Dr. Krishan Kumar Sharma
Psychiatry
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Patient's Query
Hello doctor,
I have a query about the medication prescribed to me, and I need a second opinion. My diagnoses are bipolar 1 and ADHD. I take daily, Lithium 1600 mg, Lamotrigine 300 mg, Amisulpride 400 mg, Haloperidol 4 mg, Sertraline 200 mg, Pregabalin 400 mg, Propranolol 80 mg, Lisdexamfetamine 60 mg, Procyclidine 15 mg and, Diazepam 10 mg (PRN). Is that too much medication? Do some of these counteract with each other?
Hello,
Welcome to icliniq.com.
The rule of thumb in psychiatry is to prescribe medicine for an adequate duration and adequate dose, before considering it ineffective or plan to change. If your doctor has previously tried one medication for proper dose and duration now, he can add another drug, so it depends on how you are responding to medicine? So it might be possible that if you did not respond to one medicine your doctor keeps adding medicine to your prescription. If you are not in a depression or not a rapid cycler, Sertraline can be tapered down. If you are in remission, Lamotrigine can be slowly stopped. I found no counteracting drug. Antidepressants can be given with mood stabilizers in bipolar disorder (depression episode).
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