Dr. Ramchandra Lamba
Psychiatry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
My 28 year old son is being treated for bipolar disorder and depression. He has been on and off antidepressants since he was 16 years old due to high anxiety issues. He just started with 50 mg Serquiler one to two tablets at night, 600 mg Gabapentin thrice a day, 20 mg Paxil once a day and Oxcarbazine 600 mg thrice a day. Is this too much? He was previously on 60 mg Paxil and had very hard withdrawal symptoms. Why is he still put on 20 mg?
Hello,
Welcome to icliniq.com.
Seroquel (Quetiapine) and Oxcarbazine (Oxcarbazepine) are indicated in bipolar disorder as both have mood stabilizing properties. Paxil (Paroxetine) and Gabapentine (Gabapentin) are used in anxiety or depression. As you mentioned that Paxil was used in the highest dose earlier with a difficult withdrawal, now your doctor may be using it for acute bipolar depression and wants to taper him off it as soon as the depressive symptoms clear. He will not have much of withdrawal symptoms as the dose is on the lower side. It is not uncommon to use two or more mood-stabilizing drugs in bipolar disorder when the person is not responding adequately to one drug. Also, in acute bipolar depression, antidepressants are used in combination with others drugs to treat it. Thank you.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Psychiatry
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
