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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Depression While On Lithium And Fluoxetine For Bipolar

Hi, I am a forty eight yr old woman and I was diagnosed with Bipolar disorder five yrs ago after suffering with what I thought was just depression for over a decade and am taking lithium as well as fluoxetine. I have been stable since then but lately I have felt the depression creeping over me, I would like your advice please?
Mon, 7 Sep 2020
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Ayurveda Specialist 's  Response
Hi,

1. As you are a diagnosed case of bipolar disorder, thus under no circumstances, you should stop or taper the dose by yourself, and since symptoms are increasing, you should first contact your PCP or a Psychiatrist, who can guide you on the exact dosage of the drug.

2. Nervousness, postural hypotension, increased sweating, insomnia are some of the documented ADR [adverse drug reaction] of the drug and because the choice of medicine will vary from doctor to doctor, and from locality to locality, so initially remain under single supervision and let your body know about the effects of the drug prescribed and thereafter one can change/add or substitute a drug [in consultation with your psychiatrist].

3. Eat a healthy diet, stay away from caffeine, alcohol, spices, pickles, drink green tea, take an apple, banana, dates, practice relaxation techniques like yoga, meditation, and Pranayam

4. Since drug therapy is generally only palliative treatment, we have to look at cognitive and behavioral strategies and especially nutritional strategies.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Munish Sood, Ayurveda Specialist
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Suggest Remedy For Depression While On Lithium And Fluoxetine For Bipolar

Hi, 1. As you are a diagnosed case of bipolar disorder, thus under no circumstances, you should stop or taper the dose by yourself, and since symptoms are increasing, you should first contact your PCP or a Psychiatrist, who can guide you on the exact dosage of the drug. 2. Nervousness, postural hypotension, increased sweating, insomnia are some of the documented ADR [adverse drug reaction] of the drug and because the choice of medicine will vary from doctor to doctor, and from locality to locality, so initially remain under single supervision and let your body know about the effects of the drug prescribed and thereafter one can change/add or substitute a drug [in consultation with your psychiatrist]. 3. Eat a healthy diet, stay away from caffeine, alcohol, spices, pickles, drink green tea, take an apple, banana, dates, practice relaxation techniques like yoga, meditation, and Pranayam 4. Since drug therapy is generally only palliative treatment, we have to look at cognitive and behavioral strategies and especially nutritional strategies. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Munish Sood, Ayurveda Specialist