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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to treat bipolar depression?

hi, I take 500 mg of apo-divalproex. I have been for quite some time with no relief for my depression. I also wonder if it may contribute to anxiety at this point. I am unsure what I should do at this point as my doctor feels I have bi-polaR DEPRESSION and she feels I need high dose. it has not really helped me, I am certainly at a loss at this point. thank you, I would so appreciate some help advise if possible
Wed, 9 Apr 2014
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Psychiatrist 's  Response
Hi
Thanks for using healthcare magic

In bipolar depression, only mood stabilizer would not help in your case. In think, you also need antidepressant that could reduce the depressive symptoms. In your case, i would suggest paroxetine or bupropion or lurasidone in another option. Valproate may also under therapeutic range, so it has to be increased. Rest you can discuss with your psychiatrist.

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How to treat bipolar depression?

Hi Thanks for using healthcare magic In bipolar depression, only mood stabilizer would not help in your case. In think, you also need antidepressant that could reduce the depressive symptoms. In your case, i would suggest paroxetine or bupropion or lurasidone in another option. Valproate may also under therapeutic range, so it has to be increased. Rest you can discuss with your psychiatrist. Thanks