Trouble near medication for bipolar?
I'm currently attending day hospital due to a relapse with bipolar (I stopped my meds, went manic near steroids, and crashed with a mixed episode).
Part of the reason I have trouble beside taking the meds is I am unhappy with potential side effects; my outpatient pscyh did agree to look at changing when i be stable, but as I felt so good I didn't take the meds. I also own trouble accepting the diagnosis.
The psychiatrist at the hospital refuses to listen to my concerns and twists my words.
My current meds are: quetiapine (seroquel) 300mg, epilim (sodium valproate) 900mg (going to 1200 -1500 soon) oxazepam 10mg as needed and zopiclone as needed.
I was due to be taken off the quetiapine as I enjoy trouble with weight gain on it, and was told as long as I took the epilim it be ok; however the psychiatrist deceided to up it due to the fact I think I can hear movements downstairs when asleep (my windows own been broken twice at 4am).
I know I probably need the epilim but am worried about achievement even more weight, or losing my hair, and I have PCOS. I really want Topamax or Carbamazepine but the doctor won't listen.
Also another tolerant said I should be on antidepressants as she has only ever seen me low, but the doctors articulate that I am not, I am still high even if crying all day.... HELP please??
Answers:
Make confident that excess estrogens or androgens are not what is making you "bipolar". There is no blood test for bipolar, but the PCOS associated hormone imbalances could get you psych treatment when you really entail an endocrinologist.
Complex drug therapy can lead to complex complications.
The oxazepam and zopiclone each work in a similiar manner (like valium) and tend to impair memory to make research new things difficult and promotes auto accidents. I would ditch one of them, zopiclone, as it dupicates therapy.
You are correct that quetiapine promotes weightiness gain (and diabetes), I would minimize it, (ideally ditch it if possible), Whatever the case, the less the better.
With regard to sodium valproate to treat bipolar, I would consider using lithium instead most of the time, and use valproate purely as a substitute
for lithium to give the kidneys a vacation from continous lithium use.
Topamax/Carbamazepine are either questionable to worth or too dangerous or both to treat bipolar.
Not mentioned in all of this is alcohol. It cause trouble in people's lives, and it increases the risk of liver damage from valproate. Nicotine from tobacco can also profoundly affect the brain, but that is usually unseen as a risk factor, ditch that if your a tobacco user.
http://www.merck.com/mmpe/sec18/ch244/ch…
K. Couple things:
Your Axis I diagnosis is it Bipolar I? II? or NOS? They tend to be managed with different medications and strategies, as okay as having different presentations.
Do you have an Axis II diagnosis as well? This would be something along the lines of Borderline Personality Disorder, which have a certain comorbidity with bipolar, as well as one hard to distinguish. Axis II problems are not well managed next to medications and generally require long term psychoanalysis.
Valproates occupy an odd position in the bipolar pharmacopeia. They're useful, for sure, but not first line medications in most cases. However, Topamax and Carbamezapine enjoy major considerations that go into their use, not the least of which is Topamax's central cognitive side effects. Your medications should not be selected on based on which side effects nouns scariest, but by which have the highest probability of being successful. Only a psychiatrist can really evaluate that. I would details that the hair loss is kind of unusual on valproates, and the weight gain is smaller quantity significant than Seroquel's in most cases.
Also, if your PCOS is being managed, which it of course should be, you cannot use carbamezapine, at least without some serious alterations. It will not play nice with the birth control pills primarily used to deal with PCOS.
For further info, I'd advise you to look at www.crazymeds.us, and the forums on that website. There's excellent info available for managing psychiatric medication.
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Part of the reason I have trouble beside taking the meds is I am unhappy with potential side effects; my outpatient pscyh did agree to look at changing when i be stable, but as I felt so good I didn't take the meds. I also own trouble accepting the diagnosis.
The psychiatrist at the hospital refuses to listen to my concerns and twists my words.
My current meds are: quetiapine (seroquel) 300mg, epilim (sodium valproate) 900mg (going to 1200 -1500 soon) oxazepam 10mg as needed and zopiclone as needed.
I was due to be taken off the quetiapine as I enjoy trouble with weight gain on it, and was told as long as I took the epilim it be ok; however the psychiatrist deceided to up it due to the fact I think I can hear movements downstairs when asleep (my windows own been broken twice at 4am).
I know I probably need the epilim but am worried about achievement even more weight, or losing my hair, and I have PCOS. I really want Topamax or Carbamazepine but the doctor won't listen.
Also another tolerant said I should be on antidepressants as she has only ever seen me low, but the doctors articulate that I am not, I am still high even if crying all day.... HELP please??
Answers:
Make confident that excess estrogens or androgens are not what is making you "bipolar". There is no blood test for bipolar, but the PCOS associated hormone imbalances could get you psych treatment when you really entail an endocrinologist.
Complex drug therapy can lead to complex complications.
The oxazepam and zopiclone each work in a similiar manner (like valium) and tend to impair memory to make research new things difficult and promotes auto accidents. I would ditch one of them, zopiclone, as it dupicates therapy.
You are correct that quetiapine promotes weightiness gain (and diabetes), I would minimize it, (ideally ditch it if possible), Whatever the case, the less the better.
With regard to sodium valproate to treat bipolar, I would consider using lithium instead most of the time, and use valproate purely as a substitute
for lithium to give the kidneys a vacation from continous lithium use.
Topamax/Carbamazepine are either questionable to worth or too dangerous or both to treat bipolar.
Not mentioned in all of this is alcohol. It cause trouble in people's lives, and it increases the risk of liver damage from valproate. Nicotine from tobacco can also profoundly affect the brain, but that is usually unseen as a risk factor, ditch that if your a tobacco user.
http://www.merck.com/mmpe/sec18/ch244/ch…
K. Couple things:
Your Axis I diagnosis is it Bipolar I? II? or NOS? They tend to be managed with different medications and strategies, as okay as having different presentations.
Do you have an Axis II diagnosis as well? This would be something along the lines of Borderline Personality Disorder, which have a certain comorbidity with bipolar, as well as one hard to distinguish. Axis II problems are not well managed next to medications and generally require long term psychoanalysis.
Valproates occupy an odd position in the bipolar pharmacopeia. They're useful, for sure, but not first line medications in most cases. However, Topamax and Carbamezapine enjoy major considerations that go into their use, not the least of which is Topamax's central cognitive side effects. Your medications should not be selected on based on which side effects nouns scariest, but by which have the highest probability of being successful. Only a psychiatrist can really evaluate that. I would details that the hair loss is kind of unusual on valproates, and the weight gain is smaller quantity significant than Seroquel's in most cases.
Also, if your PCOS is being managed, which it of course should be, you cannot use carbamezapine, at least without some serious alterations. It will not play nice with the birth control pills primarily used to deal with PCOS.
For further info, I'd advise you to look at www.crazymeds.us, and the forums on that website. There's excellent info available for managing psychiatric medication.
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