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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Depression Along With Bipolar Disorder Be Treated?

Good Day, My son has been on Lithum for 8 weeks ,low dose but feels its not working and making his anexity worse. My question is simple can Lithum have a side effect causing extreme anexity in some one whos 19, been diagnossed at 10 Clinical depression and high anexity. Was on Concerta and Flueoxetine for 10 years. Had an episode in late sept, diagnossed Bi Polar taken off Fluroxetine and concerta and put on Saprass and low dose Lithum. He has been telling his new perscribing Dr up at school his anexity is off the charts and was told he has to just deal with it Kinda of pissed him off when he knows the Fluroxitine ket it at bay. He knows there is a bad interaction betwenn Fluroxitine and lithum Any info would help.
Mon, 2 Jul 2018
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Psychiatrist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

it's disheartening to know the condition of your child... the initial issue here is, a person on antidepressants (fluoxetine) for couple of years when abruptly changed to another class of drugs, definitely there will be a chance for increase in the anxiety... It must have been tapered over several weeks to months... Now that fluoxetine is stopped completely, it's not wise to restart it... other than Lithium, there are several other latest drugs which can be tried under supervision of your Psychiatrist like Lurasidone, Divalproate sodium etc...

encourage him to go for a morning walk daily and exercise for 2 to 3 days in a week...

hope I told your query and feel free to ask any further

Thank you

All the best for great future endeavours of your child.
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How Can Severe Depression Along With Bipolar Disorder Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. it s disheartening to know the condition of your child... the initial issue here is, a person on antidepressants (fluoxetine) for couple of years when abruptly changed to another class of drugs, definitely there will be a chance for increase in the anxiety... It must have been tapered over several weeks to months... Now that fluoxetine is stopped completely, it s not wise to restart it... other than Lithium, there are several other latest drugs which can be tried under supervision of your Psychiatrist like Lurasidone, Divalproate sodium etc... encourage him to go for a morning walk daily and exercise for 2 to 3 days in a week... hope I told your query and feel free to ask any further Thank you All the best for great future endeavours of your child.