Welcome to Healthcare Magic and thanks for your question...
Bipolar-2 is basically a mood disorder
classified under the bipolar spectrum
disorders, where the person has had atleast one hypomanic episode and usually more frequent depressive episodes. Oxetol is a mood stabilizer; Risperidone
is an anti-psychotic (antipsychotics are usually given in the initial phase of an episode to bring down the symptoms more quickly, or if there are any psychotic symptoms in addition to the mood symptoms); Nexito
is an antidepressant.
The combination of medication he is on seems to be appropriate for the diagnosis that you have mentioned. However, the decision on adjustment or change in medication can be done only after a proper clinical assessment, including a detailed mental state examination.
The current symptoms of irritability, anger outbursts and aggressive behaviour need further exploration to see if they are part of a mood episode. It is likely that they could be part of a hypomanic episode and if so, his medication needs to be adjusted. Please have a review consultation with his psychiatrist
, who would be able to assess him and advice further management.
All the best.
- Dr. Jonas Sundarakumar