, my 17 yr old babygirl....I need more help 2 help her! Was recently put on lamactil, is that a good med? She had bad reactions 2 a

Difficult situation: I'm sorry to hear of your difficult situation with your daughter's illness - it's so hard for a parent to see a child suffer. Lamictal is both an anticonvulsant and mood stabilizer, and can work well. Here's a brief video about it: http://www. Youtube. Com/watch? V=caztmgupul0 please talk with her psychiatrist about your needing more help -- most psychiatrists want to give the best care possible. ...Read more

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I am prescribed tegretol 600mg nocte for bipolar disorder. I want to stop taking it cold turkey, what are the side effects?

Please repost: Please repost your question and include WHY you want to stop taking it, WHY you want to stop taking it cold turkey, and what the prescribing physician's reaction was when you discussed this with him/her; or, if you have not discussed this with him/her, why not. ...Read more

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


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