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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Mental Health Problem

Hi, my doctor has started a new "recipe" for bipolar type II. Fluoxetine +lamotrigine 100 a.m. and lamotrigine100+clonazepam 2mg+zyprexa p.m. Supposedly I should diminish clonazepam and increase zyprexa from 2.5 to 5 mg. (The first time I took 10mg, my pressure went down). So... what happens if I withdraw from taking clonazepam suddenly and continue only with zyprexa at night. This is because I´m too sleepy in the morning and have a sensation of "absence" although I can think & speak allright age 57, woman, 58kilos, 1.62 mts. I am peruvian and live in Peru.It CAN be usefull for you to know that I also have Addison for about 15years now. That part is under control.Thanks a lot. Your opinion matters
Tue, 22 Jul 2014
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Psychiatrist 's  Response
hi dear,
sudden withdrawal of clonazepam in night dose leads to sleep disturbance so it is best to withdraw gradually 0.5 mg everyday.. with this your excessive sleep is decreased day by day and you are not having any problem related to sleep and withdrawal.
there are many drug which is also effective in bipolar 2 patients like olanzapine and fluoxetine combination also olanzepine alone works also qutipin also works in bipolar 2 depression.
so consult with your treating doctor and discuss all this.
Thank you
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Suggest Treatment For Mental Health Problem

hi dear, sudden withdrawal of clonazepam in night dose leads to sleep disturbance so it is best to withdraw gradually 0.5 mg everyday.. with this your excessive sleep is decreased day by day and you are not having any problem related to sleep and withdrawal. there are many drug which is also effective in bipolar 2 patients like olanzapine and fluoxetine combination also olanzepine alone works also qutipin also works in bipolar 2 depression. so consult with your treating doctor and discuss all this. Thank you