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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Side Effect Of Lithosun And Clofranil?

Dear Doctor,
After consultation with a psychiatrist, I was prescribed

Lithosun SR 400mg (once a day at night after dinner),
Clofranil 25mg (once a day at night after dinner),
Setra 100mg (once a day after breakfast),
Encorate 200mg (Twice a day after breakfast in morning and after dinner at night).

Duration since I have been under these medications is 1 year plus.

MY QUESTION:

What are the long term side effects of these medicines (if any)?
Can I get addicted to any of these drugs?
May I ever discontinue taking these drugs?


My symptoms before medication:

Uncontrollable rage
Extreme Remorse after the fact
Suicide attempt (once) (I tried to OD on my diabetic meds, yes I am diabetic)
Destruction of family property when angry
Destruction of my own property when angry
Bad dreams (negative things like wanting to kill the reasons for my anger)

My doctor did not explain to me, minutely all the questions I asked of him. Could you please tell me what these medications are used to treat, exactly? Could you, based on the information I have provided, tell me what is my illness?
Tue, 16 Dec 2014
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Psychiatrist,  's  Response
Hello thanks for asking from HCM

You have been prescribed Lithium carbonate, Clomipramine, Sertraline and Sodium Valproate. From the symptoms you have mentioned it appears that you have bipolar affective disorder but detailed evaluation is needed to make final diagnosis. Now coming straight to your questions-

- You are on two mood stabiliser drugs. Lithium is associated with tremors, dizziness, nausea, ataxia etc side effects. On chronic use if used under prescription it is a safe drug.

Sodium valproate may cause nausea, anorexia, vomiting, dizziness, hepatic toxicity etc side effects.

Clomipramine is a TCA drug and it is associated with sedation, weight gain, blurring of vision, constipation etc side effects. Over all it may raise BP on long term use.

Sertraline is SSRI and is associated with nausea, diarrhoea, vomiting, sedation, weight gain etc side effects.


- No you will not get addicted with this drug.

- Yes you can discontinue these drugs after proper consultation of your doctor by gradually tapering the doses of drug.

Thanks, hope this helps you.
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What Are The Side Effect Of Lithosun And Clofranil?

Hello thanks for asking from HCM You have been prescribed Lithium carbonate, Clomipramine, Sertraline and Sodium Valproate. From the symptoms you have mentioned it appears that you have bipolar affective disorder but detailed evaluation is needed to make final diagnosis. Now coming straight to your questions- - You are on two mood stabiliser drugs. Lithium is associated with tremors, dizziness, nausea, ataxia etc side effects. On chronic use if used under prescription it is a safe drug. Sodium valproate may cause nausea, anorexia, vomiting, dizziness, hepatic toxicity etc side effects. Clomipramine is a TCA drug and it is associated with sedation, weight gain, blurring of vision, constipation etc side effects. Over all it may raise BP on long term use. Sertraline is SSRI and is associated with nausea, diarrhoea, vomiting, sedation, weight gain etc side effects. - No you will not get addicted with this drug. - Yes you can discontinue these drugs after proper consultation of your doctor by gradually tapering the doses of drug. Thanks, hope this helps you.