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What happens if you take bipolar medicine and you're not bipolar?

Published in Mental Health Medication Risks 4 mins read

Taking bipolar medicine when you're not bipolar can lead to various adverse side effects without providing any therapeutic benefit for your actual condition, and can even cause serious health issues.

Understanding the Risks of Unprescribed Bipolar Medication

Bipolar medications, primarily mood stabilizers and atypical antipsychotics, are designed to regulate specific brain chemistry imbalances associated with bipolar disorder. When someone who does not have this condition takes them, they are exposed to the medication's side effects without experiencing the intended therapeutic effects, potentially causing more harm than good.

Lack of Therapeutic Benefit

These medications are not general "mood lifters" or "calming pills." They target the unique neurobiological pathways involved in the extreme mood swings of bipolar disorder. If your symptoms stem from a different condition, such as depression, anxiety, or another mental health issue, bipolar medication is unlikely to alleviate them effectively. In fact, it might even exacerbate certain symptoms or create new ones due to its powerful effects on brain chemistry.

Potential Side Effects and Dangers

Anyone taking bipolar medication, regardless of whether they have the disorder, is susceptible to its side effects. These can range from common and mild to rare and life-threatening.

Common Side Effects:

  • Drowsiness or fatigue: Many mood stabilizers can cause sedation.
  • Nausea, diarrhea, or stomach upset: Digestive issues are frequently reported.
  • Weight gain: Certain medications are associated with significant weight gain.
  • Tremors: Involuntary shaking, especially of the hands.
  • Dizziness or blurred vision: Can affect daily activities.
  • Cognitive dulling: Feeling "flat" or experiencing reduced mental sharpness.

Serious Side Effects:

Certain mood stabilizers, such as lamotrigine (Lamictal), carry significant risks even for individuals without bipolar disorder or a seizure condition. These serious side effects include:

  • Severe Skin Rashes: A very serious and potentially life-threatening rash, known as Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), can occur. This requires immediate medical attention and can lead to hospitalization and permanent damage, or even be fatal.
  • Increased Suicidal Thoughts or Behavior: Some individuals, especially young adults, may experience an increase in suicidal thoughts or actions when taking these medications, regardless of their diagnosis.
  • Organ Damage: Medications like lithium or some antipsychotics can impact kidney, liver, or thyroid function, requiring regular monitoring.
  • Blood Disorders: Rare but serious blood conditions can develop.
  • Cardiac Issues: Some medications can affect heart rhythm.
  • Overdose Risk: Taking an incorrect dose can lead to an overdose, causing severe symptoms like confusion, seizures, coma, or even death.
  • Drug Interactions: Bipolar medications can interact dangerously with other prescription drugs, over-the-counter medications, or supplements you might be taking, leading to unpredictable and harmful effects.

Why Taking the Wrong Medication is Problematic

Aspect Description
Delayed Correct Diagnosis Taking medication for a condition you don't have can mask symptoms of your actual underlying issue, delaying proper diagnosis and treatment. This prolongs suffering and allows the actual condition to worsen.
Unnecessary Health Risks You expose yourself to all the risks and side effects of the medication without any of the potential benefits, putting your physical and mental health at unnecessary risk.
Financial Burden Purchasing medication that isn't helping you, and potentially causing harm, is a waste of financial resources that could be better spent on appropriate care.
Interaction with Other Drugs The risk of dangerous drug interactions significantly increases if you are taking other medications, even common ones, without professional oversight.

The Importance of Professional Medical Guidance

It is crucial that any medication, especially psychiatric drugs, is prescribed by a qualified healthcare professional after a thorough diagnosis. Self-medicating or taking medication prescribed for someone else is extremely dangerous. If you are experiencing mental health symptoms, consult a doctor or psychiatrist who can accurately diagnose your condition and recommend the most appropriate and safe treatment plan for you.