Patient is experiencing a strong desire to self medicate with alcohol and he now has a gambling problem which is severe. Zoloft was added four months ago. He is a manic depressive and is also on Zyprexa 20 mg bed.
Any antidepressant, such as Zoloft, can cause mania which is characterized by impulsive type behavior like drinking and gambling. This needs to be addressed by the prescribing doctor. Is the patient also in talk therapy? He may well need his dosages adjusted and to be in some sort of talk therapy to address his issues. Self medicating suggests his medicine isn't helping enough hence why I suggest talk therapy. Medication can only do so much when trying to change behavior.
My husband was finally diagnosed as bipolar manic depressed 8 years ago. He has been this way all his life. He also has OCD, the cleaning kind. Which is ok with me ha! He is on Zoloft also 100mg a day. I would have to say it literally has saved his life. He doesn't get the manic episodes nearly as much He sees his physiciatrist every 6 weeks to talk to him for an hour. I guess I can't really answer your question as everyone will react differently to different meds. Maybe Zoloft isn't the right one for him. Is he less depressed about things in general? Maybe it's not the Zoloft, but a new thing that should be addressed with his physciatrist. Just some thoughts...
- Zoloft Information for Consumers
- Zoloft Information for Healthcare Professionals (includes dosage details)
- Side Effects of Zoloft (detailed)
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