Hi, My sister in law who is aged 36 years is suffering from Bipolar Disorder. She is under following medication from last 1.5 years: Clonotril 1 mg, Tolaz 5 mg, Parkin 4 mg, Nexito 5 mg all the tablets consumed each every day. At times her face becomes swollen and during that time, she says that is afraid that she is going to die and she loses her self control. Her BP shoots up high. Kindly advise if the medications are under the right directions. Should there be increase or decrease/change of medications? Regards, Thamayanthi R
Hi, It is not in your sister in laws best interest in physicians on this network to determine the validity of any treatment which has already been advised by another physician from whom she currently receives treatment.  It is, however, within the bounds of our knowledge base to tell you that it would be perfectly reasonable for you to encourage your sister-in-law to be honest with her treating physician and relate the side effects you mention (now or at the next visit) so that the physician involved can determine the validity of the medication regimen, the dosages, and the possibility of substitutions or other changes for her to feel better. This is the best course of action your sister-in-law could take for herself. Hope I have answered your query. Let me know if I can assist you further.