Hello and thanks for your query.

I shall make an effort to provide you with good professional recommendations specific to your questions.

Li carbonate - used commonly for mania, bipolar disorders etc. Used commonly over a long term mostly 2-3 years or even lifelong.
Side effects are many - antidiuretic, neutropenia amongst many others in literature.
Escitalopram - An antidepressant medication. Depending on the symptoms, not necessarily very long duration.
Side effects include suicidal tendencies in some.

If taking both the above at night, regularly - NEVER stop medications at once, even the doctor would gradually decrease depending upon the condition. Rebound effect is the danger of abrupt ending of treatment.

Clonazepam - An antiepileptic benzodiazepine. Also a short term medication compared to Lithium.

Divuna is Valproic acid - An antiepileptic - It is a broad spectrum antiepileptic and very different from Lithium which I mentioned above. Again a long term at least for 2-3 years after subsidence of symptoms.

Valproic acid is a much better tolerated than Lithium, with respect to side effects but the uses are different as explained.

3 months is too less a time to comment on improvement for conditions like depression, epilepsy, bipolar disorder - if she has been diagnosed any of them. So, she mostly would have to be treated long term.

Don't worry, these are very commonly prescribed and are efficacious medicines. She should be symptom free soon.

Let me know if I have missed out any other concern in your question.

Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions.

Sincerely,

Dr Sujeet N Charugulla, MBBS, MD
Consultant Physician.

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