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Doctor insights on: Psychosis Agent

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Which anti psychotic is more preferred for acute mania mixed bipolar disorder aripiprazole or paliperidone?

Which anti psychotic is more preferred for acute mania mixed bipolar disorder aripiprazole or paliperidone?

Acute mania meds: Atypical antipsychotics have been increasingly used for (and gaining FDA approval for) acute mania. Both meds mentioned (abilify (aripiprazole) & paliperidone) are in this class and can be used to treat acute mania. Other atypicals are also used. Li, VPA, and some typical antipsychotics are FDA approved in acute mania as well. Talk with your doc to make the right right choice for your specific case :) ...Read more

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Dr. Donald Jacobson
363 doctors shared insights

Psychotic (Definition)

Psychotic disorders (such as schizophrenia) are major mental disorders that cause abnormal thinking. Psychotic people lose touch with reality and have symptoms of delusions and hallucinations. Delusions are false beliefs, such as thinking that a TV is sending you personal messages. Hallucinations are false perceptions, such as hearing, seeing, or feeling something that ...Read more


Dr. Alan Ali Dr. Ali
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Which anti psychotic drug is most effective for schizophrenia: clozapine or aripiprazole?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
Which anti psychotic drug is most effective for schizophrenia: clozapine or aripiprazole?

Antipsychotics: Both are effective. The difference is the tolerability & side-effect profiles. ...Read more

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How effective is haldol (haloperidol) in treating manic depressive disorders?

How effective is haldol (haloperidol) in treating manic depressive disorders?

Can Help Somewhat: Haldol (haloperidol) can be helpful for the agitation that is often seen in bipolar disorder, and it is often helpful for any psychotic symptoms that may be present. It will tend to not be helpful for the specific mood-related problems seen in bipolar disorder. Also, there can be concerns with long-term Haldol (haloperidol) use that require regular monitoring. ...Read more

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Dr. Yun Tran Dr. Tran
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Can bipolar manic episodes be natural or medication induced?

Dr. Yun Tran Dr. Tran
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Can bipolar manic episodes be natural or medication induced?

Both: You could be predisposed to it, and then have it brought out by use of certain medications. Otherwise, I am not aware of any medication directly causing it. However, use of recreational drugs could lead to symptoms similar to bipolar manic episodes. Theoretically it is reversible, but long term use may cause permanent damage. ...Read more

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Is psychotic depression lifelong?

Is psychotic depression lifelong?

See below: You're always at risk for re-occurrence of symptoms. If managed well with medication and psychotherapy, you definitely might return to a previous level of functioning. Stay medication compliant; while in remission, you should work on sx awareness and crisis management as well as figuring out what precipitated your sx in a first place. Good luck! ...Read more

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Is Depakote used for bipolar depression as well as mania?

Is Depakote used for bipolar depression as well as mania?

No: Depakote is formally approved for mania and mixed episodes (or irritable mania) in Bipolar Disorder. It is also commonly used as a maintenance medication (i.e. a true mood stabilizer) to decrease the total number of mood episodes in a year. However, it has not been shown to help depressions in Bipolar Disorder ...Read more

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Depression: haldol (haloperidol) an effective treatment?

Depression: haldol (haloperidol) an effective treatment?

Haldol (haloperidol): is not an antidepressant medication. Hadol could be considered if an individual had a psychotic depression or possible a schizoaffective disorder with depression. In those situations - it would not normally be used for monotherapy. Take care. ...Read more

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Does stopping anti-psychotic medications reverse antipsychotic-induced diabetes?

Does stopping anti-psychotic medications reverse antipsychotic-induced diabetes?

Not necessarily: There is not a lot known. It may reverse if you lose weight and follow a healthy diet. However, it may be permanent. It is a good idea to have your blood sugar monitored while on an antipsychotic so that any changes can be addressed quickly. ...Read more

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Is topomax used for bipolar 2 or depression?

