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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Anger Attacks, Throws And Breaks Things During Attack. Has Dizziness And Nausea On Taking Arip. Suggestions?

Hello, I am from India. My husband has problems of anger attacks. He gets angry very easily on simple things and he also has mood swings. When he gets angry, he cannot be controlled. he throws things, breaks things and even once tried to put things on fire. He also beat me one day hard during his anger. I took him to a psychiatrist and he gave him Arip Mt 30 mg, but he is not willing to take it after taking 3 doses as he is experiencing nausea and dizziness . Kindly suggest.
Mon, 28 Jan 2013
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Psychiatrist,  's  Response
Hi there ~

It is not uncommon to experience anger and physical aggression in psychiatric disorders. Your husband seems to be having problems with mania which is common is bipolar disorder. I am thinking that your husband gradually got worse over time and assuming this, it is easier to put someone on medications and try to wait and watch for results. However, symptomatic treatment is recommended in acute and subacute cases and anger management or sleep management might be of initial use before going on to titrate the dose of the mood stabilizer, in this case Arip MT. It may also help to seek the expert advise of a psychiatrist regarding medication changes and a counselor to help with any stressors/family problems.

I hope this helped. Take care.
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Psychiatrist,  Dr. Srikanth Reddy's  Response
Hello,
Thanks for choosing health care magic.
Anger spells can be due to many reason and one has to be sure why your husband is having those anger spells. Arip MT is although a good drug, there are better drugs in the market to control aggression with out any reason. Moreover if your husband is not ready to accept medications , there are options of covert medications as well.
You should discuss these issues with your treating psychiatrist.
Regards,

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Suffering From Anger Attacks, Throws And Breaks Things During Attack. Has Dizziness And Nausea On Taking Arip. Suggestions?

Hi there ~ It is not uncommon to experience anger and physical aggression in psychiatric disorders. Your husband seems to be having problems with mania which is common is bipolar disorder. I am thinking that your husband gradually got worse over time and assuming this, it is easier to put someone on medications and try to wait and watch for results. However, symptomatic treatment is recommended in acute and subacute cases and anger management or sleep management might be of initial use before going on to titrate the dose of the mood stabilizer, in this case Arip MT. It may also help to seek the expert advise of a psychiatrist regarding medication changes and a counselor to help with any stressors/family problems. I hope this helped. Take care.