Mood stabilizer

What is Mood stabilizer?

They are drugs used in the management of bipolar disorders, for example lithium.

Questions and answers on "Mood stabilizer"

What medication would you suggest for a mood stabilizer that work well with latuda that also do not conflict with birth control? I am currently taking oxycarazepine, but it conflicts with birth control pills.
I would like the mood stabilizer to be something low dosage. I enjoy taking the Oxcarbazepine and feel it is needed(and my doctor would agree), but I just need(ed) a second hand opinion to give me sanity

doctor1 MD

Brief Answer:
Lithium.

Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns.

The mood stabilizers which is safe with birth control pills is LITHIUM. It has no drug interactions with birth control pills.

Other than this, lamotrigine is also safe with progestin-only-pills.

You can...

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I have been diagnoised as bipolar and am on Prozac and a mood stabilizer. I have been so fatiquied that I quit my mood stabilizer. I have had a little more energy but I am just having trouble staying focused and my mind seems to jump from one thought to another. I just wondering if something like adderal would help me. I do not need anything else to slow me down. I need energy.

doctor1 MD

Brief Answer:
Adderall is unlikely to help.

Detailed Answer:
Hi,

Welcome to Healthcare Magic!

Adderall improves concentration in people who have Attention Deficit Disorder, both children and adults. Adults with ADD are those who had it as children and did not grow out of it on reaching...

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Hello, I am writing regarding my 21 year old son. My question is about sleep and you seem to be the right person to ask. He had a psychotic episode at age 20 after going away to college and doing a lot of marijuana/alcohol/some other drugs. He ended up with mono, came home from school at the end of freshman year, was quite sick and had psychosis a few months later after trying ecstacy. For meds, he started with seroquel/effexor and slept for 4 months, switched to zyprexa and gained 25 lbs in 6 weeks and is still dealing with metabolic syndrome, stopped that after 6 weeks and started lithium and eventually added perphenazine 4 mg. He took lithium for 4 months, but thyroid function was getting worse and worse despite synthroid supplementation. TSH of 10.1 led to cessation of lithium about 6 weeks ago. Currently, my son is taking perphanezine 4mg, effexor 150mg, levothyroxine 75mcg, doxycycline (for scalp infection ongoing since zyprexa - now losing round patches of hair!) and he just stopped metformin 1500mg which he took for several months in hopes of helping his metabolic issue.

Finally,.. Sleeping has been an issue since starting seroquel. He sleeps at least 12 hours a day, sometimes up to 16 hours. He often wakes up exhausted with little energy, even since stopping lithium. He often looks like he got 2 hours of sleep when he wakes up. He says he dreams a lot, usually nightmares. His psych doctor prescribed him 50 mg of trazodone and he took one and said he slept awful, dreamt more then ever, and he woke up looking horrible. This was given in an attempt to increase his deeper sleep cycles.

Do you have any suggestions regarding the sleep issues? After sleeping and taking naps that he has to take because he feels exhausted, he barely has any time left in the day. He works 2 days weekly and takes 2 college classes and works out 5 days a week. This takes up every waking hour he has. No one could survive on their own requiring this much sleep.

I'll take any feedback you have regarding any part of his situation.

Also, he has been working out and eating great for 4-5 months, and can barely lose any weight. He has fat pockets on his outer stomach / upper hips and a belly. He is usually lean and fit. Do you think these metabolic changes will continue to improve over time or are we looking at permanent changes? Any suggestions here?

Thank you SO MUCH!!

doctor1 MD

Brief Answer:
Consultation

Detailed Answer:
Let me begin by thanking you very much for using my direct, private service. I consider your son a direct patient of mine, and will do everything in my power to be of help to you and to him.

I have read over your question carefully, and I have some...

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I am on treatment for anxiety and OCD. I take Keppra as mood stabilizer (1000 mg), Lexapro 2.5.mg, Klonopin 1 mg and Amisulpride 100mg. My psychiatrist changed Keppra to Gabapentine 600 mg. The OCD reappeared with this change, and i don't understand why. Could it be the difference in the dosage between Keppra and Gabapentin?

doctor1 MD

Brief Answer:
Yes,

Detailed Answer:
Hi,

Thanks for your query.

Keppra (levetiracetam) is considered efficacious than Gabapentin. Do discuss with your treating doctor on the reason why the drug was changed.

The most common reason for such a switch is side effects due to Keppra.

Anyway,...

