Doctor insights on:
Over The Counter Treatment For Bipolar Disorder
Are there any over-the-counter sleep aides that a person can take who has bipolar disorder and is having difficulty sleeping? Person takes lithium, benztropine, risperdal, clonazepam.
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
Yes: In fact, lithium is probably the best/most studied medication for the treatment of bipolar disorder. It is very effective in many but not all cases. It has been shown to be the most effective treatment for suicidality. It can be safe and effective, especially for bipolar i disorder or a manic episode. ...Read moreSee 2 more doctor answers
States differ: States differ in their laws for mental health treatment when the patient refuses it. Some have a civil commitment process that can be instituted if the person is dangerous to self or others, or is too ill to care for self. Check with your state psychiatric society -- they can tell you how such situations are handled locally. ...Read more
A second opinion: Is always okay. If you don't have confidence in your doctor or your treatment is not working, check with another doctor. If it is just that you don't like the diagnosis, talk to your doctor about that. Even then, a second opinion might help reassure you that the diagnosis and treatment are correct. Staying with medication and psychotherapy is usually essential for bipolar dis. ...Read moreSee 1 more doctor answer
Meds plus therapy: In my practice, i generally treat my bipolar patients with a combination of an antipsychotic medication plus a mood stabilizer. Both my experience and the clinical research indicates that in general, that combination of medications give the patient the best chance of sustainable stability and remission. Sometimes other medications help, such as sleep medicines or antidepressants. ...Read moreSee 2 more doctor answers
Medication/PsychT: Medication and psychotherapy both help with bipolar disorder in different ways. Medication will help with mood fluctuations and psychotherapy will help with symptom recognition and prevention as well as establishing routine/schedule, improving sleep, coping with the diagnosis of bipolar and looking for the triggers of mood swings. ...Read moreSee 2 more doctor answers
General question: This is a very general question, there are several types of bipolar disorder & treatment must be individualized. Generally, mood stabilizing medication is used to prevent severe mood episodes including manic episodes as in Bipolar I Disorder. However, psychotherapy to ensure success in medication treatment and life goals is important as well. Non compliance can be disastrous. ...Read moreSee 1 more doctor answer
It is more like: a second line treatment,but it has been used first line in certain people. A psychiatrist should prescribe it. Have you been on it before??? Did it work for you? ...Read more
Do you have any specific recommendations for dealing with the weight gain that results from treatment for bipolar disorder?
Good care works: Very few if any of my patients with bipolar disorder, or for that matter, any psychiatric illness, gain weight as a result of their treatment. There are no calories in the medications, and they do not cause cravings. Some patients fidget less and burn fewer calories, others eat quite a bit more than before, and some others stop exercising. Watch your food portions and restrict processed carbs. ...Read moreSee 2 more doctor answers
What do you advise if I'm on treatment for bipolar disorder for last 4 years. now on 1.valprid cr 500(sodium valporate & valporic?
IT DEPENDS: Are you doing well on the valproate? ...Read more
Is tegretol still a viable treatment for bipolar disorder..I've been on 600mg for 3 years but seems to be losing effectiveness.
Yes: Tegretol is still used to treat manic depressive disorder. If treatment is ineffective a blood level should be drawn to ensure the dose is therapeutic. If the dose is therapeutic then consideration should be given to changing medication or identifying other factors that are negatively affecting treatment outcome. ...Read moreSee 1 more doctor answer
Recommend: Working with a child psychiatrist. Psychiatric medications are often required. Individual therapy (ie. Cognitive behavioratherapy or psychotherapy) and family therapy are usually indicated. Group therapy may be benificial and inpatient psychiatric treatment may be needed in some cases. ...Read moreSee 2 more doctor answers
Fish oil: There is some research on high dose fish oil for treatment of bipolar disorder. There are also natural products with a proprietary formulation of a vitamins and minerals. Here's a useful article on web md reviewing supplements: http://www.Webmd.Com/bipolar-disorder/guide/bipolar-disorder-supplements recommend: get definitive control with conventional meds first, then investigate natural. ...Read more
New treatments: Lithium has several dangerous adverse effects, if not monitored closely. New medications and therapeutic approaches have been developed and progress has been made. However, a role for Lithium in some cases of otherwise unresponsive manic-depressive psychosis remains. ...Read moreSee 1 more doctor answer
Does bipolar NOS usually require medical treatment or is it a very mild form of bipolar disorder that normally requires no medication?
Yes: It is a very good medication for maintenance treatment. ...Read more
Lithium: Lithium is still the best treatment for bipolar disorder. Unfortunately it has many side effects. Valproic acid (depakote) has been more commonly used over the past 20 years, because it has fewer side effects. More recently, Lamotrigine (lamictal) has proven very effective, but is not usually first-line due to a rare but potentially serious rash. ...Read moreSee 1 more doctor answer
Treatment Options: Bipolar disorder Tx Meds fall into classes of mood stabilizers (Lithium?/ anticonvulsants like valproic acid, divalproex or lamotrigine) & atypical antipsychotics (Quetiapine, aripiprazole, olanzapine or risperidone). Schizophrenia is treated with antipsychotics.Other tx: psychoeducation, cognitive behavioral therapy, psychotherapy & family or group therapy. ...Read more
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