Suggest Treatment For Bipolar Disorder While On Nexito And Arip Mt

Posted on Fri, 6 Jan 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 6 Jan 2017 Answered on

Fri, 27 Jan 2017 Last reviewed on

Question : I am on arip my 5 mg and nexito 10 mg as I was diagnosed with bipolar disorder. But I m not able to sleep , excesssively yawning the whole day. What to do?

Answered by Dr. Alexander H. Sheppe (30 minutes later)

Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

I have a couple things to suggest. First, I would not use Nexito, as it can worsen bipolar disorder without any clear benefit. I would replace it with a mood stabilizer such as lithium. Also, to help with sleep, I would suggest replacing Arip with a different but more sedating medication in the same drug class, such as quetiapine.

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In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Alexander H. Sheppe (15 hours later)

Yeah , initially my doctor prescribed depakote but later he asked to discontinue it as excessive hair fall started occurring , and he started nexito when I was going through depressive phase!Now I m taking aripmt 5 mg and nexito .. just not able to sleep !

Answered by Dr. Alexander H. Sheppe (3 hours later)

Brief Answer:
Followup

Detailed Answer:
I see. I would still recommend replacing Arip with a different but more sedating medication in the same drug class, such as quetiapine.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers

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Above answer was peer-reviewed by : Dr. Raju A.T