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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Cymbultra Be Taken Along With Dival Proex Sod Dr And Geodon?

I have a family member that just got out of a local hospital due to drug addiction and bipolar. The doctor perscribed him medication and then on the first visit with him perscribed him some more. I was wondering if he needs to be taking all that the doctor perscribed him.



He was on Cymbultra (depression) and Norvax(blood pressure)

The doctor perscribed him the following

- Dival Proex Sod Dr - 500 mg - 2 times a day

- Codeine SulFate - 30 mg - 2 times a day

- Oxazepam - 15 mg - 3 times a day

- Clonidine - 0.1 mg - 3 times a day

- Geodon - 80 mb - 2 times a day



One of my main questions is does he need to be taking Cymbultra along with Dival Proex Sod Dr and Geodon?



And what is your opinon on taking all this?
Mon, 22 Sep 2014
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Psychiatrist 's  Response
hi.. thanks for writing..i have understood your concerns..

first of all some questions are there in my mind:
1. to which drugs he is addicted? alcohol, benzos, cocaine, weed etc..
2. who diagnose him bipolar disorder patient?
3. whether he is depressed?

answering your main question, bipolar patient shud not receive antidepressant medication [here cymbalta] unless there is severe depression and it shud be given with the cover of mood stabilizer [here divalproex sod]

geodon is antipsychotic drug. it can be given initially to control the agitation and aggression associated with bipolar mania..

the codeine is given for detoxification from cocaine dependence or opioid drugs dependence..

clonidine is also given to control withdrawal symptoms from opioid dependence..

but oxazepam is usually used to detoxify benzodiazepine or alcohol dependence..
it has no role in opioid detoxification..

if your family member has opioid dependence then, codeine and clonidine can be justified as a treatment but oxazepam can not be .

similarly if he has benzos or alcohol dependence, then oxazepam can be justified but clonidine and codeine can not be..

if the person has depression in bipolar disirder cymbalta can be given with dival sod, but there is no role of giving geodon..

i hope this information will be helpful to you..best of luck..
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Should Cymbultra Be Taken Along With Dival Proex Sod Dr And Geodon?

hi.. thanks for writing..i have understood your concerns.. first of all some questions are there in my mind: 1. to which drugs he is addicted? alcohol, benzos, cocaine, weed etc.. 2. who diagnose him bipolar disorder patient? 3. whether he is depressed? answering your main question, bipolar patient shud not receive antidepressant medication [here cymbalta] unless there is severe depression and it shud be given with the cover of mood stabilizer [here divalproex sod] geodon is antipsychotic drug. it can be given initially to control the agitation and aggression associated with bipolar mania.. the codeine is given for detoxification from cocaine dependence or opioid drugs dependence.. clonidine is also given to control withdrawal symptoms from opioid dependence.. but oxazepam is usually used to detoxify benzodiazepine or alcohol dependence.. it has no role in opioid detoxification.. if your family member has opioid dependence then, codeine and clonidine can be justified as a treatment but oxazepam can not be . similarly if he has benzos or alcohol dependence, then oxazepam can be justified but clonidine and codeine can not be.. if the person has depression in bipolar disirder cymbalta can be given with dival sod, but there is no role of giving geodon.. i hope this information will be helpful to you..best of luck..