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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Symptoms Of ADD And Bipolar Disorder

My daughter is 31 yrs old and is add and bipolar2.She is a licensed attorney/hasn t worked in that field and keeps getting fired.My husband and I pay for everything-she lives in another state. At what point do we say enough is enough-we can no longer afford this-you will have to come home.We are afraid considering her problems and don t know what to do.
Mon, 15 Jul 2019
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General Surgeon,  's  Response
Hello,

I think you are a case of bipolar depression, that's why you are on mood stabilizer and antidepressants. If you are symptomatic, then it is ok.

There are a few needs to change in the drug from my aspect. Lamictal and Topamax are mood stabilizer, so carry on with them.

Latuda is effective in bipolar depression, so you are taking it. Remron and trazodone are sedative antidepressants, so you can also take them.

There is no need to take benzodiazepine with such high dose of sedative antidepressants. Try to decrease valium and lunesta.

These are benzodiazepine and with time tolerance may develop. You also take oxycodone and fentanyl as pain killer.

These painkillers also increase sedative and drowsiness with benzodiazepine, so better to take them in lesser dose and then stop them. Rest, you can consult with your psychiatrist.

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

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Symptoms Of ADD And Bipolar Disorder

Hello, I think you are a case of bipolar depression, that s why you are on mood stabilizer and antidepressants. If you are symptomatic, then it is ok. There are a few needs to change in the drug from my aspect. Lamictal and Topamax are mood stabilizer, so carry on with them. Latuda is effective in bipolar depression, so you are taking it. Remron and trazodone are sedative antidepressants, so you can also take them. There is no need to take benzodiazepine with such high dose of sedative antidepressants. Try to decrease valium and lunesta. These are benzodiazepine and with time tolerance may develop. You also take oxycodone and fentanyl as pain killer. These painkillers also increase sedative and drowsiness with benzodiazepine, so better to take them in lesser dose and then stop them. Rest, you can consult with your psychiatrist. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon