Tips On Managing Bipolar Medication Side Effects
73
Learn To Work With Side Effects
I don't know what is worse, mania or depression. Not to mention side effects from the combination of medications. Trying to explain this to your psychiatrist can be a daunting task. I want to quit taking the meds because they make me tired, and I hate being tired all the time. But if I stop taking all meds I am wandering down the wrong road. I have gained weight that is impossible to drop. It is like there is a built in secret ingredient that interferes with your metabolism so you cannot lose weight. I mean it is not my number one annoyance. Feeling dizzy and off balance bother me much more. I sometimes feel like a freak. And often wonder if I look like one as well.
There is not a whole lot you can do to make side affects go away. You learn to work with them somehow, and hope eventually they will subside. I always complain to my doctor about the side affects, just so he knows I am having them and dealing with them as best I can. He will then order some other blood tests just to make sure it is the meds and not something else. That is one thing I like about Doctor GetWellington. Always on top of things.
If you are just starting out, and are new to taking meds, ask your doctor what the medication is for and what to expect from it. When I have med changes I usually get print-outs and a sheet to sign that I understand the medication I am being prescribed. I make it a point to find out how the medication is going to effect me, if at all. Your doctor should give you the insight you need, but you must ask for it. Or you may be wandering around in the dark.
Usually your doctor will titrate your medications up slowly. So your body will get used to the medication gradually. If you are not comfortable with high doses , titrating is an excellent way to start any new medication. If for example you get sick right from the get go, you might not be able to tolerate the medication at all. Usually your doctor will expect you to give a new medication a little time, with the hopes that the side effects will vanish as your body gets use to the new drug.
One huge thing I have learned about medications is the times I take them. If you are on something like say Seroquel, and it makes you sleepy. The best time to take it, would be at bedtime. Unless you like being a zombie all day. Find out how your body reacts and follow through with when the best times are to take your medications. Some medications make you restless at night, so you definitely do not want to take them at bedtime. Your doctor should want to work with you on this. It is crucial you have a set schedule to take your meds. Otherwise you are a medicated mess.
It is also important you let your doctor know if you think you are taking to much. Your doctor may reduce the dose you are taking. That may take care of some of the side effects you are experiencing. But may also may trigger an episode because you do not have enough medication in your body. So it is something to talk over with your doctor. On some occasions your doctor may prescribe something to counteract the side effects you are having. I personally do not like this route. It just adds one more medication I do not want to take. So I shoot for less or making a change.
Many medications have a tendency to give you dry mouth, or make you so thirsty you need to strap a water bottle to your waist. Drugs like Lithium and Depakote are popular for this side effect. Carrying a bottle of water with you at all times will help. I have forgotten my water on occasion and ended up trying to carry on a conversation while my tongue was bone dry and my lips were sticking together. I know others who like chewing gum or sugar-free candy. But I do not like either of those options, but go for what makes you feel better. My dentist recommended a mouthwash specifically targeting dry mouth. That is something you can look for as well.
Always have your doctor's number where you can find it. If for some reason you are experiencing some really bad side effects your first line of defense should be making a call. The doctor or staff will direct you, if it is something serious you should go to the nearest emergency room. Better safe than sorry. I have experienced Lithium toxicity on more than one occasion. And had to go to the emergency room. Any side effect you believe is interfering with your life, is serious. Things like fainting, severe heart palpitations, seizures, suicidal thinking are more serious side effects that should be dealt with immediately.
Check Out These Latest Hubs
- Teach Your Cat To Play Fetch-In Six Easy Steps
Pooped out from playing... Believe it or not, you can teach your cat to play fetch. It's not a game reserved just for dogs. Cats are actually pretty intelligent animals, and as you may know cats have their... - Winter Safety Tips: Facing Winter Head-On
When winter arrives we sometimes are not fully ready for it. We are unprepared for what winter imparts on us. Winter is a season unlike Summer, you have to take winter head-on. With some winter safety tips you... - LG Cosmos Cell Phone With Slide Out Qwerty Keyboard Review
For free you can't go wrong, a useful, well suited cell phone I recently received my free LG Cosmos Cell Phone from Verizon Wireless and must say I am extremely satisfied with it. I cannot praise it enough. ...
CommentsLoading...
I think the years of juggling and trial and error with meds is the most frustrating thing about bipolar, or any other mental illness that needs meds. This is very good information crazybeanrider. Good job.
Hi DzyMsLizzy-Thank you for understanding. It does help if you exercise and eat right, it just generally makes you feel better, so it is hard to go wrong there. I hope the Effexor helps your daughter, many people I know use it successfully.
Hi lovaza- It is awesome you can deal with your bipolar without meds. I unfortunately cannot. I have tried unsuccessfully many times. I can't tell you how many times I have been in the hospital. I tend to have psychotic features mixed into my mania and depression. I could never quite do it alone. I applaud you :)
I tried 13 medications over the years and come to find out that the side effects I experienced worsen my bipolar disorder, either I was too sedated or get panic attacks. It's not easy to find the correct medication for long-term treatment. So now I'm meds free; I exercise, eat right and have an overall attitude that I needed to culitivate to get through the mood swings, come what may, and realize that it's okay to experience the mood swings as long as I recognize the symptoms and knowing how to manage them.
I imagine this must be a very rough ride on a rougher road for you. Not having been in your shoes, I can sympathize, but not empathize. However, my daughter struggles with some depression, and her doctor has her on Effexir (spelling?).
She notices that if she forgets her meds for even a day, she feels very out-of-sorts. Excercise helps her, as well, and she tries to hit the gym at least 4 or 5 days out of the week.
I think it is very courageous and generous of you to share your experiences in this forum. I salute you.
cathylynn-I initially gained weight taking Remeron for sleep. Then Seroquel. I just am not successful at getting more than 5 pounds of. I have changed my eating habits in a huge way. I was walking and riding my bike, but winter is here so I have slowed on exercise. I have a trampoline that I hope works well for me. I will check your article out :)
if you're on a newer antipsychotic and not still gaining weight, that's an accomplishment. i'm on an antipsychotic and lost all my excess weight (60#) by counting calories. you do have to measure stuff, because it's too hard to estimate correctly. i have a hub on how to effectively count calories called "sure fire weight loss on the cheap."
sorry metformin didn't work for you. in most folks it's more effective than lifestyle changes.
Minnetonka-As always your comments are greatly appreciated. Your understanding is open and insightful. Thank you.
cathylynn-I took Metformin for a year with no results. Made dietary, and exercise changes with little success. I could never lose what I gained. A pound here and there. I went through a nutritional/exercise 6 month program diligently and lost only 4-5 pounds of the 20 or so I gained. I need the antipsychotic I take, so I continue to try and lose the weight. Perhaps one day my metabolism will kick in and I will shed what I have gained. Thank you for your input. It is appreciated.
fucsia-Side effects can be vicious. We either need to adapt to them or continue to find a drug that is less bothersome. Thank you for commenting, I am glad my hub may be useful.
Your Hub is surely useful to who takes your same medications, but is useful to all, to understand that when we take meds, we must always know their side effect, the interactions, the risks, as well as the benefit. Thanks for sharing!
metformin and lifestyle changes have been shown effective for weight gain associated with newer antipsychotics, which promote weight gain by increasing hunger. (study published by JAMA, Jan. 9, 2008)
Thank You for always using your experiences with bi-polar and medications to help others. You are really good and clear at giving out information. You will help so many people that are new at this.
crazybeanrider Hub Author 12 months ago
The med merry go round is awfully exhausting to say the least...Thank you lamservant...