Bipolar disorder causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression) Bipolar disorder requires lifelong treatment with medications, even during periods when you feel better. People who skip maintenance treatment are at high risk of a relapse of symptoms or having minor mood changes turn into full-blown mania or depression. Day treatment programs Finding the right medication or medications for you will likely take some trial and error. If one doesn't work well for you, there are several others to try. This process requires patience, as some medications need weeks to months to take full effect.
Antidepressants Serotonin and Noradrenaline Reuptake Inhibitors (SNRI) SNRIs are similar to SSRIs, but also limit the reabsorption of noradrenaline in addition to that of serotonin.
SNRIs became available in the 1990s, and are not as widely used as SSRIs. Common SSRIs include: • Desvenlafaxine (Pristiq) • Duloxetine (Cymbalta) • Levomilnacipran (Fetzima) • Milnacipran (Ixel, Savella) • Tofenacin (Elamol, Tofacine) • Venlafaxine (Effexor) Noradrenaline Reuptake Inhibitors NRIs work by blocking the action of the norepinephrine transporter (NET).
Norepinephrine is also a neurotransmitter, like serotonin. This blockage allows for increased concentrations of norepinephrine outside of the cells. • Reboxetine (Edronax) • Viloxazine (Vivalan) Melatonergic Antidepressants These are a new class of antidepressants that came in the last ten years.
The drugs are the result of an accidental discovery of a synthetic melatonin and its effect on serotonergic receptors. This led to a more thorough investigation where the serotonin benefits were documented. Options include: • Agomelatine (Valdoxan, Melitor, Thymanax) Atypical Antipsychotic Drugs Although these drugs are primarily used to control mania, they have demonstrated effectiveness in managing depression: • Latuda (Lurasidone) • Seroquel (Quetiapine) • Abilify (Aripiprazole) Antipsychotic Drugs Antipsychotics are used to inhibit .
Those diagnosed with schizophrenia also uses many of these drugs. In the past 30 years a new class of antipsychotic medications was developed; because they were different from the original drugs, they became known as atypical antipsychotics. Atypical antipsychotics are so named because they treat the symptoms in a manner that is not like its predecessors. The chemistry of these drugs involves neurotransmitters but is more complicated as the drug attacks specific sites of the cell, relying upon particular receptors.
Just like anti-depressants, anti-psychotics work on the brain chemistry. Also affecting the serotonin and noradrenaline, these drugs also affect the dopamine levels.
If your doctor has prescribed an antipsychotic it is likely one of these medicines: • Aripiprazole (Abilify) • Asenapine (Saphris) • Clozapine (Clozaril) • Olanzapine (Zyprexa) • Quetiapine (Seroquel) • Lurasidone (Latuda) • Risperidone (Risperdal) • Ziprasidone (Geodon) Commonly prescribed typical antipsychotics are listed below: • Chlorpromazine (Thorazine) • Haloperidol (Haldol) Thorazine was introduced in the 1950s, and Halodol came in the 1970s.
While it is possible for your doctor to prescribe one of these medications temporarily, it is unlikely you will be on any of these drugs for the long term. The newer atypical antipsychotic drugs represent significant advancement, leaving little need for the original antipsychotics.
Side Effects of Antipsychotic drugs Common side effects of antipsychotic medications may include: • Blurred vision • Dry mouth • Drowsiness • Muscle spasms or tremors • Weight gain If these side effects escalate or if you experience different side effects, see a physician immediately.
It is important to note that several atypical antipsychotic drugs have been linked to increases in blood sugar and diabetes. When taking these medications be sure to watch your intake of carbohydrates and have your blood sugar levels checked regularly. Finding the Right Bipolar Medication for You As you start your journey with bipolar medication, remember that most people try many different drug combinations before they find one that is effective.
Even after an effective bipolar medication regimen is achieved, it will often need occasional, “tweaking.” Again, keep a brief journal of your mood and your side effects to assist your doctor in making the best choices for you.
Don’t be afraid to do your own research to understand how the medications work. Also, if you have a first-degree relative (e.g., parent or sibling) who has bipolar disorder and has found success with a specific drug, there is a chance that this drug will work well for you. I discovered this because my mother also has bipolar disorder and on several occasions, my doctors successfully put me on a medication that she was using.
In Conclusion… On a final note always remember that bipolar medication represents only a part of your treatment journey. Proper nutrition, exercise, and self-care will make any medication regimen much more effective!
best dating bipolar medication reviews - Bipolar Medication Guide
Jump to: Medication is an essential component of treatment for anyone with bipolar disorder. Because people with often experience rapid or extreme changes in mood, energy level, attention, and behavior, medication can help stabilize mood changes and reduce symptoms. Medication can also prevent future manic or depressive episodes from occurring and reduce their overall intensity.
