Doctor insights on:
Medicine For Mania
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
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
Bipolar: A person may fulfill the diagnostic criteria for bipolar d/o and have never been depressed. That is why the term: manic-depression is confusing. It may be common for those with bipolar d/o to have up and down mood swings, but the depressive part is not what defines the bipolar d/o. There are many medications which may induce a manic episode, too many to list here. ...Read more
I have been diagnosed with pstd and borderline mania, depression, and anxiety. I am wanting to know what would be the best medicine for me to take?
Complicated.: This is a complicated question. As you recognize you have four separate diagnoses: PTSD / depression / mania / anxiety. The meds that treat these overlap quite a bit and the selection of meds will depend upon which of these is really driving your symptoms. Best med or (probably) combo of meds will not be the same for everyone and will have to take into account all kinds of factors. ...Read more
I find diphenhydramine helps with my mania more then prescription drugs, what do u think about taking this when feeling manic?
Is Topamax (topiramate) an effective drug for weight loss? If so at what dose do I start to see results? (I know everyone is different) Am on it for Mania and mood
Yes: During the manic phase, a bipolar patient feels like everything is great & nothing is wrong with them. They feel overconfident. As a result, one may feel that they don't need medicine & may avoid it. However, this the wrong approach since the medication is supposed to keep one's mood at an even level - not manic & not depressed. So stopping it may make the mania & subsequent depression worse. ...Read more
Several options: There are a number of medications used for Bipolar. You need to work with a provider to find the right medication for you. See link www/webmd. Com/bipolar-disorder/bipolar-disorder-medications ...Read more
I am bipolar1. Take Saphris, (asenapine) Lamictal and Lithium. A dr. Prescribed Ultram for pain relief. Could Ultram cause mania or interact with my psych drugs?
Not big risk: Ultram increases serotonin like some antidepressants so it could be a trigger for mania, but if you're on lithium the risk of this is low. Almost all psych drugs are listed as "CNS depressants" meaning they can make you sleepy or reduce brain function in some people. As is Ultram. And adding another one increases the risk of sedation, but in a young otherwise healthy person the risk is low. ...Read more
Manic episodes: The obvious way is to use "speed" (amphetamines) but this is illegal and ill-advised. In general, directly targeting "your manic side" is not a good idea because it puts you out of control. A healthy way to induce vibrance, vitality, energy is meditation. Much safer. No adverse side-effects. And it helps you to be who you really are and were meant to be. ...Read more
Ritalin is a stimulant called methylphenidate, it can have all the side effects of any other stimulant such as amphetamines or cocaine. The paradoxical - or 'opposite' effect - of calming people w/ add or adhd is part of verifying the dx. If you have the disorder - it quiets you, if not it speeds you up.
http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc3062130/. ...Read more
I feel manic, I have Ativan (lorazepam) to take as needed. Is Ativan (lorazepam) a good drug to take when feeling manic?
If you are actually: Manic (as opposed to hypomanic) you will likely need more intervention than ativan (lorazepam). Ativan (lorazepam) may help to mute the symptoms some. Please advise your psychiatrist ASAP. If you are in any danger due to mania either have someone transport you to ER or call 911 for assistance. Take care. ...Read more
Why does psych medicine make you feel lazy? I use to be crazy active, walking, swim, ride...now I'm like eh. Unless I'm manic...then I'm endless energy
Med Management: The words "crazy active", "manic" and "endless energy" are suggestive of one of the Bipolar Disorders. With psychotropic medications, the key is finding the correct dosage. Hopefully you are seeing a psychiatrist for medication management issues. Additionally, it is not uncommon for those with Bipolar Disorder to miss the hypomania or manic phases. ...Read more
I was under the influence of alcohol and drugs. I manic breakout and went extremely psychotic. Please help.
If you are psychotic: & manic now - please have someone drive you to the nearest ER. You can call 911 if needed for transport. ...Read more
How likely is someone to go 2-3 years without a single manic depressive episode with no medicine?
Possible: It is usually more common to have frequent episodes, but it is not impossible. Bipolar individuals on average have 4-7 episodes per 10 years. These episodes can last several months. ...Read more
Is it possible to go 2-3 years without a single manic depressive episode while being on no medicine?
Yes: It's possible -- but I don't know what the person's illness you're talking about, is typically like. Sometimes people discontinue their medications because they don't want to take them. If a person with bipolar illness stops medication suddenly, s/he is more likely to have repeat episodes than with a more gradual taper. Also, substance abuse and erratic sleep/wake cycles make this more likely too. ...Read more
I used to take all type of medicine for my manic episodes and anxiety attacks, until I met my boyfriend, who makes me nothing but happy. What are the chances of the anxiety and episodes coming back?
Unstable situation: If you truly have bipolar disorder, your chances of further episodes are very high without mood stabilizing medications. Also, tying your own health to the presence of any one person in your life is an unstable situation for you overall. Your relationship with your boyfriend may be fine now, but what happens if you've made him your sole "medicine" for anxiety/mania and you break up or he leaves? ...Read more
I've bein diagnosed with manic depression is takn citalopram 20mg a good drug 2 help? I'm up & down lm happy then all of a sudden l just angry 4 nothin
What is the best way to deal with & communicate with an untreated, & in denial manic-depressive; who is also an alcoholic/drug user/father 2 my kid?
Protect your child: It is difficult to communicate with someone under the influence of drugs/alcohol, especially with a psych disorder. Your primary concern should be for the safety of you child obtaining full custody. Communication may be limited to a mediator such as lawyer or case manager if he is not receptive to you. ...Read more
I have manic depression and no prescription drugs help me I've tried everything and the only thing that helps is marijuana what else can I do?
Helps? In what way?: What symptoms do you experience, and how do you feel marijuana helps them? It may temporarily mellow aggressiveness in some, but causes paranoia and psychosis in others. Xanax (alprazolam) is not a treatment for bipolar disorder either, and it's on your "additional patient information" along with Ambien and ibuprofen. Please discuss with your own psychiatrist, since it seems your case is very complicated. ...Read more
Mania is at the: Opposite end of the spectrum from depression. It is marked by extreme hyperactivity, e.g., not sleeping, being loud, maybe spending a lot of money or giving things away w/out thinking. Please see a mental health professional for anger management and mood disorder. Peace and good health. ...Read more
Can't be cured: Once someone has had a manic episode they remain at lifelong risk for further episodes of varying severity, as well as for depressive episodes. At one time this would have been a grim prognosis. Today, there are many medications that do an excellent job of stabilizing mood. Early intervention and treatment is crucial: medication plus psychotherapy. ...Read more
Can be really bad: In severe mania, people can be very agitated and impulsive -- getting themselves into big trouble sexually, financially, or with careers, school, relationships, etc. They can be psychotic, hallucinating and having delusions. They may not sleep for days. They can have mixed states of mania with depression, and end up committing suicide. Such a person needs emergency psychiatric help. ...Read more
Mania & managemt.: Mania a distinct period of abnormally & pesistently elevated, expansive/ irritable mood & abnormal increased goal direcrted activity/energy. Last 1 wk. & is present most of day, every day (hospitalization may be necessary). Typically you see inflated self-esteem, grandosity, decreae sleep, talkativeness, distractibility. Treatmt. Involves use of antipschotic & often adding a mood stabiliity. ...Read more
If you have severe: mania, you may not be able to slow it down without the help of psychotropic medications. Manic depression is a severe physiological condition which requires medical attention and supervision of the medications by a psychiatrist. In addition, once medication helps get the mania under control, individual and family therapy with a psychologistcan help you make changes in your life and relationships. ...Read more