Q: Medication to Control Her Mania?
Hello, My significant other is bi-polar. We have been together for 15
years. She was on Mellaril and Depakote. He liver
started to fail and I was the one that informed the doctors about the extreme
dangers of Depakote. They removed depakote and I ask them to put her on Geodon
since it has few side effects with the
exception of a QT delay. She has been taken off mellaril and is now on
imipramine and Geodon, but is still manic. She is a diabetic,low
thyroid,overweight,high blood presure and high triglycerides. He blood sugar
went back close to normal when they took her off mellaril. What
medication would you suggest along with geodon that might control her mania?
Her doctors respect my input. Thank You,
Dear Mr. M' --
Well, here we are with a diagnosis of bipolar disorder and no mood
stabilizer. And an antidepressant. So here are some ideas.
First, before I forget, exercise is a known antidepressant. When you
look for a substitute for the imipramine (also known to cause weight gain),
consider that approach strongly.
Second, it's time to consult the
of mood stabilizers and pick one. Note that
has not been associated with causing liver enzyme elevations although in this
case I'd proceed, but with caution (e.g. still checking enzyme levels, at least
once). It also has not been associated with weight gain, useful to know in
Published August, 2002