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 weeks, as advised by my psychiatrist. But, recently I feel short of breath while trying to sleep, I cannot sleep properly because of this. My sexual life is also not pleasurable anymore, and it has become just like a routine work. I do not feel joy after ejaculations. My head feels heavy, and I have vertigo problem, I feel as if I will fall while walking. Kindly help me get rid of these problems.
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.
Divalproex sodium 500 mg twice daily, will be better molecule than Sodium valproate as a mood stabiliser.
If you are having palpitations, Propranolol or mouth dissolving Clonazepam will be a better substitute.
Counselling with a good psychologist will help you along with medications.
I suggest you visit your psychiatrist for above changes in medications. I am sure you will be completely fine with the instructions as mentioned above.
For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist
Thank you for your suggestions. I had my first manic episode 16 years back, and the second time I had, it was six years back, for which I was hospitalised for two months. I was put on Lithium and Amisulpride, before this I tried taking Divalproex but, I started having insomnia. What minimum medicines should I take to treat these symptoms?
Welcome back to icliniq.com.
For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist
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