Hello doctor, My grandmother aged 80 years has depression from the past 25 years, and she has been taking Lithium tablets since then. However, recently as advised by a psychiatrist, she started taking Qutipin 100 mg and stopped Licab XL. Now she is taking Licab XL along with Qutipin 100 mg, as she was exhibiting nonsensical talk and behavior. But now with Licab XL and Qutipin, she is exhibiting violent behavior like shouting at people for no reason and nonsensical talk. I need suggestions if taking both Qutipin and Licab XL is advised? Thank you. Any other solution is also welcome.
Hello. I read your query and understand your concerns. There is no harm in taking both Lithium (Licab XL) and Quetiapine (Quitipin), as they are commonly used treatment for bipolar depression and can be used at the same time. In fact, I have at least 15 to 20 patients with the same combination and do not find any difficulty in form of increased aggression. I also like to inform you that your grandmother suffers from some other disorder, rather than pure depression as the current treatment is rarely used in pure case of depression. It is possible that she suffers from bipolar disorder. Regarding further management, I do not think I am in a position to advise you the next course of action. It will be appropriate to see her doctor again. In case you need a second opinion you may approach me. I will be glad to assist you. For further queries consult a psychologist counsellor online -->