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 DrRussMD Your Own Question
DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64941
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
24257177
Type Your Medical Question Here...
DrRussMD is online now

I am a person who suffers from - Polar Affective Disorder

Resolved Question:

I am a person who suffers from Bi - Polar Affective Disorder i am prescribed Sertraline , Lithium , Quetiapine i alson suffer from Diabetes Mellitus Type 2 and i am prescribed Insulin , Metformin , Simvastin.
I have been complaining for several months about tiredness which is now occuring in the morning and afternoon ( recent) i am currently taking the Soroquel in a 300 mg dose these symptoms are proving a hinderence to daily life I have brought this to the attention of my GP ,but it s never the same GP , I have also mentioned it to my C.P.N. it will be six months since i saw a Consultant Psychiatrist
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.
Hi there,This is Dr Basu, experienced Internal Medicine Specialist. I am here to address your concerns and provide great service.Seroquel is known to cause weight gain, diabetes as side effects.Can also cause tiredness.300 mg is high dose.You will need to discuss this with your doctor to lower the dose gradually.Please also get your thyroid function checked.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable and authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/
Expert:  DrRussMD replied 1 year ago.
Hellosertraline and lithium can potentially interact to cause seritonine syndrome.Ask your doctor about this.Metformin and seroquel interact to disrupt blood sugar control, and this can be part of your problem.Lithium can affect the thyroid gland and make you hypothyroid, which would account for your symptoms. In fact, this is likely the problem and you need thyroid blood tests now.TSH should be below 2.5 and above .3.I am a double board certified clinical doctor with over 20 years of experience in these situations.Find me anytime, save time, get correct answers.For Dr. Thomas only.Please click a positive rating on this post for me.Come back and find me as needed.
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64941
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
DrRussMD and 2 other Medical Specialists are ready to help you