Urology

Have Urology Questions? Ask a Urologist Online.

Ask a Doctor,
Get an Answer ASAP!

I have a ileostomy. And my depakote sprinkles level keep…

Customer Question
I have a ileostomy. And...
I have a ileostomy. And my depakote sprinkles level keep registering low in my system and blood work. Do you think I'm absorbing it. What other mood stabilizer would be okay and absorb with ileostomy I have bipolar and physcioaffective
Submitted: 9 months ago.Category: Urology
Show More
Show Less
Ask Your Own Urology Question
Answered in 44 minutes by:
9/10/2017
Urologist: Dr Subbanna MD, Neurologist (MD) replied 9 months ago
Dr Subbanna MD
Dr Subbanna MD, Neurologist (MD)
Category: Urology
Satisfied Customers: 6,250
Experience: American Board Certified Neurologist, Internal Medicine
Verified

Hi, I am an American Board Certified Neurologist with vast experience in diagnosing & treating all neurological as well as all other health/medical conditions, and I am very glad to help you with your health concerns.

I see you have ileostomy and you are also taking Depakote sprinkles but sadly not able to maintain adequate blood level of this medication. As a neurologist I frequently prescribe mood stabilizer medications including Depakote & various other meds for this purpose and I can certainly help you in this regard.

I am currently preparing & typing my answer and I will post my answer here as soon as it is ready.

Best Regards!

Dr Subbanna MD

Ask Your Own Urology Question
Urologist: Dr Subbanna MD, Neurologist (MD) replied 9 months ago

I am almost done with my typing I will follow up with you very soon.

Best Regards!

Ask Your Own Urology Question
Urologist: Dr Subbanna MD, Neurologist (MD) replied 9 months ago

Please see it is possible the ileostomy has something to do with adequate absorption of Depakote from the gastrointestinal tract

Depakote is a medication which gets absorbed through various portions of the intestine including the lower or distal small intestine too (the ileum), but since you have ileostomy so it is possible there is reduced absorption of Depakote in to your body

This is how this situation can be managed so that you get sufficient mood stabilizer medication in to your blood;

1) One option for you is to increase the daily dose of Depakote further – currently, as per your another question at this site - you seem to be on 125 mg 2 capsules two times per day, which is equal to 250 mg twice daily = 250 mg twice daily = 500 mg per day

Please see 500 mg per day of Depakote for an adult is just the beginning dose, and many patients require larger doses, so one option for you is to try to increase the dose and repeat the blood level after that. And this may help in achieving good Depakote level in the blood. The maximum dose one may try with Depakote is about 3600 mg/day (total daily dose), I am not telling you will require this high dose, but there are some patients who require larger doses to reach sufficient blood level, and as you see you are on small or beginning dose for this medication and there is enough room with the dose for this medication, so this is one option to consider gradually optimise the dose further until the blood level is therapeutic and also you see improve with your symptoms.

2) Another option is to try another mood stabilizer medication which is not much dependent upon the ileum part of the intestine for its absorption. An example of mood stabilizer that is not much dependent upon ileum is Lamotrigine. It is mostly absorbed from the stomach and proximal intestine and not much is absorbed through the lower or distal small intestine like ileum

So if you try lamotrigine then you may absorb sufficient amount of mood stabilizer medication in to the body

So the above are some of the solutions to your situation, and one of the above mentioned approaches can help you in getting sufficient amount of mood stabilizer medication in to your body so that you can enjoy superior control of your symptoms and enjoy superior quality of life.

Wishing you the best health!

All the very best!

Please let me know if you have any additional questions or if you want to discuss this further.

Assuring you the best services!

Best Regards!

Dr Subbanna MD

Ask Your Own Urology Question
Urologist: Dr Subbanna MD, Neurologist (MD) replied 9 months ago

Hi, please not to lose hopes, it is certainly possible to make sufficient concentration of mood stabilizer medication to reach the blood - as discussed earlier above.

Do you have any additional questions? Do you want to discuss this further? Please let me know and I am available here.

Best Regards!

Ask Your Own Urology Question
Urologist: Dr Subbanna MD, Neurologist (MD) replied 9 months ago

Hi, Do you have any additional questions? Do you want to discuss this further? Please let me know and I am available here.

And please take a moment and kindly click a positive rating (preferably 5 Star/Excellent) to credit for the time & effort put by me in answering your health question, and this is the only way I will be credited for my service to you. If you have follow-up or additional questions you can ask them after the rating too!

Assuring you the best services!

Thanks & Best Regards!

Ask Your Own Urology Question
Was this answer helpful?
Ask Dr Subbanna MD Your Own Question
Dr Subbanna MD
Dr Subbanna MD
Dr Subbanna MD, Neurologist (MD)
Category: Urology
Satisfied Customers: 6,250
6,250 Satisfied Customers
Experience: American Board Certified Neurologist, Internal Medicine

Dr Subbanna MD is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Dr. Y.

