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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Depression And Bipolar Disorder?

hi my name is marc im 30 yrs old and suffer from depression and bioplar with addahd and a bit of ocd wich im getting alot better with the ocd i reacently had to move back in with my mother for personal

issse with my so to be wife but i wont get into that the reason im emailing you is my mom is kind of flipping out on all the meds im on she feels its all in my head and that i dont need pills shes even more angry and upset on what my psyh dr has me on im on 60m of cymbalta ouncc in the morning and one before i go to be,adderall 3om in the morning,depakote 500m one in the morning and one before i go to sleep as well as a 2m kaldapin.The reasin im asking you what about to ask you is that you do need all those meds she said ahe read a med book that taking the adderall then the kaldapin shes says your taking a upper and then a downer and i tild her i dont take them at the same time i take the adderall in the morning to calm me down and concerate and when i dont take it im all over and the cymbalta i take for mu depression and then the depakote 500m twice one in morning and one befor bed and last i take the 2m klada pin to help me sleep so what im tryng to ask you can you reply what i asking you and tell her my dr that gives me wouldn't hurt or kill me if i take as direced thankyou for your patients
Mon, 11 Aug 2014
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Psychiatrist 's  Response
you must be taking these meds from a psychiatrist. you have been given a diagnosis of attention deficit hyperactivity disorder with bipolarity specifically depression and some obsessive compulsive symptoms.

1. adderall is brandname of the drug amphetamine or dextroamphetamine, which is a psychostimulant drug and it helps in your deficient concentration. usually it shud be taken in the morning which helps u pay attention to your work and studies. u shud take sustained release preparation of the medication which releases the drug slowly and helps u for longer duration like 8 to 10 hours

2. anothe thing is about your depression, u have been prescribed cymbalta which is a antidepressant duloxetine [SNRI] which elevates your mood from the down side, and also helps relieve your depressive feelings and helps u concentrate in work.

3. i dont know exactly your diagnosis, but if u are given depakote then u must have some manic or hypomanic symptoms, and if u have hypomanic symptoms taht are very mild as compared to manic symptoms, u dont need to take both antidepressant and mood stabilizer [depakote]. instead u shud take lamotrigine or quetiapine for your bipolar depression. but u have improved with your meds then u shud continue them, dont stop without permission of your psychiatrist.

4. important thing i want to tell u that, for your obsessive symptoms as well as your depression u can take only one medication in higher dosage, that is prozac [fluoxetine 40-60 mg]. which is a drug of choice in both depression and OCD.

so, for your mother "your son is taking all these meds as per advise of a qualified psychiatrist, he shud continue taking these all meds for his well being, because if he stops these then his illness will come back and he wont be able to work, to take care of himself and of u. he will require a lot more time to recover, so as per my advise let him take medications and perform his duties.
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What Is The Treatment For Depression And Bipolar Disorder?

you must be taking these meds from a psychiatrist. you have been given a diagnosis of attention deficit hyperactivity disorder with bipolarity specifically depression and some obsessive compulsive symptoms. 1. adderall is brandname of the drug amphetamine or dextroamphetamine, which is a psychostimulant drug and it helps in your deficient concentration. usually it shud be taken in the morning which helps u pay attention to your work and studies. u shud take sustained release preparation of the medication which releases the drug slowly and helps u for longer duration like 8 to 10 hours 2. anothe thing is about your depression, u have been prescribed cymbalta which is a antidepressant duloxetine [SNRI] which elevates your mood from the down side, and also helps relieve your depressive feelings and helps u concentrate in work. 3. i dont know exactly your diagnosis, but if u are given depakote then u must have some manic or hypomanic symptoms, and if u have hypomanic symptoms taht are very mild as compared to manic symptoms, u dont need to take both antidepressant and mood stabilizer [depakote]. instead u shud take lamotrigine or quetiapine for your bipolar depression. but u have improved with your meds then u shud continue them, dont stop without permission of your psychiatrist. 4. important thing i want to tell u that, for your obsessive symptoms as well as your depression u can take only one medication in higher dosage, that is prozac [fluoxetine 40-60 mg]. which is a drug of choice in both depression and OCD. so, for your mother your son is taking all these meds as per advise of a qualified psychiatrist, he shud continue taking these all meds for his well being, because if he stops these then his illness will come back and he wont be able to work, to take care of himself and of u. he will require a lot more time to recover, so as per my advise let him take medications and perform his duties.