Bipolar disorder medication is most effective when taken in combination with therapy and daily, healthy choices. If you’ve been diagnosed with bipolar disorder, here are some common types of medication you may be prescribed. Be aware that it may take several tries before you find the best combination that works for you. Concerned about Bipolar Disorder?
Take our 2-minute Bipolar quiz to see if you may benefit from further diagnosis and treatment. Mood Stabilizers Mood stabilizers are prescribed to manage hypomanic or manic episodes and sometimes depressive episodes. Examples may include lithium, valproic acid, carbamazepine, lamotrigine, and divalproex sodium. 1 Mood stabilizers sometimes can take several weeks to achieve their full effect, and if you take a stabilizer such as lithium, you may have to have regular blood tests to ensure the dosage is not toxic to your body.
2 Antidepressants Antidepressants are sometimes prescribed to treat depressive episode symptoms for people with bipolar disorder, but there is much debate about their efficacy. Antidepressants can trigger manic episodes when not combined with a mood stabilizer and can also potentially increase mood cycling. They may also cause increase suicidal thoughts, particularly among young people. Talk to your doctor about the benefits and risks of taking antidepressants to treat bipolar disorder.
3 Antipsychotics When mood stabilizers or antidepressants fail to curb symptoms, doctors may also prescribe antipsychotic medications. Examples include risperidone, olanzapine, aripiprazole, ziprasidone, quetiapine, asenapine, clozapine, and lurasidone. Antipsychotics are sometimes used in place of mood stabilizers or in combination with them. Talk to your doctor about the benefits and risks of antipsychotics.
4 Other Medication Doctors may prescribe other medication to treat symptoms of bipolar disorder. Anti-anxiety medication such as benzodiazepines may be prescribed to help with anxiety or insomnia. Thyroid medication may be used to treat low thyroid levels caused by mood stabilizers. If you are taking any other medications or supplements or are prescribed anything new, talk to your doctor about potential dangerous interactions effects. Medication Management Medication is most effective and least dangerous when you take it consistently and accurately.
Here are a few tips for making sure you manage medication effectively. • Don’t take medication with alcohol or other illegal drugs. This can decrease their effects or increase unpleasant symptoms. People with bipolar disorder are at increased risk for substance use, so be aware of the risks.
5 • Set an alarm to remember to take your medication at the same time each day. If you forget to take a dose, follow the medications directions on what to do. • Use a pill organizer to ensure accuracy and to alert you to when you’re running low. Ask your pharmacy to send you reminders when your new prescription is available. • Alert your doctor to any side effects you may experience. It often takes a few changes before you can find the right combination of medications for you.
• Don’t discontinue medication without consulting with your doctor first. If you feel better, that’s probably a sign that the medication is doing its job. Reducing dosage or stopping the medication altogether without consulting your doctor puts you at risk for relapse or increased mood cycling.
Healthy habits can also play a huge role in increasing the efficacy of medication. If you are eating healthy, exercising, getting consistent sleep, reducing caffeine intake and avoiding drugs and alcohol, then you are setting yourself up for fewer symptoms and greater mood stability. Many people find that participating in counseling or psychotherapy can help them build up healthy habits and overcome potential barriers to good mental health.
Where Do I Start? If you think you might have bipolar disorder or are unhappy with your medication, talk to your doctor as soon as you can. Write down a list of questions, and don’t be afraid to share your concerns about side effects or past experiences. If you’re currently experiencing a manic or depressive episode, you may need to consult with your doctor at least once a week to assess the effects of the medication.
If you are feeling suicidal or experiencing psychotic symptoms, you can go to the hospital or call a loved one for help. You can also call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or their TTY number at 1-800-799-4TTY (4889). The more information you give your doctor, the better they can help you find the right treatment for your bipolar disorder.
What steps can you take today to take the best care of your mind, mood, and body? • http://www.mayoclinic.org/diseases-conditions/bipolar-disorder/diagnosis-treatment/treatment/txc-20308001 (accessed on November 12, 2017) • http://www.nami.org/Learn-More/Treatment/Mental-Health-Medications/Lithium (accessed on November 12, 2017) • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2922360/ (accessed on November 12, 2017) • http://www.mayoclinic.org/diseases-conditions/bipolar-disorder/diagnosis-treatment/treatment/txc-20308001 (accessed on November 12, 2017) • http://www.dualdiagnosis.org/bipolar-disorder-and-addiction/ (accessed on November 12, 2017) ©1996 – 2018 Vertical Health LLC This information is not designed to replace a physician's independent judgment about the appropriateness or risks of a procedure for a given patient.
Always consult your doctor about your medical conditions. Vertical Health & PsyCom do not provide medical advice, diagnosis or treatment. Use of this website is conditional upon your acceptance of our User Agreement. Vertical Health LLC
If you have , the right medications can be like a pair of eyeglasses. Bipolar distorts your view of yourself and the world, but the medicine can help you to see things clearly again.
are an essential part of a treatment plan. They won’t cure you, but they will help you keep your moods in balance so you can do the things you need and want to do. Which Bipolar Medicine Is Best? Doctors use many types of drugs to treat bipolar disorder. Some fight the extreme highs of and others treat the . You might take one drug at a time or a few at the same time. The best is the one that works best for you. Work with your doctor to decide on the medication plan that helps you the most.
