Menopause worsening bipolar symptoms
Q: in fact im a care orker and my client is bipolar, she also has
asevere learning disability and is allergic to a wide range of medication.
she isnow suffering quite severely from menopausal symptoms and i was wondering
ifyouknow of any research on medication for this which would be suitable
alongsidelithium. many thanks for your time
Dear Ms. F' --
Bipolar disorder seems to worsen, in my experience treating patients, when
theynear menopause. But there are no specific treatments that address
thischange, other than the same medications we might consider for menopause
alone,namely hormone replacement (estrogen and progesterone). These
are somewhatcontroversial as "treatment" for menopause, as you may know,
so itisn't a simple matter. Otherwise, we use more mood stabilizers just
as we wouldfor any bipolar patient with symptoms not controlled by lithium.
Published February, 2001