How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Kaushik Your Own Question

Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4056
Experience:  MD Psychiatry
9385906
Type Your Mental Health Question Here...
Dr. Kaushik is online now
A new question is answered every 9 seconds

I have bipolar disorder (on lamictal and zoloft and take dalmane

Customer Question

I have bipolar disorder (on lamictal and zoloft and take dalmane occasionally for sleep). I have taken many different meds over the years but am still having issues with depression. My doc prescribed cytomel because my t3 was slightly low. I didn't really get any help from 25 mcg so went up to 50 mcg a couple weeks ago. I have started expreiencing extreme fatigue and muscle weakness. I haven't read that these are side effects of cytomel. Any suggestions?
Submitted: 5 years ago.
Category: Mental Health
Expert:  Ralph LMHC replied 5 years ago.

I am not a physician, but a Licensed Mental Health Counselor. That being said, Cytomel is a thyroid medication and that is why it was given. Usual side effects are the opposite, speeding up, rapid heart beat and the like. However fatigue is one of the rarer, but sometimes observed side effects. This type of side effect is called paradoxical as it is just the opposite of what you would expect. I suggest that you contact your doctor and let him/her know what you are experienceing You should also be aware that your pharmacist is a resource when it comes to medications, may I suggest that you conyact him/her. Get the information for patient insert that comes with the med. If you feel this information has been of help please press the green button which informs me of that and also allows me to be paid. Feed back is always appreciated.

Sincerely,

Ralph LMHC

Customer: replied 5 years ago.
I guess I thought there were psychiatrists on this site. I see my doc when I can, but because he is the only doc at our mental health center it is really hard to get in to see him.
Expert:  Ralph LMHC replied 5 years ago.

I wanted to share with you that my experience with patients on buspar, especially low doses has been not very effective.

Sincerely,

Ralph LMHC

Customer: replied 5 years ago.
Thank you for your help, but I don't feel that your answer helped me any.
Expert:  Dr. Kaushik replied 5 years ago.

Hi there ,

 

Welcome to Just answer !

 

Since you have opted out of the previous expert , so i shall be fielding you question.

 

Well, the symptoms such as exreme fatigue and muscle weakness that you are experiencing right now are not related to the use Cytomel , but on the contrary these symptoms are the symptoms of your depression which seems to be not under control. So, i would suggest that you ask your doctor to revise the dose of zoloft ( sertraline ) and also lamictal , plus you may discuss with him to add Trazodone ( atypical anti depressant ) to your regime , at bedtime only dose , so this drug wil accentuate the over all anti depressnat effect of zoloft plus trazdodone has a sedative action which will help you to sleep better.

 

As far as buspar is concerned you may add it , as being an anti anxiety drug it will assist the zoloft in relieving your depression , plus it will also keep your calm and anxiety free.

 

So, i would summarize by saying that , you continue on cytomel , and get the doses of Zoloft and lamictal revised ( increased ) and discuss with your doctor to add Trazodone ( at night only ) and buspar .

 

I hope this helps..

 

I wish you rapid recovery to the best of health . Take care..

 

Please press the ACCEPT button if you are satisfied with the answer as only then will i be credited for my service.

 

Regards...

Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4056
Experience: MD Psychiatry
Dr. Kaushik and other Mental Health Specialists are ready to help you
Customer: replied 5 years ago.
The thing is I have been on the lamictal and zoloft for a long time, and have never had this extreme fatigue problem. It started after increasing the dose of Cytomel. I know that my depression and anxiety are not under control though, and I'll see what my doc says about the trazodone.
Expert:  Dr. Kaushik replied 5 years ago.
Thank you . Well you kindly do that .

Regards...

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 

Related Mental Health Questions

Chat Now With A Mental Health Professional
Dr. Kaushik
Dr. Kaushik
Mental Health Professional
4056 Satisfied Customers
MD Psychiatry