Expert: Ivan Goldberg, M.D. - 12/27/2010

Question
I have a grandson that is 21 that was diagnosed with manic bipolar at age 17, for about the last 6 months he refuses to take his meds.  Someone mentioned there might be injections that he could get. He is on lithium decicted and sequel, he may have to be made take his medication it has gotten to the point he is a danger to himself and to others.

Answer
Hi Paulette . . .

There are antipsychotic medications that can be given in long-acting injections. A single injection may be effective for 14 days. The big problem with such injections is the risk of tardive dyskinesia. If you are not familiar with tardive dyskinesia please see:
http://www.medicanalife.com/watch_video.php?v=fd7f0ee34ac8e9f

If your grandson's behavior is of danger to himself or others he can be hospitalized even if he is opposed to hospitalization.

I avoid the use of antipsychotic medications such as Seroquel or injectable antipsychotic medications, unless hallucinations or delusions are present.

Best regards . . .

Ivan
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