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Bipolar illness is a episodic mood disorder
, with episodes of mania or depression and periods of normal mood in between episodes. ZYPREXA or Olanzapine is a Atypical Antipsychotic
agent which is also used in cases of control of mania symptoms. Also the drug is very effective and efficacious. Olanzapine causes increase in weight, increased appetite. As she was not responding to drug, eppilim or sodium valporate has been added to her prescription. The drug is a mood stabilizer
. This drug has a side effect of Nausea, vomiting. Usually decrease in appetite is not seen with valporate but due to continuous nausea patients appetite get reduced. Excessice sleepiness is due to Olanzapine and Sodium valporate both, as both have sedating properties. Wait for response to occur for at least 4-6 weeks of therapy. If no response occur consult the psychiatrist
and other medicines like Lithium Carbonate, Lamotrigine
etc. can be started.