Medications Approved by the FDA for Bipolar Disorder

1 MedicationBrand NameCommon side effectsMay interact withAripiprazoleAbilify InsomniaNauseaRestlessnessTirednessAntid epressants such as Prozac or PaxilMood stabilizers such as Equetro or TegretolAsenapineSaphris SleepinessDizzinessStrange sense of tasteNumbing of the mouthNauseaIncreased appetiteFeeling tiredWeight gainAntihypertensive medicationsAntidepressantsAnxiety medicationsCarbamazepine extended release capsulesEquetro DizzinessDrowsinessNauseaDry mouthBlurred visionDecreased white blood cell countCan rarely cause severe skin rashesBirth control pills (can make them ineffective)

2 Mood stabilizers such as Lithium, Lamictal, or DepakoteAnticonvulsant medicationsAnxiety medicationsMacrolide antibioticsTricyclic antidepressantsCancer medicationsHIV/AIDS medicationsCytotoxic or immunosuppressive MedicationsGrapefruit juiceCariprazineVraylar Muscle stiffnessIndigestionVomitingSleepinessRe stlessnessAntidepressantsPain medicationsAnxiety Medications Mood stabilizers such as LithiumAnticonvulsants such as LamictalAntipsychotics such as Latuda or SeroquelDivalproex SodiumDepakote NauseaShakingWeight gainDecrease in blood plateletsRashPancreatitisLiver

3 Dysfunction (rare)Polycystic Ovary Syndrome (rare)Aspirin or other blood thinning medicationsMood stabilizers such as Equetro,Tegretol, or LamictalBarbituratesCyclosporine (Neoral or Sandimmune)Fluoxetine + OlanzapineSymbyax DizzinessDrowsinessDehydrationHeadacheNa useaSweatingMAOI antidepressantsAntipsychotics such as MellarilPain medicationsSleep medicationsBlood pressure or heart medicationsAnticonvulsantsHerbal supplementsAlcoholLamotrigineLamictal SleepinessBlurred visionSensitivity to sunlightHeadacheNauseaCan rarely cause severe skin stabilizers such as Depakote,Equetro, or TegretolAntibiotics such as Bactrim, Septra.

4 Or ProloprimAnticonvulsantsBirth control pillsBarbituratesMedications Approved by the FDA for Bipolar DisorderMedicationBrand NameCommon side effectsMay interact withLithium carbonateLithionate Lithotabs Lithobid Eskalith ShakingNauseaIncreased thirst/Dry mouthFrequent urinationDiarrheaFatigue/Dull feelingLowered thyroid activityWeight gainKidney troubleAvoid sweating too muchor getting dehydrated,which can make your bloodlithium levels control pillsAntidepressantsPain medicationsAnxiety medicationsCaeineMood stabilizers such as Equetro orTegretolAnticonvulsants such as DilantinAntibacterial Medications such asFlagylIodineHeart, blood pressure.

5 Or diureticmedicationsOlanzapineZyprexa DrowsinessDry mouthShakingIncreased appetiteWeight gainAnxiety medicationsSleep medicationsQuetiapine fumarateSeroquel Weight gainDry mouthConstipationStiness/RestlessnessSha kingSedationLow blood pressureBarbituratesAntibiotic or antifungal medicationsAnxiety medicationsStomach Medications such as TagametSteroid medicationsAlcoholRisperidoneRisperdal Weight gainSedationIncreased salivaStiness/RestlessnessShakingLow blood pressureBlood pressure or heart medicationsAntipsychoticsAnxiety medicationsParkinson medicationsZiprasidoneGeodon Stiness/RestlessnessNausea/DizzinessInso mniaTirednessCoughUpset stomachShakingRashTell your doctor if you have ever had heart problems.

