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Sometimes persistent mania can mean the dosage should be increased, and sometimes it means another medication should be added or used to replace her current med. It is not unusual for dosages of medications to change over the course of bipolar illness.
What med(s) and dosages is she on?
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BP 1 with psychotic features
50 mg Lyrica
50 mcg Synthroid
2.5 mg olanzapine
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