Posted by Ritch on December 18, 2002, at 9:38:44
In reply to Re: BP II peeps--Tegretol questions... » Ritch, posted by Krysti on December 18, 2002, at 8:16:32
> > mild paranoia symptoms (it is a tricyclic compound).
>
> Tricyclics can cause paranoia???Hi Krysti, I just made that association because tricyclics are supposed to be the most likely antidepressant to trigger hypomanic symptoms in bipolars and yes, TCA's have been known to trigger psychotic episodes. However, newer AD's can do it too (in a susceptible individual). I once read a really scary story about someone who was an undiagnosed bipolar who got treated with high dose Effexor and had an intense delusional experience and was hospitalized. Trileptal does list "manic reaction" in the neuro-psychiatric s/e's section. I dropped it from 225mg down to 75mg and I have felt more depressed the last day or two (although the excessive suspiciousness nearly dissappeared). So, I am going to push it back up to 150mg and just hold it there for a while. I was really hoping it might be a possible replacement for Depakote (without the sleepiness), but I don't think that is going to happen. It is strange, but when I was taking 20mg of Ritalin with my Depakote I didn't experience any suspiciousness or paranoia at all, just some mild edginess (more of a physical thing than a mental one).
poster:Ritch
thread:131794
URL: http://www.dr-bob.org/babble/20021217/msgs/132294.html