What causes excessive anger and aggressiveness while on Effexor in a bipolar patient?
Patient: My daughter in law is bi polar. She is on lithium among other meds. Three and a half months ago she was placed on Effexor. As of right now my son is at home with her watching her burn thngs, break thngs. She had guns, but he managed to get those away from her. As far as we can tell she is angry at the world. Could this be from the Effexor??? Doctor: Hi,  t her symptoms could be related to Effexor adverse effects or acute psychosis. Coming to this point, antipsychotic drugs may be needed.   For this reason, I recommend consulting with a psychiatrist as soon as possible to help prevent her from doing harm to herself and the others.  Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Ilir Sharka, Cardiologist