Can change in bipolar disorder medicine cause smoking urge?

Question

Hello doctor,

My son is a bipolar patient, he is not taking drinks, and smoking mean while for the last four months. He is under treatment for bipolar disorder. Now, after four months of treatment, we put him to college after the gap of two years, but he just went for a week and not going now. He was on Quitiapine 300, but he got angry so the doctor increased his medication to Quitiapine SR 500 and Oxetol 300 twice. I am too worried after the change in the medication my son has an urge for smoking.

Answer 1

Hello,

Welcome to icliniq.com.

From your description, I understand that your son has developed bipolar disorder or psychosis in the background of substance misuse. He is on medications (Qutiapine and Oxetal), which are mood stabilizers and antipsychotic medicines, which will be helpful to treat your son's condition.

Additionally, your son needs to have psychological therapy support to manage his mental health condition and prevent relapse of drug use. Therapy and motivational interviewing will help to treat urge to have cigarettes and other drugs. Your son will need continuing support in his journey of recovery. Encourage him to eat healthily, exercise regularly, see helpful friends, family, and keep himself occupied positively. Continue regular reviews with your doctor and treating team.