HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Medication For Manic Episode

My son has bipolar 1. He is currently being treated for a manic episode, at home, and he normally take Lithium and Seroquel. His doctor has recently increased his Lithium from 1200mg/d to 1500mg/d (his level was only .6 prior to his mania), and increased his Seroquel to 800mgxr and 200mg short-acting p r n, up to BID, and added Epival 750mg BID. he has had severe episodes of vomiting in the last 2 days, with resulting severe petechiae , and facial bruising. Could this be due to drug toxicity, and does he need to go to ER?
Wed, 16 Apr 2014
Report Abuse
Psychiatrist 's  Response
Hi
Thanks for using healthcare magic

Yes, severe petechiae is due to drug over dose or toxicity. Sometime, due to vomiting, severe lithium level increases and it lead to blood cell damage. That may be the reason in your son. Better to go to emergency as early as possible and get his serum lithium level done. He needs immediate care.

Thanks
I find this answer helpful

Note: For further guidance on mental health, Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Mood stabilizer


Loading Online Doctors....
Suggest Medication For Manic Episode

Hi Thanks for using healthcare magic Yes, severe petechiae is due to drug over dose or toxicity. Sometime, due to vomiting, severe lithium level increases and it lead to blood cell damage. That may be the reason in your son. Better to go to emergency as early as possible and get his serum lithium level done. He needs immediate care. Thanks