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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat The Condition Of Cyclothymia?

Hi I am 15 years old and for the past year I ve had emotional ups and downs. I searched up reasons online and I think I might have Cyclothymia. I get depressed for 4-5 days, sometimes a week, and then I get normal for a month or so. I also get a short period (lasting a couple of days at most) where I feel extremely happy. This period of happiness usually takes place a couple of days before I become depressed. I don t think my symptoms are as severe as the symptoms for bipolar disorder but they are still there. They interfere with how I feel about my friends, my family, my life, everything. I don t feel like interacting with others as much as I used to. I also have an uncle with bipolar disorder so maybe it s genetic? I have no idea who to talk to about this. I don t want to go on any medication because I don t want that to interfere with my ups . Is there any way I can handle this without going to a doctor? And is it possible that I might have bipolar disorder after all? Thank you Aisha
Fri, 27 May 2016
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Internal Medicine Specialist 's  Response
Brief Answer:
You can take a drug combination of Sertraline (Actizer) with Valproic acid (Develpine) for treating ciclothymia.

Detailed Answer:
Hello,
Thank you for using HCM. I read carefully your question, and i will try to help you.
The suggested treatment for cyclothymia is a combination of Sertraline (Actizer) with Valproic acid (Develpine). Sertraline is an antidepressant drug, which is implicated into the serotonine activity, trying to increase its levels in the brain, helping you getting out of the depression periods. It is recommended to start taking 25 mg of sertraline once a day (each morning) for two weeks. After the first two weeks, you should raise its dosage to 50 mg once a day (each morning). Together with Sertraline you should take Valproic acid to reduce your over excitement states. You should begin taking it for 250 mg twice a day (in the morning and before sleep). After 1 month you can raise it's dosage to 500 mg twice a day, but if you get better with 250mg twice a day, you just stay with that dosage .


Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
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How To Treat The Condition Of Cyclothymia?

Brief Answer: You can take a drug combination of Sertraline (Actizer) with Valproic acid (Develpine) for treating ciclothymia. Detailed Answer: Hello, Thank you for using HCM. I read carefully your question, and i will try to help you. The suggested treatment for cyclothymia is a combination of Sertraline (Actizer) with Valproic acid (Develpine). Sertraline is an antidepressant drug, which is implicated into the serotonine activity, trying to increase its levels in the brain, helping you getting out of the depression periods. It is recommended to start taking 25 mg of sertraline once a day (each morning) for two weeks. After the first two weeks, you should raise its dosage to 50 mg once a day (each morning). Together with Sertraline you should take Valproic acid to reduce your over excitement states. You should begin taking it for 250 mg twice a day (in the morning and before sleep). After 1 month you can raise it s dosage to 500 mg twice a day, but if you get better with 250mg twice a day, you just stay with that dosage . Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Kind Regards, Dr. Juarda