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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bipolar Condition

My boyfriend Markuses ex-wife Kylie has been diagnosed bipolar. They split up five months ago and she has been really nasty to the both of us since she found out were now dating. This includes threats of violence, namecalling, sending insulting textmessages all the time etc. We understood her pain and let her rage thinking it would soon end. Then she started threatening Markus with suicide. A week ago she took some pills, end up in the hospital and blames it all on Markus. Markus is really broken up, he wants to help her. I understand his worry and pain but I think its not healthy for her to see Markus until she is mentally more stable for all our sakes. She has friends and family. What should we do?
Fri, 18 Oct 2019
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Neurologist 's  Response
Hello,

A patient with a bipolar disorder should receive an intensive treatment during the exacerbation, then the patient should receive a prophylaxis treatment such as:

Carbamazepine three times per day one hour before meals, he should start with half a tablet before breakfast for three days, then half a tablet twice a day before meal for 3 days, then half a tablet three times per day before meals for three days, then add half a tablet every three days before meals until the dose becomes one tablet before meals three times per day.

Fish oil 1000 mg can be helpful for hem,he can take two capsules per week: one capsule on Monday after meal and one capsule on Thursday after a meal.

He should avoid stress as much as possible, besides taking psychotherapy. The patient should do liver function tests and a CBC to assess the side effect of the drug.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dr/Mustafa, Neurologist
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Suggest Treatment For Bipolar Condition

Hello, A patient with a bipolar disorder should receive an intensive treatment during the exacerbation, then the patient should receive a prophylaxis treatment such as: Carbamazepine three times per day one hour before meals, he should start with half a tablet before breakfast for three days, then half a tablet twice a day before meal for 3 days, then half a tablet three times per day before meals for three days, then add half a tablet every three days before meals until the dose becomes one tablet before meals three times per day. Fish oil 1000 mg can be helpful for hem,he can take two capsules per week: one capsule on Monday after meal and one capsule on Thursday after a meal. He should avoid stress as much as possible, besides taking psychotherapy. The patient should do liver function tests and a CBC to assess the side effect of the drug. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dr/Mustafa, Neurologist