It is well known that some people with bipolar disorder experience a variety of neuro-cognitive deficits (problems in areas such as attention, learning, and memory) in addition to their emotional and behavioral symptoms.
Because many of the medications used to treat bipolar disorder can cause cognitive problems as a side effect, psychiatrists have often debated whether these problems with learning and thinking are due to medications or are related to the underlying brain changes found in bipolar disorder. It seems likely that both factors are at play.
Some ongoing studies are looking at a medication called galantamine (Razadyne is the trade name), which is FDA approved for treating the cognitive deficits in Alzheimer’s disease.
We often discuss the potential risks to a fetus when the mother is taking psychiatric medications, but we rarely if ever consider the potential risks of a prospective father taking psychiatric medications. One of our readers posted a question addressing this issue.
Hi there, my husband started taking Depakote for bipolar disorder several months ago. We are talking about having another baby and are wondering whether it’s safe for us to conceive while he is on Depakote? Any advice is helpful, thanks.
Over the last several years, a number of studies have found a relationship between decreased bone mineral density – bone strength – and long-term use of SSRI antidepressants. The theory behind this association is that serotonin is part of the system that regulates signaling in bone cells and that medicines that affect the serotonin system could change bone metabolism.
At the American Psychiatric Association meeting in May of this year, researchers from Canada (Bolton, et al. 2010) presented a large, well done study that provides even more evidence that bone density can be reduced in people taking SSRI’s for long periods of time. Following are additional details from the study:
I just read a press release entitled “Patients With Bipolar Disorder at Increased Risk for Wide Range of Health Problems.” The study, conducted Thomson Reuters, found that “patients with bipolar disorder were at greater risk for a wide range of medical conditions than a control group of patients with no mental health diagnoses.” I’m not surprised. I think two factors are at work here:
How do the results of this report stack up to your experience with bipolar? Other than seeing your psychiatrist for issues directed related to bipolar, do you feel that you tend to visit your doctor more often than the average person for other health-related issues? Do you attribute these other health related issues to bipolar or the medications you’re taking to treat bipolar? Do you find the results of the report surprising?
I have been diagnosed with Bipolar Disorder for 3 years. I spent one month and many drugs on a psych unit at the hospital where I was an RN on staff. After approximately one year, I got rid of oh so many drugs down to Lithium Carbonate and Ambien for sleep.
I was recently prescribed Lamictal and just started today. I’ve been online doing some research and noticed that a lot of people start off on 25 mg and slowly increase that dose. I currently started today on 100 mg. I’m supposed to take 100 mg a day for a week and then start on 200 mg next week. Is that too much too soon?
Syndicated from the Bipolar Blog
Sometimes, you may begin to wonder what’s worse—the depression and mania or the side effects from the medications used to control the depression and mania. In fact, one of the main reasons that people with bipolar disorder stop taking their medications is because they simply can no longer tolerate the negative side effects. And who can blame them? Nobody likes to gain 30 pounds, feel groggy all day, become forgetful, walk around feeling dizzy, shake, twitch, feel nauseous, or have an anxiety attack. Yet, all of these side effects and more are possible with one medication or another used to treat bipolar symptoms.
Many people who carry the bipolar diagnosis also carry something else – extra pounds – primarily due to the medications used to treat mania or depression. Atypical antipsychotics, including Zyprexa and Seroquel; anti-manics, including lithium and Depakote; and even some antidepressants have been known to pack on the pounds, despite a person’s best efforts to stay fit and trim.
“Do some medications used to treat bipolar disorder actually cause anxiety attacks as a side effect?”
Bipolar disorder can be and often is misdiagnosed as unipolar depression (see “52 Percent of Bipolar Patients Receiving Antidepressants as First-Line Treatment?“). This could be a very dangerous misdiagnosis, because many antidepressants used to treat depression can trigger (or “unmask”) mania, especially in people who really have Bipolar I. In other words, you could go into your doctor’s office feeling depressed and as a result of the anti-depressants experience a manic episode.