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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is irregular intake of Lamictal safe while having Bipolar disorder?

My daughter is on 300 of lamictal she is 19 years old. Presently she has a strep throat infection and has fever.she is on antibiotics now. She missed her dose of Lamictal and says she will only take it when she starts feeling better. she states that she can take Lamictal when she feels she needs it, and can miss days if she wishes without negative effects. She claims that this is what the Psychiatrist told her. I don t think she is right and want to give her the facts before she messes up her body chemistry. She has a serious case of Bipolar Disorder which is more to the depressive side and less to the manic. Why is she saying these things when she is intelligent and wants to be ok? Are there different views on this medication?
Tue, 17 Jan 2017
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General & Family Physician 's  Response

As per her history please check this Goldberg bipolar screening chart:-

1. At times she is much more talkative or speak much faster than usual.(yes/no)
2. There have been times when she was much more active or did many more things than usual (yes/no)
3. She gets into moods where she feels very speeded up or irritable.(yes/no)
4. There have been times when she felts both high (elated) and low (depressed) at the same time(yes/no)
5. At times, she has been much more interested in sex than usual(yes/No)
6. Her self-confidence ranges from great self-doubt to equally great overconfidence(yes/no)
7. There have been GREAT variations in the quantity or quality of her work(Yes/No)
8. For no apparent reason she sometimes have been VERY angry or hostile(Yes/No)
9. She has periods of mental dullness and other periods of very creative thinking(Yes/No)
10. At times, she is greatly interested in being with people and at other times she just want to be left alone with her thoughts.(Yes/No)
11. She had periods of great optimism and other periods of equally great pessimism(yes/No)
12. She had periods of tearfulness and crying and other times when she laughs and jokes excessively.(Yes/No)

Please check her mind as per this chart which we use to screen every bipolar disorder cases and treatment will be given as per patients depressive and manic stage.follow me with result.

I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best.

Dr. Uday Nath Sahoo
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