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By doctordan, on February 27th, 2008% One of the controversies in pharmacologic management has been the need to monitor EKGs in patients who are on antipsychotic medication. This was not much of an issue until Geodon was approved for treatment of schizophrenia a number of years ago. During the initial studies, it was noticed that there was an increased risk of . . . → Read More: EKG monitoring for patients on antipsychotics
By doctordan, on February 7th, 2008% Joanne writes in with a warning . . .
From The FDA Enforcement Report 1/30/08 PRODUCT Lithium Carbonate Extended Release Tablets, USP, 450 mg, 90 and100 count bottles, Rx only, NDC 0143-1277-01, Recall # D-085-2008 CODE 100 count bottle; Lot number 62395C, Exp. Date 3/2008, 90 count bottle; Lot number 62395B, Exp. Date 3/2008 . . . → Read More: A warning . . .
By doctordan, on February 2nd, 2008% I want to pass along a thank-you to all who have written in recently on the use of nutrition and life-style changes to address psychiatric issues (esp depression/anxiety/anger). I find myself a bit overwhelmed with the volume of information that is available out there. My intent is to critically look at as much of this . . . → Read More: Another turning point, a fork stuck in the road . . .
By doctordan, on January 15th, 2008% Laurie writes in with the following observation . . .
A few years ago, it would make me sad knowing I might be on anti-depressants and/or mood stabilizers for the rest of my life. (I have been diagnosed with major depression, but several psychiatrists, including my current one, have suspected bipolar II disorder.) Because . . . → Read More: Re-occuring depression . . . an attack of tachyphylaxis
By doctordan, on January 13th, 2008% I put the following up because of how many important messages it sends to me, to patients and to parents . . .
I was a patient of yours 5-6 years ago when I was between the ages of 14-16. I was quickly diagnosed with bipolar disorder and prescribed pills (first depakote then, after . . . → Read More: Bipolar Disorder in Adolescents–The good doctor was WRONG
By doctordan, on January 11th, 2008% Amber writes in to say . . .
I am 20 and have just recently been diagnosed with Bipolar Type II. Right away my doctor prescribed me Lamictal, in addition to my Welbutrin…then added lithium. It all just seems too much. I have been taking birth control for years now and I am afraid that . . . → Read More: Weight gain and Bipolar Medication
By doctordan, on November 27th, 2007% I still have a few connections at one of the local psych hospitals in my area, so I hear from time to time complaints and concerns from “the inside”. One of the big questions that comes up is why kids have access to their medicine and, oftentimes, are given complete control of their medicine. This . . . → Read More: Who holds the pills???
By doctordan, on October 10th, 2007% Very.
OK, I guess you want more than that for an explanation, right? This is an issue that comes up frequently. Since many of the medications that we use to treat other issues can potentially aggravate an underlying Bipolar Disorder, psychiatrists have been increasingly conservative in their prescribing and more aggressive in probing for latent . . . → Read More: Minimal Bipolarism–how cautious do you have to be?
By doctordan, on September 29th, 2007% I put the following comments in back to back for a reason. Read on . . .
K writes in to say . . . I find being on so many medications made everything worse- not all- but most. The side effects where at times unbearable. But when I was on so many…it made . . . → Read More: Doped Up On Too Many Medications???
By doctordan, on July 15th, 2007% Patricia writes in the following question:
I need advice on how to taper off of Lamictal. I am taking 100 mg a day. I would appreciate your thoughts on this.
Lamictal is an easy medication to get off of, as long as you don’t need it! Any time you stop a medication, you must . . . → Read More: Tapering Lamictal
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