I have come to realize that I won’t be recovering from BD, rather that I will be living with it instead. I will be on medication for life, so I’d better get used to it:
- Paliperidone 100 mg / month
- Lithium 800 mg / day
- Sertraline 100 mg / day
IMHO the most important thing is to learn to accept all of this. Bear in mind that there are side-effects. And to start with I wasn’t on any sertraline at all so was suffering with symptoms of depression. Having finally settled on 100 mg as the right dose (150 mg leads to symptoms of mania), I am optimistic that I can live my life on this combination of dosages.
For the record:
- Paliperidone is an anti-psychotic
- Lithium is a mood-stabiliser
- Sertraline is an anti-depressant
It took years of repeated hospital admissions before they settled on paliperidone. The ones they tried were:
- Olanzapine (depressant)
- Quetiapine (sedative)
- Depixol (agitative)
Both depixol and paliperidone were / are administered monthly by injection because they don’t trust me taking oral medication. To be fair I did have a spell of coming off medication altogether which rapidly resulted in another hospital admission.