hello,,Mr.. i can understand your concern..actually bipolar disorder
is a kind of mental illness in which person has mood swing and they are at extremes like severe depression
and severe euphoria and mania. they can not remain continuous for long but illness is episodic and there are relapses and recurrence. that is why regular consultation to psychiatrist
and evaluation is very necessary.
usually this illness is treated and controlled with mood stabilizers, the drugs are sodium valproate
[depakote], lithium, carbamazepine
, combination of fluoxetine and planzapine, and some antipsychotic
because i dont know about the symptoms and its severity, i can just suggest drus blindly but that will be surely helpful.
if your son is remain happy and restless and asking money, making big talks, talkative then u shud go for following drugs:
1. tablet depakote xr 500 mg thrice daily
2. tablet olanzapine 5 mg twice daily
there is a possibility that he might have excessive sleep and sedation for first few days. u can reduce the dose of olanzapine as per his severity of symptoms. u can increase the dose of depakote as per 20-30mg/kg body weight. go for regular consultation and advice.
if your son remains depressed most of the time and his manisc symptoms are not very much severe then u can go for any of the following medication:
1.quetiapine  once a day gradually increase upto 400-700 mg/day as per drug response
2. combination of fluoxetine and olanzapine [fostera 5 and 10] once a day at night, can be increased to twice a day
3. lithium 450 mg sr preparation twice daily, there are some precaution while tking lithium u can read it from net,,it is very lengthy so i can nor explain here
4. lamotrigine start with 12.5 mg twice daily and keep in mind about any skin reaction after taking it, if skin reaction occurs then stop the drug immediately and consult your psychiatrist..
i hope these will help u in managing your son