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Bi Polar, Low testosterone acute HIV stage

Aug 31, 2005

Dear Dr Horwarth

I have mixed affective bipolar disorder and am in the early stages of acute HIV infection. I havent had a manic period for some time, stabilised by lamotrogine but had a major depression early this year. My testoserone levels are very low and I have been put on sustanon 250mg every two weeks. Could this pre-empt a manic stage? Or could the sustanon help my low mood as well?

Many Thanks

Response from Dr. Horwath

Testtosterone replacement treatment should not have an effect on your likelihood of having a manic episode. Testosterone replacement in men with HIV and depression has been shown to be effective in treating the symptoms of depression (fatigue, low energy, etc.).

If you had an episode of depression while on lamotrigine, then you should speak to your psychiatrist about checking the lamotrigine level. It may be that your dose was too low.

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