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My problem is that I am suffering from extreme agitation from the moment I wake up to the moment I go to bed. I suffer from anxiety and depression and I don't know if the agitation comes from having depression. I have tried the following medications but none have helped with the agitation except for the benzodiazepines which did provide relief, but I now have a tolerance to them:

Antidepressants: Mirtazapine, phenelzine, tranylcypromine, dosulepin, amitriptyline, citalopram, escitalopram, fluoxetine, sertraline, venlafaxine, lofepramine
Antipsychotics: Risperidone, olanzapine, quetiapine
Benzodiazepines: Lorazepam, clonazepam, diazepam, alprazolam
Beta blockers: Propranolol

What medications would you recommend I try next?

Also I would appreciate your opinion on the drugs that I have been looking into, these are:
Haloperidol and Chlorpromazine and
Carbamazepine and Divalproex sodium and Lamotrigine

Which of these drugs would you argue would work best for agitation? Also would you recommend that I take more than one of these drugs? Also is it likely that one of the older antipsychotics will provide any benefit when the newer ones that I tried did not?

doctor1 MD

Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

I recommend you ask a psychiatrist about starting an MAOi antidepressant, which is a class commonly reserved for treatment-refractory depression. You have tried a couple, but not selegiline. I would give that a...

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I have Bipolar Disorder and I take Cymbalta 30mg Abilify 10 mg and Xanax when I am manic or anxious. Lately I've been going through a depressive phase and I need a longer lasting and more potent medication to help me during only those phases of depression that I get, not anything to take daily with my already existing medication.

doctor1 MD

Brief Answer:
Try some stimulant on sos basis

Detailed Answer:
Hi
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.

In bipolar disorder, treatment includes a mood stabilizer like lithium, valproate or carbamazepine. That helps to stabilize the mood and...

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I have bipolar disorder and recently started taking the drug Fetzima. I have had problems in the past with antidepressants causing hypomania after only a short time of taking them. I feel that way right now- and have been experiencing pressured speech and racing thoughts, etc. i know I have to stop taking this medication- I am just a little afraid of the withdrawal symptoms, even though I've only been on the 40mg dose for a few days. Can you tell me if I'll be okay if I stop it now,after only a total of five days?

doctor1 MD

Brief Answer:
add a mood stabilizer to antidepressant

Detailed Answer:
Hello,
You have a propensity to develop antidepressant induced mania. In such cases ( and these are not uncommon in clinical parctice) it is best to start a mood stabilizer for treating depression & add an antidepressant over...

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I have a question for a psychiatrist. My 21 yo son started being treated for psychosis 1.5 years ago after using ecstasy. He took seroquel for 4 months, then kept decreasing the dose until it wasn't working (decrease due to excessive sleep). He switched to zyprexa after worsening paranoia, then stopped due to a 25 lb weight gain in 5 weeks. He then switched to perphanazine, which worked well. Eventually, he weaned off the perphanazine about 2 months ago. He has been taking Effexor for about 2 years and is now up to a dose of 300 mg ER daily. He was increased due to depression with some suicidal thoughts. Since weaning off the perphanazine, he has been having some mania. Mostly, excessive thoughts and a need to accomplish things. Some decreased need for sleep. He has never received a formal diagnosis. They are using wait and see approach. I am thinking he must have bipolar to have manic symptoms. My question....could the Effexor be causing mania? His pdoc thinks no, but I have read about this. His pdoc also wants to add depakote, but my son wanted to think it over and is scared about the side effects. (Lithium issues, zyprexa issues, now on synthroid and has some metabolic issues. He also had very bothersome crawling out of his skin with the 2nd gen APs). 2. Do you think decreasing the Effexor dose would make the mania go away? 3. Is there any medication that has less side effects or that could be taken just as needed for mania? Neurontin? Others? 4. Do you think a mood stabilizer would help with the periodic depression as well? What are your thoughts/recommendations? P.S. My son stopped using marijuana one year ago and doesn't use any drugs. He exercises 4-5x/week for stress relief. He tries to meditate but can't with the rapid thoughts. Thank you! XXXXXXX

doctor1 MD

Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

It sounds like things were going well for your son when he was taking both Effexor for depression and perphenazine for psychosis. It sounds like things only began getting worse when the perphenazine was tapered off....

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What would be the safest mood stabilizer with least side effects ?

doctor1 MD

Brief Answer:
Gabapentin

Detailed Answer:
Hello there,

Gabapentin[Neurotonin] is an drug used for mood stabilizing and bipolar mood disorder with minimal side effects [like fatigue] compared to traditional drugs[lithium,valproate],It acts by inhibiting voltage-sensitive calcium channels thus...

