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What Causes Hallucinations, Incontinence, Anxiety And Panic Attacks While Treating Bipolar Disorder?
Question: I have a friend taking seroquel, gabapentin, clonapin, prozac,effexor, for bipolar disorder. Large doses of each. He is experiencing delerium, hallucinations, incontinence, lack of coordination, anxiety and panic attacks. Comments?
Brief Answer:
Consultation
Detailed Answer:
Hello, and thanks for your question.
Bipolar disorder is typically treated with four types of medications: an antidepressant, a mood stabilizer, a benzodiazepine, and an antipsychotic.
Prozac and Effexor are antidepressants that should help your friend with his anxiety and depression. The doses of these may need to be increased, per your description.
Gabapentin is a mood stabilizer.
Klonopin is a benzodiazepine which helps with anxiety. However, it may also lead to lack of coordination and rebound anxiety and panic. He may want to consider tapering off this.
Seroquel is an antipsychotic. This can treat hallucinations, so the dose should be increased. This can cause urinary incontinence rarely, which can be helped by an anticholinergic medication like Cogentin.
With these suggested changes, he should improve.
Please remember to rate and close this answer thread when you are finished and satisfied.
Consultation
Detailed Answer:
Hello, and thanks for your question.
Bipolar disorder is typically treated with four types of medications: an antidepressant, a mood stabilizer, a benzodiazepine, and an antipsychotic.
Prozac and Effexor are antidepressants that should help your friend with his anxiety and depression. The doses of these may need to be increased, per your description.
Gabapentin is a mood stabilizer.
Klonopin is a benzodiazepine which helps with anxiety. However, it may also lead to lack of coordination and rebound anxiety and panic. He may want to consider tapering off this.
Seroquel is an antipsychotic. This can treat hallucinations, so the dose should be increased. This can cause urinary incontinence rarely, which can be helped by an anticholinergic medication like Cogentin.
With these suggested changes, he should improve.
Please remember to rate and close this answer thread when you are finished and satisfied.
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Above answer was peer-reviewed by :
Dr. Priyanka G Raj
Answered by
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