Bipolar disorder needs maintenance treatment even during times of remission. Medications are vital to the treatment of this illness. Your health care professional will work with you to find a regimen that works for you. This means dealing with side effects of the medications.
Mood stabilizers help regulate and stabilize bipolar mood swings. Lithium, as a mood stabilizer, is a preferred medication as a first line treatment for manic episodes. Mood stabilizers likely need to be taken for the rest of your life. You will become able to accept mild side effects or they may disappear completely as your body adjusts to the medication. Confusion, inability to remember, fainting, irregularities in heartbeat, frequent urination, increased thirst, stiffness in arms and legs, difficulty breathing, unusual tiredness or weakness, or weight gain are all effects requiring doctor notification so he can decide whether to adjust the dose or change your medication.
Anti-seizure medications have advantages for people with rapid cycling bipolar disorder. These medications also have side effects that you will have to accept or overcome. Blurry vision or changes in vision, clumsiness or unsteadiness, double vision, poor coordination, skin rash, anxiety, chest pain, confusion, depression, increase in seizures, infection, and irritability should all be reported to your doctor for his consideration and recommendations.
Antidepressants, although once commonly used, are now controversial. They may not be used in your treatment, depending on your situation. Certain antipsychotic medications have taken their place, such as Zyprexa and Risperdal. These medications may help people who don’t benefit from anti-seizure medications. Seroquel has been approved to treat both the manic and depressive episodes.
Numerous medications are available to treat bipolar disorder. If one is causing you problems, your doctor may prescribe another or combine more than one kind of medication. It often takes several weeks after starting a medication to notice improvement. Talk with your doctor about monitoring you for increased risk of diabetes, obesity, and high blood pressure.