Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Bipolar Disorder
Brief Answer:
Consultation
Detailed Answer:
Hello, and thanks for your question.
Treatment of bipolar mania consists of three drug classes all together:
Benzodiazepine -- like clonazepam or lorazepam
Mood stabilizer -- like lithium, valproate, or lamotrigine
Neuroleptic -- like Geodon, risperidone, or olanzapine
It looks like she is not on all three drug classes, or the medications she is are not effective. She should be on all three, and if not effective (like lamotrigine) switch to a different drug in that class per my suggestions above.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Consultation
Detailed Answer:
Hello, and thanks for your question.
Treatment of bipolar mania consists of three drug classes all together:
Benzodiazepine -- like clonazepam or lorazepam
Mood stabilizer -- like lithium, valproate, or lamotrigine
Neuroleptic -- like Geodon, risperidone, or olanzapine
It looks like she is not on all three drug classes, or the medications she is are not effective. She should be on all three, and if not effective (like lamotrigine) switch to a different drug in that class per my suggestions above.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by :
Dr. Yogesh D
She Is Ativan as well. I think increasing the geodone is the answer. Or trying something in the lamictal class. She also takes pristique and this helps the depression. And Dextroamphetamine for energy.
Brief Answer:
Followup
Detailed Answer:
Increasing Geodon may indeed help. This would be the first thing I would do!
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Followup
Detailed Answer:
Increasing Geodon may indeed help. This would be the first thing I would do!
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
