Recently Answered Questions
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My sister is pregnant. Can she continue bipolar treatment?
Query: Hello doctor, My sister is suffering from bipolar disorder for the last 10 years and is presently in stable condition with Olanzapine 2.5 mg and Dicorate 250 mg one tablet each per day during night. However, recently she came to know about her pregnancy and her doctor asked her to check with a psych... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, I would like to inform you that Dicorate (Divalproex sodium) should be avoided as far as possible during pregnancy. This is because of neural tube defects caused in offspring during pregnancy. The above statement is very important during the first trimeste... Read Full »
How long should I take the meds for bipolar disorder?
Query: Hi doctor, I suffered from bipolar disorder four years back. At that time I was told to take Risperidone and Lonazap. I continued medicines for about one year and slowly stopped them as told by my doctor. Then again one year back I faced same bipolar disorder again but this time it was more severe. ... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns about the ongoing medications and bipolar disorder. As per the available literature, individuals with bipolar disorder need long-term treatment as discontinuation of medication often brings further new episodes. Since you a... Read Full »
I have bipolar disorder and have sleeping issues. Please help.
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 »
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 »
Query: Hi doctor, My husband has mood swings. He feels either depressed or very much excited. He is very irritable and gets angry for small things. This has started before four to five years. He sleeps for very less hours. He also drinks alcohol daily and goes for late night party in the weekend. Currentl... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. The information provided is not adequate to make a diagnosis. If he had frequent mood swings and lost his job due to mood swings or irrational decision, then there is a possibility of bipolar disorder where you have extrem... Read Full »
Any advice on going off low dosage bipolar medications?
Query: Hello doctor, I am a 56 year old male. I was diagnosed bi-polar, as part of an attempt to save a failing marriage and took a low dose of Carbamazepine (200 mg) and Lamotrigine (100 mg) for about six years and during that time felt fine. During another relationship that I should have ended much soone... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. As you can see both of your psychiatrists agree that the dose is too low to have any efficacy and I agree with same as 100 mg of Carbamazepine and 25 mg of Lamotrigine have no value in the treatment of bipolar disorder. H... 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 »
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 certain n... Read Full »
Query: Hi doctor,I do not know what it is, but I feel as if I have fallen too hard. After a lot of try I got a job in a bank. It has been six months and suddenly I have lost all interest to go. I am on leave for the past one week. I feel like quitting my job. I feel like I lost the purpose of my life. I am... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. From the available description, it appears that you are having depression, which is often characterized by sadness, decrease interest in almost all activities, including pleasurable one, indecisiveness, poor attention and co... 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 »
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 something a ... Read Full »
How do I manage PTSD and bipolar disorder?
Query: Hello doctor, I have PTSD and bipolar disorder type II and it is getting harder for me to function daily. I have already seen my health care provider. For this, she gave me a prescription and I still have the manic episodes. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. I would like to inform you that most of the psychiatric medications take too long to show effects on individuals. Since you were prescribed Risperidone just a week back, there is no need to wait for more time. Most pat... Read Full »
What are the reasons for feeling irritated, lonely, and emotionally unstable?
Query: Hello doctor, My cousin sister (age 25 years) is pursuing her studies and resides in a metro city. She lives alone. Often she feels irritated, lonely, and emotionally unstable. She also thinks that there is nothing to look forward to in her life, and she has no future. She is unable to concentrate ... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. From the available description, it is almost clear that she is suffering from depression. Depression is a common psychiatric disorder which occurs in 10 to 20 % of women and about 8 to 10% of men in their lifetime. Having sa... Read Full »