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Hello there: I am wondering if htere are drug interactions between lamictal and zyprexa? My son has been diagnosed with bipolar 1 and the psychiatrist wants to add lamictal to his treatment. What will lamictal help with in the case of bipolar disorder? My son presently works in commercial plumbing and needs to be alert to drive himself and sometimes co-workers to work, (45 minute drive) as well as to pay attention on the job, which is a 9 hour day.. It seems that this doctor has been rather quick to jump to conclusions and to want to change and increase the treatment for my son, even though he is relatively stable at the moment. She wants to meet with me as well, though, so I will fill her in. How much say should a patient have in advocating for themselves? My son has a history of over-reacting to meds such as Abilify, which has left him feeling suicidal and like a walking Zombie.The side-effects of the meds are just as disturbing as the condition being treated. Thank you for your insights! Right now, he is taking a low dose of Zyprexa 2.5 mg, at 9:00 PM in the evening, and is able to get up at 5:30 Am to make lunch and get ready for work, leaving the house at 6:00 AM. He is functioning well, so I do not know why the doctor would want to put him at risk of losing his job, due to potential fatigue and lethargy related to taking a higher dose of zyprexa (7.5 mg). He is also taking omega 3 fatty acids, D-5000, B12 3000mcg, a probiotic. Maybe she will see the situation differently, once i go in to update her. I am glad she does want to see me though, by myself. It is difficult for the patient to keep track of all that has transpired over 7 years since the diagnosis, with the ups and downs of mood swings, hospitalizations, reducing off of high doses of meds etc. Thanks you so much for your insights in relating to this doctor. The reason we asked for a referral to a psychiatrist was to for our son to have some psychotherapy, which this doctor does, and to have a community contact if his mood does start to escalate or become depressed at various times of the year. We would like to be able to encourage our son to have a voice, and not just blindly take advice and meds which could be detrimental to him, based upon his history.

doctor1 MD

Brief Answer:
Consultation

Detailed Answer:
Thanks very much for your question.

Standard treatment of bipolar 1 disorder consists of at least one mood stabilizer and usually an atypical neuroleptic in addition. In your son's case, the mood stabilizer is Lamictal and the atypical neuroleptic is...

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Recent questions on  Mood stabilizer

doctor1 MD

my daughter is talking 200mg of carbamazepine and Flouxotine100 mg but stopped cold turkey over 30 days ago. We had notice a change in her., her husband said something about her not taking her meds and she actuallu lost it started punching him in the face bite his arm and leg.as he trying to restarin her she keep on hitting him ! is this argressiveness and violence normal and her not remembering scares all of us

doctor1 MD

My hubby had seizure in the year 2011.After that he had take Encorate chrono 300 mg for 1 year.later he took lonazepam at night along with encorate chrono(twice a day) for another 1 year.in 2013 he stopped taking medicine in the month of October.he was fine for 2 months,later in the month of December he had seizure again.currently he started taking Depakote500 mg (as prescribed by doctor).but he feels tired through out the day and has stomach upset problems too. My question is Depakote is better than encorate chrono?or is there any alternate medicine for depakote so that there is no side effects for him? Thank you.

doctor1 MD

I ve been experincing alot of arms and legs tingling and dizziness almost daily I m currently on Depakote, zoloft, Trazodone, and Visteral for my bipolar disorder and never felt these things before I started the meds, so I m thinking it s got something to do with the meds. I get vertigo alot, and actually had to call an ambulance one time and go to the hospital cuz I was so incredibly woozy I almost passed out and was vomiting alot! Felt horrible.

doctor1 MD

Hi my son suffers from epilepsy, he was taken off 800mg of epilim chrono as we were told his seizures would proberbly go away once he reaches puberty, the problem is his seizures have returned but he refuses to go back on the medication as it made him very tired and put on weight.

doctor1 MD

I have an very severe anxiety disorder and am taking 5mg of diazepam twice a day and it is not helping me that much with my anxiety.....One dr. gave me zoloft several years ago, and worked well except for weight gain. I have a new dr. right now...

doctor1 MD

My 26 yr old son was depressed at the beginning of th year and was prescribed prozac . This precipitated manic episode from mar-jun, during which he was taken off prozac, put on lithium (450) mg, then fell into a severe depression . He was then...

doctor1 MD

Would a doctor prescribe Zoloft and depakote at the same time for severe depression?

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