I'm very sorry to hear about what your relative is going through. Based on the symptoms you've described- such as suicidal thoughts, weakness, speech and mobility difficulties, and increased irritability- it is very important to seek urgent medical attention.

Your information about your patient is very limited. There are many reasons for insomnia. Insomnia is more of a symptom than an illness itself. One needs to treat the underlying condition for which she needs to be evaluated thoroughly. I'm not understanding why they have prescribed her these medicines. She is 73 yrs & she was prescribed 2mg of clonazepam. Obviously she would not tolerate that. Slowness in walk & speech can be secondary to that. Again, I don't know why magprol cr given to her. If it's for seizure disorder, then bupron XL will increase seizures. No sense. If it's for mood stabilizing, we use sodium valproate or divalproate not magnesium. Sometimes valproate toxicity can lead to increased ammonia level & these kinds of symptoms. Bupron XL can increase anxiety & agitation.

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The medication can be revised, consult your psychiatrist again and explain

Visit again to psychiatrist, need to adjust the dosage

Was Magprol started newly? Or a previous medication ? The symptoms point more towards adverse effects of medications. Only for insomnia the doctor wouldn't have prescribed three medicines. She needs to be evaluated in detail by psychiatrist.

Hello. I understand that she is on Clonazepam 2mg, Valproate 400mg and Bupropion 150mg. But it is not clear for what reason, Clonazepam and Valproate are prescribed. Clonazepam is also prescribed in epilepsy cases apart from sleep issues; whereas Valproate is prescribed in both epilepsy and bipolar disorder cases. She seems to be in depression but to conclude if it is unipolar or bipolar needs a fair amount of assessment and evaluation. Also, Bupropion can be further increased till 300mg if needed, and 1 week is a shorter time for an anti-depressant to start working. Ideally, one has to wait for atleast 2-3 weeks to appreciate any response of an anti-depressant medication.

Hi, I appreciate that you reached out with your concern. I recommend you to consult therapist as well. Taking medications and therapy simultaneously help in faster and better recovery. Meanwhile, for sleep, practice Bhramari pranayama and progressive muscle relaxation. Also engage in daily exercise, walk before sleep and try journaling.