Dr. Y.

Urologist

20,154 satisfied customers

I am fellowship trained specializing in general urology and reconstructive urology.

Dr. Tharun

Dr. Tharun

Urology Resident

1,424 satisfied customers

MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.

Dr Josh

Dr Josh

Physician

309 satisfied customers

General Physician, PGCSD

Ross

Ross

Urologist

144 satisfied customers

urologist

Dr. B

Dr. B

Urologist

62 satisfied customers

Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

< Previous | Next >

Related Urology Questions
I had systiscooy and dilation three times in the last 4 yrs
I had systiscooy and dilation three times in the last 4 yrs i just had one last week Any danger in removing catheter will i be needing another dilation within one month or at least 1 year ??? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,901 satisfied customers
I have type 2 diabetes. I have been having what I thought
I have type 2 diabetes. I have been having what I thought was a yeast infection. But I now think it discharge may be coming for my bladder. White discharge that is extremely itchy. … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,798 satisfied customers
I already contacted you. I need a urologist in my area. Pain
I already contacted you. I need a urologist in my area. … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
2,053 satisfied customers
My partner is 59 yrs old and considering....circumcision
my partner is 59 yrs old and considering....circumcision wanted to research it for him...any advise pro's and con's? … read more
Dr. Chip
Dr. Chip
M.D.
13,074 satisfied customers
What are the general body-behavioral symptoms associated
What are the general body-behavioral symptoms associated with advanced kidney function decline associated with increasingly marginal cretanin values … read more
Dr. Jon
Dr. Jon
Attending Physician
MD
226 satisfied customers
I have stage 3 dropped bladder and I'm having surgery June
I have stage 3 dropped bladder and I'm having surgery June 25. Should I change my diet in what to eat 7 days before I eat a lot of Surgery foods and high saturated fatty foods. My Dr told me on Sunday… read more
Dr. RK
Dr. RK
Physician
Doctoral Degree
2,537 satisfied customers
My husband had a UA done, came back positive for blood and
My husband had a UA done, came back positive for blood and his RBC count was 5-10, WBC was 0-2. He had 3weeks of off and on red urine due to blood and blood in his semen a year and a half ago and the … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,901 satisfied customers
Red urine..no medication
quick question JA: What are your symptoms? Have you used any medication for this? Customer: Red urine..no medication JA: Have you seen a doctor about the redness? Customer: no JA: Anything else in you… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
I have prolapse and incontinence. I was told a pessary might
I have prolapse and incontinence. I was told a pessary might help me? Can you help?? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,901 satisfied customers
Y. I'm 59 years old. and I pi all the time at least every 2
Hello Dr.Y. I'm 59 years old. and I pi all the time at least every 2 hours And when I pi it feels like a small Orgasm it wakes me up at night is their any thing I can do to slow down The urgencies wha… read more
Dr. RK
Dr. RK
Physician
Doctoral Degree
2,537 satisfied customers
My mother is 75 with a lot of health issues. She recently
My mother is 75 with a lot of health issues. She recently had an ulcer which she was treated for. A week after she was diagnosed with the ulcer she went back to her pcp with burning and hurting during… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
I have had kidney stones but recently my urine is in the am
I have had kidney stones but recently my urine is brown in the am and sometimes throughout the day but it has such a bad oder I want to get sick. Is this the sign of more stones. … read more
Dr Josh
Dr Josh
Physician
B.A.M.S.
309 satisfied customers
Why can a test for a UTI show an infection and it's culture
Why can a test for a UTI show an infection and it's culture does not? … read more
Dr. Greg
Dr. Greg
Residency
450 satisfied customers
My mom who is 85 with dementia has severe bladder infections
My mom who is 85 with dementia has severe bladder infections every month. She has trouble swallowing but the dr gave her hugh baktim pills. Theres no way she can take them … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
8,356 satisfied customers
I have a bacteria not identified that symptoms frequency
I have a bacteria not identified that symptoms frequency fever kidney lower back pain dizzy vomiting etc. The bacteria is killed by cipro and macrodantin . Looking at both drugs what is the bacteria t… read more
Dr. Jon
Dr. Jon
Attending Physician
MD
226 satisfied customers
I want to know about the health conditions this product is
I want to know about the health conditions this product is prescribed for? Is it used for STD? If so what STD specifically … read more
Dr. A
Dr. A
Medical Degree
745 satisfied customers
Following a prostate biopsy, I was found to have a 1% amount
Following a prostate biopsy, I was found to have a 1% amount of prostate cancer. It was determined to be one of the least likely to advance to a more serious varieties. I have been in "watchful waitin… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,798 satisfied customers
I found out today I have a mass on my left kidney 3.75 cm x
I found out today I have a mass on my left kidney 3.75 cm x 3.75 cm , how dangerous this could be ? … read more
Dr. Jon
Dr. Jon
Attending Physician
MD
226 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x