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Circulan metoclopramida 400 mg /d (10-15 mg/kg) for 5 weeks maintenance therapy • Bipolar disorder: 1% bupropion (30 mg daily) or haloperidol (120 3 times/day) for 13 days • Other: Bipolar disorder: 1% bupropion (60 mg daily) or pindolol • Atypical antipsychotics can produce serious CNS side effects, including ataxia and seizures on long-term therapy. Other medications (for example, lithium, tricyclic antidepressants, lithium carbonate) and the concomitant use of psychotropic drugs such as clozapine or risperidone, can lead to serious cardiac toxicity leading hospitalization and even death. These drugs can cause significant weight gain, dehydration, high blood pressure, metabolic acidosis, arrhythmias, hypotension, hypokalemia and hyperkalemia leading to stroke. These effects tend be most harmful after the first 3-4 weeks of therapy and usually resolve with a reduction of medication dosages, in which case these side effects can return. Although a reduction in dosage reduces the severity of this complication, it may also be difficult to identify due the potential for increased dosage compliance. In this case, the dose reduction may have undesirable effect of reducing the quality therapy. If the combination of treatment has not provided adequate relief of bipolar symptoms, a mood stabilizer may be added. Although the effectiveness of mood stabilizers is well established, there are reports of adverse events that can accompany these treatment regimens that are similar to those described in the Table above. If you would like more information about mood stabilizers, you may like to read the FDA-approved Warnings and Precautions of Use Seroquel Quetiapine. If it has not been effective in the management of your bipolar disorder, it may be necessary to change your medication regimen. Before making any such change, however, it is important for you to consider the following: • It may be helpful to try an alternative medication • If your mood symptoms get worse, you should switch to an alternate antipsychotic • It may be difficult to find an alternative medication that does not cause weight gain • If you decide to decrease your antimanic medication, you may consider doing so gradually, because weight reduction may continue to worsen the symptoms of your bipolar online pharmacy degree texas disorder. It is also important for you to discuss any new symptoms of your bipolar disorder, to evaluate the appropriateness of treatment regimen, and to discuss how you can prevent complications from using your new medication. If you have had a cardiac event, it is not unusual to take a medication regimen even though you are feeling well. Some cardiac side effects may be prevented by the use of antimanic or anticonvulsant medications, especially if the event occurred after use of the antimanic or anticonvulsant medications, and by reducing the dose gradually. The effects of antimanic and anticonvulsant medications on the heart are generally same. Some, though not all, of the cardiologist-assessed symptoms depression may be attributable to antimanic or anticonvulsant medication (e.e., agitation palpitations), and these should be evaluated by the physician when using an increase Acyclovir 200mg $135.07 - $0.5 Per pill or decrease in medication. Antipsychotic-Antidepressant Medication Dosage Recommendations • Antipsychotic drugs: • Trazodone: 25 or 50 mg orally sublingually (oral): 0.25 or 0.5 mg every 1 - 4 hours; or • Divalproex 50 mg orally: 0.4 every 6 - 8 hours • Seroquel tablets: 1.5 - 10 mg orally (or sublingually) or 0.3 - 4 mg every to 6 hours: 0.5 - 10 mg every 6 12 hours • Dose adjustments of up to 30% the original daily dose may be necessary, due to tolerance, when patients begin therapy with antipsychotic drugs. • Ativan tablets: 5 or 10 mg orally sublingually: 0.5 - 5 mg every 4 to 6 hours • Quetiapine tablets: 25 mg orally or sublingually: 1 - 4 mg every 8 12 hours at 0.15 to 0.2 mg/kg/hour (0.35 0.4 mg/lb. per kg/hr) • Bupropion/Wellbutrin tablets: 2 mg orally : 0.025 every 8 - 12 hours • Risperdal: 15 mg orally or sublingually 0.05 - 0.1 mg/kg/day: 0.5 5 mg every 12 hours

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