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Suggest the ideal dosage for Dicorate taken for depression

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Posted on Mon, 9 May 2016
Question: SIR
I AM 49 YEARS OLD GOVT. SERVANT OF XXXXXXX STATE . I WAS SUFFERING FROM DEPRESSION TILL 1998. AND I HAVE BEEN TREATING BY MY PSYCHIATRIST SINCE 1998.MY HISTORY IA AS UNDER.
1.I WAS GIVEN CLONAZEPAM 2 MG W.E . F. 1998 10 2015 WITH ANTIDREPRESSANT PROTHEIDIN UP TO 150 MG, THEN MIRTAZEPINE UP TO 30 MG THEN REMITEX 8 MG THEN NITRAZEPAM 10 MG AND ULTIMATELY 600 MG GABAPIN 200MG QUETIEPIN SR .RECENTLY HE PUT ME ON 1200 MG GABAPIN 50 MG LIBRIUM AND 200 MG QUETIEPINE (PLAIN). THIS BECAME OVERDOSE FOR ME .NOW HE PUT ME ON 250MG DICORATE ER, 100MG QUETIEPINE(PLAIN) AND 50 MG LIBRIUM. MY WEIGHT IS 70 KG . NOW THE DOCTOR TOLD ME THAT I AM SUFFERING FROM BIPOLAR DISORDER.I WAS ALSO SUFFERING FROM SLEEP DISORDER AS THE SYMPTOMS OF IT. SIR NOW I AM PUT TO 250MG DICORATE ER , 100MG QUETIEPINE(PLAIN),AND 50MG LIBRIUM.LET ME KNOW HOW MUCH DOSE THE EXPERT RECOMENDS? SHOULD I TAKE 500MG DICORATE ER TWICE A DAY ? WHAT ARE THEIR SERIOUS SIDE EFFECTS IF ANY? SHOULD I CONTINUE DICORATE ER 500 MG TWICE A DAY? SHOULD I RE START CLONAZEPAM 2 MG OR CONTINUE 50 MG LIBRIUM?
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Answered by Dr. Shubham Mehta (3 hours later)
Brief Answer:
Do not increase dose if symptoms resolved.

Detailed Answer:
Hello
Welcome to HCM.
I have gone through your details thoroughly.
Now you are taking 250mg dicorate, Librium 50mg and quetiapine 100mg.

I need few more details , like,
Why do you want to take 500mg dicorate twice a day? Aren't your symptoms controlled with 250mg?

Dicorate can cause gastritis, weight gain and hair loss commonly. Along with this, it can affect your liver and pancreas. But the serious side effects are rare.
The dose of dicorate is according to weight, that is 20-25mg/kg. But it can gradually be reduced if the person is stable.

If Librium is helping you sleep, do not switch to Clonazepam. Withdrawing from Librium is easier than Clonazepam.

Hope this helps.
Regards.
Dr. Shubham Mehta, MD(Psychiatry).
Above answer was peer-reviewed by : Dr. Deepak
doctor
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Follow up: Dr. Shubham Mehta (14 minutes later)
i have been taking 500mg dicorate er twice a day because it had been recomonded by HCM EXPERTS OTHERWISE I AM OK WITH 250 MG DICORATE ER TWICE A DAY AND NO MANIAC SYMPTOMS. YES IT CAUSES GAS PASSING WEIGHT GAIN AND SORE IN STOMOCH
doctor
Answered by Dr. Shubham Mehta (4 hours later)
Brief Answer:
Take the dose on which you are stable.

Detailed Answer:
If you are okay with 250mg dicorate twice a day, then there is no need to take the higher doses.

You can take antacid drug like omeprazole for sore stomach.

Please keep your doctor informed about the dose changes.

Hope this helps.
Feel free to ask further.

If you are satisfied with the response, kindly the close the query and give your valuable feedback.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shubham Mehta

Psychiatrist

Practicing since :2008

Answered : 2122 Questions

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Suggest the ideal dosage for Dicorate taken for depression

Brief Answer: Do not increase dose if symptoms resolved. Detailed Answer: Hello Welcome to HCM. I have gone through your details thoroughly. Now you are taking 250mg dicorate, Librium 50mg and quetiapine 100mg. I need few more details , like, Why do you want to take 500mg dicorate twice a day? Aren't your symptoms controlled with 250mg? Dicorate can cause gastritis, weight gain and hair loss commonly. Along with this, it can affect your liver and pancreas. But the serious side effects are rare. The dose of dicorate is according to weight, that is 20-25mg/kg. But it can gradually be reduced if the person is stable. If Librium is helping you sleep, do not switch to Clonazepam. Withdrawing from Librium is easier than Clonazepam. Hope this helps. Regards. Dr. Shubham Mehta, MD(Psychiatry).