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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for bi-polar condition

hi my son is bipolar I he takes depakin and recbiridon for three years and no progress also littiom is the same these days he feels more depressive and talks about suiside to get rid of this illness he knows about himself for example these days when he is in manik mood hesays that now iam polar her doc added zoloft to his medicins he is 20 years and also preactivated he dosent stand for work or exersise and so on mor than two times now everything is getting worse what can i do any new medicine or treatment??? thanks alot
Mon, 19 Oct 2020
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General & Family Physician 's  Response
Hi,

According to your description, your son is having depressive mood and talks about suicide. This sounds like depressive phase of bipolar disorder. Zoloft is justified here to address the depressive and suicidal thoughts. But the risk is that the mood can move towards manic phase.

Risperidone is a very good atypical anti-psychotic. I believe that he is taking a 2mg tablet twice daily. Depakine and Lithium are both mood stabilizers, and their doses should be adjusted, and one of them should be chosen and raised to a higher dose. Lithium levels should be monitored regularly.

If I were your psychiatrist, I would recommend a combination of Lamotrigine and Quetiapine for the depressive phase of bipolar. If manic, then Zoloft should be stopped and your psychiatrist should see the possibility to stabilise the mood and increase or adjust anti-psychotic.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Eni, General & Family Physician
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Suggest treatment for bi-polar condition

Hi, According to your description, your son is having depressive mood and talks about suicide. This sounds like depressive phase of bipolar disorder. Zoloft is justified here to address the depressive and suicidal thoughts. But the risk is that the mood can move towards manic phase. Risperidone is a very good atypical anti-psychotic. I believe that he is taking a 2mg tablet twice daily. Depakine and Lithium are both mood stabilizers, and their doses should be adjusted, and one of them should be chosen and raised to a higher dose. Lithium levels should be monitored regularly. If I were your psychiatrist, I would recommend a combination of Lamotrigine and Quetiapine for the depressive phase of bipolar. If manic, then Zoloft should be stopped and your psychiatrist should see the possibility to stabilise the mood and increase or adjust anti-psychotic. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Eni, General & Family Physician