Recently Answered Questions
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What are the drugs incompatible with Quetiapine and Lamotrigine?
Query: Hi doctor, My query is regarding the incompatibility of Quetiapine and Lamotrigine with other groups of drugs. Now I have to get treatment for an anaerobic infection. I was prescribed Azithromycin, Clindamycin, Metronidazole and Mycomax. However, I will be extremely grateful if you list me all grou... Read Full »
Answer: Hello, Welcome to icliniq.com. As such for Lamotrigine following drug interactions need to be considered as important. Valproate increases plasma level of Lamotrigine, hence dose need to be decreased if given with Valproate. Also there are increased chances of rash if given with Valproate. Anti... Read Full »
Why is my husband having abdominal muscle rigidity?
Query: Hello doctor, My husband has had muscle rigidity in his abdominal muscles for days. I feel it is a side effect of tablet Seroquel. He is weaning off of tablet Seroquel in hopes that it will help. So far, it just continues to get worse. What can he do to manage the symptom? It is miserable for him an... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would like to know if he has abdominal pain or constipation. Before concluding that it is just muscle spasm, I suggest performing an abdominal ultrasound, a cervicothoracic X-ray study, and some laboratory blood tests (liver and kidney f... Read Full »
What medicine should I avoid while taking Lithium and Quetiapine?
Query: Hi doctor, I am on Lithium 600 mg per day and Quetiapine 300 mg per day. I would like to know what kind of food, beverages and medicines I should avoid. Read Full »
Answer: Hello, Welcome to icliniq.com. Regarding Lithium: Medications for depression (antidepressant drugs) interact with it. Do not take Lithium if you are taking medications for depression. Some of these medications include SSRI (selective serotonin reuptake inhibitors) like Fluoxetine and oth... Read Full »
Can my diabetic and hypertensive father use Aripiprazole?
Query: Hello doctor, My father is 65 years old. He has bipolar disorder for 40 years. He also has diabetes. He is taking medicine for high blood pressure. For a very long time, he took lithium 1000 mg and oxcarbazepine 900 mg. 2-3 episodes used to happen, normally of long manic spell followed by gloomy/not... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. Medicines for mental health conditions should be taken under the strict supervision of the psychiatrist. As mentioned above, lithium toxicity is a serious concern and it is good that you have ... Read Full »
I have depression and diagnosed with bipolar disorder. Do I only have depression?
Query: Hello doctor,I have been experiencing mild depression since I was a child. My family problem made me extra depressed. After three years, I fell in love with a girl, but then she left me. This created a check for me, so I wanted to study more to prove myself. The depression kept increasing, but I sta... Read Full »
Answer: Hello, Welcome to icliniq.com. It is good to know that you are feeling better on your current medication of Lithium and Abilify (Aripiprazole). From the information you have given, it is difficult to provide a comprehensive opinion, but it does look like you have experienced some hypomanic symptom... Read Full »
Can taking different doses of Seroquel cause headaches?
Query: Hello doctor, I have ADHD, for which I take Seroquel 200 mg and Remeron 15 mg at 11 PM, every night. Last week, my doctor added Clonidine, which has to be taken at 4 PM. I felt fine after taking Clonidine, but four hours later, I decided to take a smaller amount of Seroquel 50 to100 mg, with the int... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I will like to inform you that the current pressure headache is just a coincidence rather than any relation to a drug. There is no such thing which causes a headache due to Remeron (Mirtazapine) and Clonidi... Read Full »
How can I gradually withdraw myself from taking the medicine Quetiapine?
Query: Hello doctor, I take Quetiapine XR 400mg. How can I gradually withdraw? Read Full »
Answer: Hello, Welcome to icliniq.com. Quetiapine is an atypical antipsychotic, with a half-life of less than 24 hours. It has a benefit of not causing extrapyramidal side effects. However, it can cause sedation, postural hypotension, and urinary complaints. Although it does not cause any withdrawal symp... Read Full »
How to care for someone with aggressive and abusive behavior?
Query: Hello doctor, This is regarding my 87-year-old father who is physically fine perfectly. But, the whole day and night, he curses my mother and will not let her sleep. In his mind, he thinks that everyone is trying to cheat him and because of that he is not able to sleep. Sometimes he becomes violent ... Read Full »
Answer: Hello, Welcome to icliniq.com. Your father is having features of psychosis. I would suggest starting him on Quetiapine 25 mg twice daily and increase after one week to 50 mg daily. Consult your specialist doctor, discuss with him or her and take medicines with their consent. This should have a g... Read Full »
How to taper drug doses to reduce withdrawal symptoms and control anxiety and depression?
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... Read Full »
Answer: 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... 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 someth... Read Full »