A. What is Bipolar Depression Medication ?
If you’ve bipolar disorder, the right medications may be just like a pair of eyeglasses. Bipolar distorts your view of yourself as well as the world, however the medicine will help you to see things clearly again. Medications are a vital a part of a treatment plan. They won’t cure you, but they will help you keep the moods in balance so you can perform what you require and wish to do.
B. Which Bipolar Depression Medication Is Best?
Doctors use many types of drugs to treat bipolar disorder. Some fight the intense highs of mania while others treat the depression. You might take one drug at any given time or even a few as well. The best bipolar medicine is one that works the best for you. Work with your medical professional to decide on the medication plan that can help you the most. You may keep taking these medications for many years or decades, regardless of whether it’s been quite a long time because your last manic or depressive episode. This is called maintenance therapy.
C. What Is Mood-Stabilizing Medication?
Mood stabilizers are medicines that treat preventing highs (mania) and lows (depression). They also help to keep the moods from disturbing work, school, or your social life.
• Carbamazepine (Carbatrol, Epitol, Equetro, Tegretol)
• Divalproex sodium (Depakote)
• Lamotrigine (Lamictal)
• Valproic acid (Depakene)
Some of those prescription medication is generally known as anticonvulsants, including carbamazepine, lamotrigine, and valproic acid. Not all of such drugs have similar effects, though. Some (like lithium) are better at treating mania. Others (like lamotrigine) might be more a good choice for depression. Keep in mind that the term “mood stabilizer” may be misleading. If you take one, your mood can still change throughout the day. These medicines treat full instances of mania or depression that last for several days or weeks at the same time.
D. Other Mood-Stabilizing Medicines
Drugs called antipsychotic medications will also be common in bipolar treatment plans. You can bring them alone or with mood stabilizers to help with signs of mania. These drugs include:
Loxapine (Loxitane) or loxapine inhaled (Adasuve)
Today, doctors may prescribe newer antipsychotic drugs, including:
Quetiapine fumarate (Seroquel)
If you have insomnia issues as well as bipolar symptoms, you can find a kind of drug referred to as a benzodiazepine. Doctors usually prescribe these drugs to take care of anxiety and insomnia issues, but they can be part of bipolar treatment, too.
Common benzodiazepines include:
Newer sleep medications such as eszopiclone (Lunesta) and zaleplon (Sonata) might cause fewer problems with memory and thinking than benzodiazepines.
E. Medicines for Bipolar Depression
Most of the time, doctors will begin bipolar treatment by prescribing a mood-stabilizing drug like lithium. But the FDA has approved some medicines for bipolar depression, too:
o Fluoxetine joined with olanzapine (Symbyax)
o Quetiapine fumarate (Seroquel)
o Lurasidone (Latuda). You might take it alone or with lithium or valproic acid.
For a lot of people, traditional antidepressants may trigger a manic episode. Because of this risk, your medical professional should keep an eye on you closely for one.
F. Will the Bipolar Depression Medication Work for Me?
Your doctor can’t predict how well a particular bipolar medication will last you. You may need to try a number of different kinds and different doses to determine the correct approach. And that will take time. It may be frustrating, along with give up. Eventually, you and your physician should be able to discover a prescription which works for you.
G. Medication Tips
If you have bipolar disorder, taking your medication should be part of your routine. Take it concurrently every day. It’s much easier to remember should you choose it along with another daily activity, like brushing your teeth, eating breakfast, or getting yourself into bed. A weekly pillbox will help you determine if you’ve missed a dose.
Be guaranteed to speak to your pharmacist or doctor about the best period to look at your bipolar medications. Some might be the best should you bring them every day or at night among others with meals or after meals. Make sure you know what to do in case you accidentally miss a dose. Ask a medical expert. Don’t assume that doubling up a excellent idea.
H. Side Effects of Bipolar Drugs
Like any drug, bipolar medicines may cause some side effects. They vary determined by which medications you use. These unwanted side effects range from:
o Hair loss
o Sexual problems
o Weight gain
o Liver damage
o Kidney damage
o Belly pain
o Skin reaction
Some medications may affect how well your liver works or even the volume of white blood cells or platelets you have. You may need regular tests to make certain that you’re staying healthy. The antipsychotic drug ziprasidone (Geodon) is linked to some rare but serious skin reaction called DRESS syndrome (drug reaction with eosinophilia and systemic symptoms).
Many negative effects goes away after a couple of weeks of treatment. If you still feel below par from then on, see your medical professional. Don’t assume you’ve got to just accept the unwanted side effects. Your doctor may be able to make positive changes to dose, give you another medicine to control the side effects, or get a different medication altogether.
I. Treating Bipolar Depression
Treatment for bipolar has come a long way from your days (years ago) when patients received sedatives and medications with numerous unwanted side effects. Today, mood stabilizing drugs are a mainstay strategy to bipolar disorder. Doctors may prescribe lithium, an antimanic drug, or perhaps an antipsychotic drug — or even a combination of both — so that you can alleviate signs and symptoms of depression without triggering a manic episode.While depression episodes are far more common than manias and have a tremendous relation to the lives of patients, you can find just a few established control of bipolar depression.
A mood-stabilizing medication creates improving social interactions, mood, and behavior and is suitable for both treatment and prevention of bipolar mood states that swing in the lows of depression to the highs of hypomania or mania. According on the American Psychiatric Association (APA), lithium, lamotrigine, valproate, carbamazepine and a lot atypical antipsychotic medications are approved by the FDA for treating one (or even more) phases of bipolar disorder.
In some patients with bipolar disorder, a mood stabilizer may be all that’s needed to modulate the depressed mood. However, in bipolar patients that do not respond to one mood stabilizer, another mood stabilizer or even an atypical antipsychotic is sometimes added towards the treatment regimen.
J. What about psychotherapy for assistance with bipolar depression?
Along with medications for bipolar depression, patients may benefit from ongoing psychotherapy. This one-on-one therapy combines interpersonal psychotherapy with behavioral techniques to aid patients figure out how to better manage interpersonal problems, remain on their medications, and normalize their lifestyle habits. The STEP-BD study mentioned earlier found that in addition to medications, adding an arranged psychotherapy — including cognitive behavioral therapy, interpersonal/social rhythm therapy, or family-focused therapy — can speed up treatment response in bipolar depression around 150%.