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Can Latuda And Trileptal Be Taken For Depression?

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Posted on Mon, 2 Jan 2017
Question: my daughter suffers from depression and serious manic episode wandering why latuda and trileptal are prescribe.she has been to 2 psy hospital within the month and a half

the hospital put me on the medications and injected me with Haldol, gedione,ativan when I will be restless and some psychotic episodes
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (23 minutes later)
Brief Answer:
Lithium is the gold standard

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

The prescription contains two mood stabilisers one from the anti epileptic category and other from antipsychotic category and I think that should be sufficient to prevent manic episodes.

Lithium is gold standard for prevention of manic episodes and if your daughter have pattern like manic depressive manic course lithium should be added to current prescription.

I hope this answers you.
If you have more questions feel free to write back to me.
Thanks and regards.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (9 minutes later)
Thanks Doctor XXXXXXX She does not seem to like Latuda. Could she be on Lithium and the trileptal? what dosage should she be on?

She suffers from insomnia also. What is your advise?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (3 hours later)
Brief Answer:
Lithium dose is determined by plasma concentration

Detailed Answer:
Hello,
Thanks for reverting back to me.

The dose of lithium for most patient of young age group with normal kidney function falls between 900-1800 mg. The dose is started at 900 mg and plasma concentration is determined after one week. If the range is in desired range the 900 mg becomes the target dose.

If the plasma concentration remains low the dose is increased by 300 mg and plasma concentration is determined again after one week. The target concentration for lithium is 0.4 to 0.6 meq/l.

For sleep problem I think Lorazepam 2 mg can be used for few weeks and after that the dose can be reduced once her mood become stable.

I hope this helps you further.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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Can Latuda And Trileptal Be Taken For Depression?

Brief Answer: Lithium is the gold standard Detailed Answer: Hello, Thanks for using Healthcaremagic. I read your query and understand your concerns. The prescription contains two mood stabilisers one from the anti epileptic category and other from antipsychotic category and I think that should be sufficient to prevent manic episodes. Lithium is gold standard for prevention of manic episodes and if your daughter have pattern like manic depressive manic course lithium should be added to current prescription. I hope this answers you. If you have more questions feel free to write back to me. Thanks and regards.