I have bipolar disorder with more depressive episodes than hypomanic please help
hello welcome to icliniq com yes bipolar depression is difficult to treat and it can be persistent many people do respond to a combination of lamotrigine and quetiapine popularly called as lami quel it takes time to act but it is highly effective currently I would suggest that instead of lithium you use lamotrigine 25 my then 50 my and finally 100 my dose titration is every two to three weeks instead of olanzapine I would replace it with quetiapine 50 to 100 my for start and raise if needed based on the sedation also continue escitalopram if needed or replace it with a tea tricyclic antidepressant class of antidepressants and yes do add bupropion wellbutrin also you can consider doing a few sessions of rims repetitive transcranial magnetic stimulation if possible
hello doctor I have bipolar disorder I and diagnosed with social and generalized anxiety disorders currently my medication fails to uplift my depression I take lithium 3x450 my olanzapine my escitalopram 20 my previously I tried valproic acid carbamazepine topiramate zoloft prozac clonazepam tranxene rudotel and lexotanil I experience more depressive episodes than hypomanic and I cannot take lithium anymore due to kidney damage done what are my treatment options we are considering changing to lamictal and a small dose of wellbutrin what do you think about this