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Re: Sounds it like bipolar II ?

Posted by ben on July 7, 2001, at 11:45:10

In reply to Re: Sounds it like bipolar II ? » ben, posted by Mitch on July 7, 2001, at 10:39:24

Mitch

What are you taking for bipolar II ? I am depressed since 18 months without any remission..up and down, but the ups arent
hypomanic they are euthymic. Is this really bipolar II ? My doc doesnt talk about diagnosis
he talks about symptoms.

ben

> Ben,
>
> Yeah it sure does-I am bipolar as well. So your symptoms are predominantly depression and you are currently depressed now, right?
>
> I would avoid anti-psychotics until you have had a chance with some other mood stabilizers. Lamictal sounds like a good idea to me, given that you are touchy with nausea and sedation. Gabitril might be something that could help at low doses, too (it is a little "buzzy" and activating).
>
>
> Mitch
>
> > > Sounds it like bipolar II ?
> > > I wonder if I am bipolar II because I never had mania, but before my depression begun (18 months ago) I had probably a hypomanic phase (increased activity, sex drive, angry and more talking). I am not sure about that. Since my dperession begun I never had a full remission and I always showed a response to several AD but pooped out very quickly. Increasing the dose showed the the sam thing.
> > > I had a trial with Lithium to 100 mg (yes 100 mg !) Celexa but gave it up after 2 weeks of awful nausea and loss of appetite (serotonergic overstimulation ?). Since then I tried Flupentixol (0.5-1.5 mg) and Zyprexa (1.25 mg) as mood stabiliser. The Flupentixol worked about two weeks and pooped out and the same procedure with increasing the dose. I couldnt stick to Zyprexa because it hit me like a rock (sedation, dizziness and headache during the day).
> > > Perhaps I should try Risperidone, Carbamazepine, Valproic acid or Lamotrigine ?
> > > My doc sees the Lamictal for the next step, because I am very sensitive to side effects and I have some ruminating thoughts.
> > > What do you think ?
> > >
> > > Many thanks for your ideas and suggestions
> > >
> > > ben


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