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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Breastfeeding, Have Illusions Of Heavenly Bodies Taking Over Me. History Of Bipolar Disorder. Which Medicines Can I Take To Overcome This?

i am a mother i am feeding a 3 months child i am taking depakote 250, oliment 2.5 mg, ativan 1 mg, nexfolin,folvite 5 mg.i have a query i want one answere i have been suffer with bipolar disorder since ten yrs.i don take these tables as prescribed i used to skip.My first baby came out properly ,my second baby has also come out properly, but the problem is still hidden some where and now is peeping out .i feel as if something is coming out of me which is not Rachana .sometimes Rachana{I} feels as if rachana is weak but thru tratak she has called ambe ma,ganeshji,padmavati ma, and now she is becoming strong she speaks in a loud noice she tries and acts dances like ambe ma with all the horrified postures as if she is taking a round in the country and wants to change all the wrong things and bring right things to make india like a forgien place bring green revolution but mother feels that she wants to give a end to her life but remembers that i want to look my child grows up in front of me so again rachana come to the normal situation but still at some points she gets irritated and speaks up in loud noice above the normal line . i wanted to know that the medicine given to me should not harm the 3 month old baby ? when these medicines will come to an end in my life.i do not wnat to be adictted .
Thu, 25 Oct 2012
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Psychiatrist 's  Response
hi..well supposedly its a manic phase of bipolar disorder..bipolar disorder is an episodic illness in which you require prolonged therapy and should discontinue medication after consulting with your psychiatrist to prevent further mood swings..as you are lactating, its wise to go for some artificial food supplement for the baby and continue the medication on consultation..there is no addictive potential of these medication..but these help you to live better..have a healthy life..
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General & Family Physician Dr. A K M Wasim Rahman's  Response
This is BIPOLAR AFFECTIVE DISORDER (CURRENTLY MANIC). It is an episodic longterm illness which has 2 phase- 1. depression 2. mania.
You are now taking-
a. DEPAKOTE 250-Valproate(A mood stabiliser)
b. OLIMENT 2.5- Olanzapine(Low dose antipsychotic to prevent manic switch)
c. ATIVAN 1mg- Loeazepam(Benzodiazepine acts as a sleep inducer)
d. NEXFOLIN AND FOLVITE- Folic acid supplement and multi vitamin
You should not skip or stop these with out consulting your psychiatrist and obstetrician. It will hamper your daily life. These medicine is not addictive. you can use artificial food suppement for your baby bu never ever stop these.
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Breastfeeding, Have Illusions Of Heavenly Bodies Taking Over Me. History Of Bipolar Disorder. Which Medicines Can I Take To Overcome This?

hi..well supposedly its a manic phase of bipolar disorder..bipolar disorder is an episodic illness in which you require prolonged therapy and should discontinue medication after consulting with your psychiatrist to prevent further mood swings..as you are lactating, its wise to go for some artificial food supplement for the baby and continue the medication on consultation..there is no addictive potential of these medication..but these help you to live better..have a healthy life..