Resolved question:
I believe I was overmedicated with Saphris and I have experienced a flatness, a numbness emotionally for just over a year now since discontinuing that drug. I am wondering what I can do to make things better for myself. I am now taking lithium, lyrica and zyprexa. It was suggested to me by one doctor that ideally I should discontinue the zyprexa but the psychiatrist I see is afraid that that will result in a relapse or a partial relapse of my bipolar condition. Could you suggest anything I could do for myself to help myself and alleviate this dreadful ongoing situation? Thank you. It is reaching crisis stage with me at the moment so please keep that in mind and allow even a radical recommendation - it really does call for a radical proactive response.
Submitted:
4 Days
Category:
Psychiatrist
Hello,
Thanks for posting your query at DoctorSpring.com
I have gone through your question in detail and I can understand what you are going through.
If you are having a flatness and emotional numbness in an ongoing illness of bipolar mood disorder, it may suggest that you are having a depressive or a mixed phase as of now. This will require proper treatment with mood stabilizers like divalproex sodium or oxcarbamazepine. This will help in redcing the symptoms of depression or mixed epsiode.
Now that the episode has lasted this long and as you are open for the readical type of treatments, even electro convulsive therapy can be useful in this regard. Its a safe proceudre where in brief electrical currents are passed from end of the brain to the other while the patient is in anesthesia. Its very effective for bipolar mood diosrder and I have been routinely using it for resistant cases.
You may discuss these options of mood stablizers and elecetro convulsive therapy with your doctor.
Hope this helps,
In case if you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy
Thank you. I may discuss the idea of changing my mood stabilizer with my doctors as it might be of help. What would be the main side effects of ECT? Do you think slowly and safely coming off the medication might bring joy back into my life?
Hello
Discontinuing the medicines should not be the right option. Regarding the ECT, its quite safe and the only major side effect is memory impairment for 6weeks. This recovers by self.
Do discuss with your psychiatrist regarding the change of mood stabilizers.
Kind regards
Dr. Srikanth Reddy MD