Sometimes: Topamax (topiramate) is one of the medications psychiatrists have used off-label (not fda approved) for bipolar and depression but it is not very effective by itself. It can help reduce anxiety and weight gain caused by other meds. I would not recommend it by itself for those problems. It can be useful for migraines, alcohol cravings and sleep. Too much can impair concentration therefore nicknamed "dopamax". ...Read more

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Can lamictal treat bipolar psychosis/hallucinations?

Can lamictal treat bipolar psychosis/hallucinations?

Not first line: While Lamictal can be very beneficial for bipolar disease, it is not first line for psychosis, Pleasespeak to your prescribing physician about your symptoms and ask for further guidance and management. ...Read more

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Which type of medication is used for psychotic depression?

Which type of medication is used for psychotic depression?

Antipsychotics: Psychotic depression is very serious and the most effective treatment is ect. However, many respond to a combination of antipsychotic medications with either a mood stabilizer as lithium or/ and antidepressant. There is no evidence that any one med in any class is more effective than the other. There is serious risk of suicide and other life threatening behaviors. ...Read more

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Is valproate acid (depakote) effective for treating bipolar mixed depressive states?

Is valproate acid (depakote) effective for treating bipolar mixed depressive states?

Yes. : Bipolar disorders are complex to understand and to treat. Combining proper medication with therapy is ideal ...Read more

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Can iatrogenic amphetamine psychosis and bipolar disorder cause deviant sexual behavior?

Can iatrogenic amphetamine psychosis and bipolar disorder cause deviant sexual behavior?

Yes: Amphetamines can mimic mania, and both amphetamine use and mania can provoke hypersexual activity. "deviant" is here a difficult word to understand--whether you mean it colloquially or in an older sense referring to abnormal (now called "paraphilic"). But in general, impulses of many kinds--sexual, aggressive, risky--that one might not want to act on can be disinhibited and exaggerated by both. ...Read more

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Are mild auditory hallucinations linked to withdrawal from mood disorder medications, serotonin reuptake inhibitors in particular?

Are mild auditory hallucinations linked to withdrawal from mood disorder medications, serotonin reuptake inhibitors in particular?

No: Auditory hallucinations are not associated with withdrawals from ssri's unless they are ringing in the ears. Instead, they can be associated to the mood disorder itself. ...Read more

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Is topomax used for mania or depression associated with bipolar disorder?

Is topomax used for mania or depression associated with bipolar disorder?

4 VERY mild Bipolar: Topomax (topiramate) is a very mild mood stabilizer, which for most people is not strong/effective enough to treat mania or depression itself, but it can decrease mild mood swings, irritability, and excessive hunger/binge urges. ...Read more

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Is citalopram effective to treat manic depression?

Is citalopram effective to treat manic depression?

Caution: Citalopram can treat depression. The issue is, that -- in patients who have bipolar disorder -- antidepressants like citalopram can increase the risk of switching from a depressed or normal mood to one that is manic. Often a mood stabilizer is added to prevent such a mood switch. So it is important to discuss this issue and how to deal with it in advance with your psychiatrist. ...Read more

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Is lamictal an effective mood stabilizer for bipolar disorder?

Is lamictal an effective mood stabilizer for bipolar disorder?

Yes: Lamictal is an excellent mood stabilizer which I use frequently. The most common limiting factor is the potential for a very serious rash which requires very gradual titration to a therapeutic dose. ...Read more

Dr. Heidi Fowler
325 doctors shared insights

Psychosis (Definition)

Psychotic disorders (such as schizophrenia) are major mental disorders that cause abnormal thinking. Psychotic people lose touch with reality and have symptoms of delusions and hallucinations. Delusions are false beliefs, such as thinking that a TV is sending you personal messages. Hallucinations are false perceptions, such as hearing, seeing, or feeling something that ...Read more


Dr. Alan Ali
308 doctors shared insights

Psychoses (Definition)

Psychosis is a condition mostly seen in Schizophrenia and conditions where certain drugs cause psychotic symptoms. Symptoms may include auditory and visual hallucinations and a break with reality. Psychotic symptoms can be managed with medications and usually begin at the age of 20+ but can also be seen earlier or later as in Dementia or ...Read more