Bipolar Disorder

Previously called manic depression, bipolar disorder is a mental health condition that causes severe mood changes and unusual shifts in energy, activity levels, behavior, and thinking. It is classified into four groups, namely bipolar I disorder, bipolar II disorder, cyclothymic disorder, and bipolar disorder induced by any other condition or medication. The mood of the person with this disorder varies from being extremely energized to being very sad or feeling hopeless.

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Taking medicines for bipolar disorder, but unable to sleep. Is there any suggestions?

Query: Hello doctor, I am having bipolar disorder, on lithosun 1200mg, fluoxetine 20mg for the last 1 year. Working night shift since last month. Unable to maintain proper sleep. Please guide me.  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Thanks for posting your query at icliniq. Fluoxetine is not the kind of medication that needs to be taken for straight one year in bipolar disorder except in some rare cases. Problem with sleep may indicate towards relapse of mania or mixed episode. At this moment you need to talk to a psych...  Read Full »

I suffer from PTSD, bipolar, and major depression. What is the treatment?

Query: Hello doctor, I am 26 years old, female who has PTSD, bipolar and major depression. I also suffer from migraines, anxiety and insomnia. I am on topamax 100 mg twice a day, clonapin 0.5 thrice a day as needed, Paxil 10 mg in the morning (recently started) also for the insomnia I was started on elavil...  Read Full »


Dr. Ravi M Soni

Answer: Hi, Welcome to icliniq.com. I read your concerns. I feel that Topamax 200mg which works well for migraine has a little role in bipolar disorders. Studies show that monotherapy with topamax is not recommended but instead of taking topamax, you can try sodium valproate (Depakote xr 750mg at night) ...  Read Full »

Please suggest a medicine to control aggression in bipolar disorder.

Query: Hi doctor, My mother has been diagnosed with bipolar disorder, and no medicine help with her aggression. She is currently on Zolam and Clonafit. I have also attached her other prescription reports for your reference. My mother beats and abuses our maid. She defecates in the room whenever she wants ...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. I have read your query and I understand your concern. First of all, I feel that she is developing dementia as defecating in the room is not a characteristic of bipolar disorder. I understand she punishes other family members, especially maid, but this is not someth...  Read Full »

What should I do if I took 600 mg of tablet Tegretol instead of 200 mg?

Query: Hello doctor,I have the following question about the tablet Tegretol:I have been taking Tegretol 200 mg in the morning and 400 mg in the evening for bipolar disorder for nearly two years now. I accidentally mixed up Tegretol with my allergy medicine yesterday morning and therefore took 600 mg of Teg...  Read Full »


Dr. Seikhoo Bishnoi

Answer: Hello,Welcome to icliniq.com.You do not need to worry about it. Since more than 12 hours have passed after taking 600 mg of tablet Tegretol (Carbamazepine), I do not think there is any risk of poisoning. Even at 600 mg, the drug is safe.Kindly take plenty of water and avoid taking an overdose in the...  Read Full »

After stopping Arip, I suffer from insomnia during pregnancy. What to do?

Query: Hi doctor,Initially, I was diagnosed to have bipolar disorder before 10 years and was cured with Lithium. Then, it relapsed before five years. So, I started to have Arip 20 mg and by last month it was tapered to 5 mg. Now, I am 8 weeks pregnant. When I got to know that I am pregnant, I was advised b...  Read Full »


Dr. Padmapriya Chandran

Answer: Hi, Welcome to icliniq.com. Pregnancy is a high-risk period. Hence, the risk of relapse is more during pregnancy. It is advisable to take a small dose of medications throughout the pregnancy to prevent relapse. I suggest tablet Serenace 1.5 mg (Haloperidol) at night along with tablet Pacitane (Trih...  Read Full »

My mother behaves weirdly with a lot of mood swings. How to treat her?

Query: Hello doctor, First of all, let me thank you for this platform. It is just wonderful that you make professional opinion available for people who have nowhere else to turn. My mother has been showing weird behavior ever since I can remember. The issue is that anytime someone (from our family or othe...  Read Full »


Dr. Awadhesh P Singh Solanki

Answer: Hello, Welcome to icliniq.com. Thanks for the query. I can understand your concern regarding your mother and your brothers. You have given a beautifully elaborated history, clearly showing your mom is suffering from bipolar affective disorder (BPAD) and needs clinical assistance. She cannot ta...  Read Full »

How to identify a person having bipolar spectrum?

Query: Hi doctor,How to diagnose and treat bipolar II? How is it different from bipolar I? How do you identify people on the bipolar spectrum? What are the biggest misconceptions about Bipolar II? Is it the same thing as bipolar depression? Kindly explain me.  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. Alike any psychiatric disorders, diagnosis of bipolar disorder is completely based on the history. This is elaborated from the patient, family members, colleagues and significant others. There are set of symptoms and the history need to suggest the presence of a cert...  Read Full »

Does changing medication for bipolar cause akathisia?

Query: Hi doctor, My son is diagnosed with bipolar type two disorder. He has been on Haldol 5 mg. Doctor prescribed a change to Loxapine. While starting on Loxapine doctor advised him to continue Haldol 2.5 mg for a week. But the patient is going through significant akathisia when on both, which is causin...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hello, Welcome to icliniq.com. As per the available description, it seems that Loxapine is the cause for akathisia, provided there was no akathisia with the use of Haldol (Haloperidol Decanoate) alone. Since the dose of Haldol is decreased to 2.5 mg from the previous 5 mg, the Haldol is unlike...  Read Full »

Can BPAD medicine cause shortness of breath and a low sex drive?

Query: Hi doctor, I am a 34 year old male, who weighs 82 kg. I am suffering from a bipolar affective disorder (BPAD), and have been advised to take Magnesium valproate 400 mg twice daily and Amisulpride 100 mg at bedtime. I am also taking Etizolam 0.25 mg in the morning and 0.5 mg at night, from two week...  Read Full »


Dr. Awadhesh P Singh Solanki

Answer: Hi, Welcome to icliniq.com. The symptoms like shortness of breath, poor sleep and loss of sexual pleasure are all the side effects of the medicines that you take for bipolar disorder. I will not suggest stopping these medications, but it will be better to take few medications with effective doses....  Read Full »

Can tapering off Lamictal cause heart attack or heart failure?

Query: Hi doctor,I am tapering off Lamictal, and have a question regarding this. I went from 200 mg to 175 mg. I have been doing this for a week now. When you are tapering off from Lamictal, can it in any way cause problems with the organs like heart failure, heart attack, seizures, etc.?I use Lamictal for...  Read Full »


Dr. Bn Bhagat

Answer: Hello, Welcome to icliniq.com Usually, Lamotrigine is tapered off when the patient's condition is stable. This is important. This decision is discussed between the patient and the doctor who has initiated the medicine. It should never be done by oneself. You should ask the guidance on tapering o...  Read Full »

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