Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. Prolixin is fluphenazine. Its an antipsychotic and used in cases of psychosis especially schizophrenia. If the diagnosis for sure is bipolar mood disorder, then the antipsychotics she needs to be on are olanzapine or quetiapine, not the prolixin. Prolixin increases the chances of switch to mania and hence should be avoided. Regarding lithium, its a good drug for bipolar mood disorder. Si she can continue that along with olazapine or quetiapine. You have not mentioned the symptoms, so please cross check the diagnosis. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.