6 Contact your doctor or an emergency room immediately if you faint or feel a change in your and blood pressure MedicationsCytotoxic or immunosuppressiveMedicationsAnticonvulsa ntsAnxiety or sleep medicationsParkinson medicationsAntibiotic or antibacterial MedicationsAntipsychoticsMedications used after surgeryMalaria medicationsMood stabilizersMAOI antidepressantsMedications Approved by the FDA for Bipolar Disorder (continued)Medication ClassMedicationBrand NameCommon side effectsMay interact withSelective serotonin reuptake inhibitors (SSRI)CitalopramEscitalopramFluvoxamineP aroxetineFluoxetineSertraline Vilazodone HCIC elexa Lexapro Luvox Paxil Prozac Zoloft Vibryd NauseaInsomniaSleepinessAgitationSexual dysfunctionMAOI antidepressantsTricyclic antidepressantsAlcoholAnxiety medicationsBlood thinning medicationsAnticonvulsantsHeart medicationsNorepinephrine and dopamine reuptake inhibitors (NDRI)

7 BupropionWellbutrin AgitationInsomniaAnxietyDry mouthHeadacheSeizures are a danger when there are specific risk factors such as previous seizures, heart trauma, eating disorders, or abrupt stopping of alcohol, anxiety Medications , or sleep antidepressantsTricyclic antidepressantsAnxiety medicationsSteroid medicationsAnticonvulsantsAlcoholDiabete s medicationsSerotonin antagonist and reuptake inhibitor(SARI)TrazodoneNefazodone*Desyr el Nausea DizzinessSleepinessDry mouthConstipationWeight gainNefazodone can rarely cause serious liver Medications such as BuSpar or AtivanMAOI antidepressantsHeart Medications such as Lanoxin or DigitekSleep medicationsSerotonin and norepinephrine reuptake inhibitor (SNRI)

8 VenlafaxineDuloxetine LevomilnacipranEffexor Cymbalta Fetzima AnxietyNauseaDizzinessSleepinessSexual dysfunctionWithdrawal symptoms when stopped abruptlyMAOI antidepressantsStomach Medications such as TagametNoradnergic and specific serotonergic antidepressant (NaSSA)MirtazapineRemeron SleepinessIncreased appetiteWeight gainDizzinessDry mouthConstipationMAOI antidepressantsAlcoholAnxiety medicationsTricyclic (TCA), TetracyclicClomipramineAmitriptylineDesi pramineNortriptylineTrimipramineImiprami neProtriptylineAmoxapineMaprotilineAnafr anil Elavil Norpramin Pamelor Surmontil Tofranil Vivactil Asendin Ludiomil SleepinessNervousnessDizzinessDry mouthConstipationUrinary retentionIncreased appetiteWeight gainLow blood pressureSexual dysfunctionMay be toxic if levels in blood get too highAlcoholSleep medicationsAllergy medicationsCold medicationsPain medicationsHeart medicationsAnxiety medicationsBirth control pillsAnticonvulsantsSpasm or cramp

9 MedicationsMonoamine oxidase inhibitor (MAOI)PhenelzineTranylcypromineIsocarbox azidSelegelineNardil Parnate Marplan EmsamDizzinessDry mouthUrinary retentionSleep problemsLow blood pressureWeight gainSexual dysfunctionCan cause dangerously high blood pressure if taken with the wrong interaction with some prescribed and over-the-countermedications including pain or cold medicationsFoods containing tyramine, such as some cheeses, meats, or beansCaffeineAlcoholMedications Approved by the FDA for Treatment of Depression(but not specifically for Bipolar Disorder )

10 MedicationBrand NameCommon side effectsMay interact withCarbamazepineEquetro Tegretol Tegretol-XR Epitol Carbatrol Blurred visionDizzinessDry mouthDrowsinessNauseaDecreased white blood cellcountShakingIf rash occurs, contact your doctor control pills (can make them ineffective)Mood stabilizers such as Lithium,Depakote, or LamictalTricyclic antidepressantsOther anticonvulsantsMacrolide antibioticsAnxiety medicationsCancer medicationsHIV/AIDS medicationsCytotoxic or immunosuppressiveMedicationsGrapefruit juiceOxcarbazepineTrileptal Blurred visionDizzinessDry mouthSedationUpset stomachDrowsinessUnsteadinessDrugs that interact with carbamazepine(see above)Birth control pills (can make them ineffective)