Talk to Psychiatry on Rapid Cycling
Asking for Self, Male, 33 years old, Multan
2014 sy medicine ly rha hon. psychiatrist doctor ny last 6 month sy (Rapid Cycling) diagnose kiya h, Medicine detail yh h === Butrin xl 150mg=1+1 lithium 400mg =1+1 Lurisa 40mg = 1+1 co-depricap 3/25mg=0+1 seizunil 200mg=0+1 ziapine 25mg=0+1 === every 15 days k bad, life mushkil ho jati h, ahsaas sy kamtri ka shikar ho jana, halka halka dar,wahm, mayosi, nafasat pasand ho jana. etc... then ahista ahista 5 to 7 days main completely theek ho jata hon. then again yah loop chalta rahta h. 1)kiya m completely recover ho skta hn. 2)how many % recovery chances? 3)kitna arsa medicine use krna ho gi ? 4)kiya yh disease life time rhti h?
Dr. Ayesha Abdul Hameed - Psychiatrist
MBBS, FCPS | Karachi
Just stick to the treatment, followups are necessary esp. For Dose adjustment according to the symptoms recovery or not.
May Allah grant u health. آمین
Assoc. Prof. Dr. Aneel Kumar Keswani - Psychiatrist
MBBS, FCPS (Psychiatry) | Karachi
654 Positive Reviews
Welcome, I would like to highlight some facts about Rapid Cycling which is a mood disorder in which at least four major episodes of Depression, Mania, Hypomania, or mixed episode during the 12 months period, in your history in which you have only reflected your depressive symptoms only, there is sufficient evidence of the role of Lithium in Rapid cycling, but the first choice of drug in this condition is Divalproex, and use antidepressants in Rapid Cycling is not suitable. without being judgmental you need to take an expert opinion for a treatment review. Thanks, regards
Member
@Dr. Aneel Kumar Keswani , sir, lithium start krny sy pahly dr. ny mug sy pocha tha kah aap ny epival pahly kabi khayee h. m ny kaha nahi , then os ny lithium start krwa di. ab 7 month hony waly hn. lithium sy faida to ho raha h but pora nhi ho rha.....
1 month ago
Salam. The treatment is not matching with the diagnosis and you are taking too many medications i.e. 2 antidepressants, 2 mood stabilizers, 3 antipsychotics. Your diagnosis and treatment should be reviewed to answer all your questions
Regards
Yes every psychiatric illness is treatable provided if you are properly diagnosed. If you are diagnosed as a case of Rapid cycling Bipolar disorder then it should be treated as a case of mania. You are on polypharmacy and 2ndly antidepressant use is not recomended as per guidelines. Its better that you should take appointment from another psychiatrist for 2nd opinion. May Allah swt help you.
Dr. Naveed Javed - Psychiatrist
MBBS (UK), MD(USA), MRCP, PhD (UK), Diplomate American Board of Psychiatry and Neurology (USA) | Multan
38 Positive Reviews
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@Dr. Ayesha Abdul Hameed, necessary esp means ?
1 month ago