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I've been experiencing hypomanic symptoms for the last 4 days, including more energy than usual, not being sleep, more fidgeting and doodling, high mood. I like it, but not sure if it's medication induced. I take celexa 20mg in am and lamictal 200mg at night and 75mg of nortriptyline also. I take ambien for sleep every night. Please let me know what you think.

Category: Psychiatrist

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Thanks for posting your query at
I have gone through your question in detail and I can understand what you are going through.
Celexa and Nortriptyline are good antidepressants but have a risk of switching if you have a tendency of being bipolar and same it seems has happened here. It would be advisable to meet your doctor and get him infomred. You need to come off both these antidepressant and start with a mood stabilizer like divalproex sodium or lithium. This will take care of your hypomania and further depression as well.
You may continue taking ambien at present as it will not interfere with your mood.
If you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy MD

Patient replied :

I'm in the middle of switching doctors and my next appointment is in 2 weeks.

Thank you for your follow up.
Kindly discuss about using Lithium or Divalproex as I mentioned once you meet your doctor.
You can update me after that.
This consult will be open.

Dr. Srikanth Reddy
Category: Sexologist
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
Dr. Srikanth Reddy and 4 other Medical Specialists are ready to help you

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