You may keep taking these medications for years or decades, even if it’s been a long time since your last manic or depressive episode. This is called maintenance therapy. What Is Mood-Stabilizing Medication? Mood stabilizers are medicines that treat and prevent highs (mania) and lows (depression). They also help to keep your moods from interfering with work, school, or your social life.
Examples include: • (, , , Tegretol) • sodium () • (Lamictal) • • (Depakene) Some of these drugs are known as anticonvulsants, including carbamazepine, lamotrigine, and valproic acid. Not all of these drugs have the same effects, though.
Some (such as lithium) are better at treating mania. Others (such as lamotrigine) may be more useful for depression. Keep in mind that the term "mood stabilizer" can be misleading. If you take one, your mood can still change during the day.
These medicines treat full episodes of mania or depression that last for several days or weeks at a time. Other Mood-Stabilizing Medicines Drugs called antipsychotic medications are also common in bipolar treatment plans.
You can take them alone or with mood stabilizers to help with symptoms of mania. These drugs include: • (Haldol) • (Loxitane) or loxapine inhaled (Adasuve) • (Risperdal) Continued Today, doctors may prescribe newer antipsychotic drugs, including: • Aripiprazole () • Asenapine (Saphris) • Cariprazine (Vraylar) • Lurasidone (Latuda) • () • fumarate (Seroquel) • () If you have sleep problems along with bipolar symptoms, you may get a type of drug called a benzodiazepine.
Doctors usually prescribe these drugs to treat and , but they can be part of bipolar treatment, too. Common benzodiazepines include: • Alprazolam () • (Klonopin) • () • Lorazepam () Newer sleep medications such as (Lunesta) and () may cause fewer problems with memory and thinking than benzodiazepines. Medicines for Bipolar Depression Most of the time, doctors will start bipolar treatment by prescribing a mood-stabilizing drug like lithium.
But the FDA has approved some medicines for bipolar depression, too: • Fluoxetine combined with olanzapine () • Quetiapine fumarate (Seroquel) • Lurasidone (Latuda). You might take it alone or with lithium or valproic acid. For some people, traditional may trigger a manic episode. Because of this risk, your doctor should keep track of you closely if you take one. Will the Medicine Work for Me? Your doctor can’t predict how well a particular bipolar medication will work for you.
You may need to try several different kinds and different doses to figure out the right approach. And that can take time. It can be frustrating, but don't give up. Eventually, you and your doctor should be able to find a prescription that works for you. Medication Tips If you have bipolar disorder, taking your medication should be part of your routine.
Take it at the same time every day. It's easier to remember if you do it along with another daily activity, like brushing your teeth, eating breakfast, or getting into bed. A weekly pillbox can help you see if you've missed a dose. Be sure to talk to your pharmacist or doctor about the best time of day to take your bipolar medications. Some are best if you take them in the morning or at bedtime and others with meals or after meals.
Make sure you know what to do if you accidentally miss a dose. Ask your doctor. Don't assume that doubling up is a good idea. Continued Side Effects of Bipolar Drugs Like any drug, bipolar medicines can cause some side effects.
They vary depending on which medications you use. These side effects can include: • • Tremors • • Sexual problems • • Liver damage • Kidney damage • • Belly pain • Skin reaction Some medications can affect how well your liver works or the amount of white blood cells or platelets you have. You may need regular tests to make sure that you're staying healthy. The antipsychotic drug ziprasidone (Geodon) is linked to a rare but serious skin reaction called DRESS syndrome (drug reaction with eosinophilia and systemic symptoms).
Many side effects will go away after a few weeks of treatment. If you still feel bad after that, see your doctor. Don't assume you have to just live with the side effects. Your doctor may be able to change your dose, give you another medicine to control the side effects, or try a different medication altogether.
Stick to Your Treatment Medications for bipolar disorder are powerful drugs, and you must take them exactly as your doctor recommends. Don't stop taking a medicine without your doctor's approval. It can be dangerous. When you're feeling good, you might decide that you want to stop taking your medication. But that's a bad idea unless your doctor agrees. Treatment only during mood episodes may not be enough to prevent symptoms from coming back. In most people, maintenance treatment between mood episodes makes mania and depression happen less often and makes them less severe.
If you're feeling good now, that's likely because your medication is working. So stick with it. National Institute of Mental Health: “How is Bipolar Disorder Treated?” Fieve, R. Bipolar II. American Journal of Psychiatry: "Practice Guideline for the treatment of patients with bipolar disorder. Part A: Treatment recommendations for patients with bipolar disorder." Mayo Clinic: “Bipolar disorder.” © 2018 WebMD, LLC. All rights reserved.
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