Posted by Jumpy on January 5, 2003, at 19:26:25
In reply to Jumpy:questions, posted by nmk on January 5, 2003, at 18:38:24
> How much time did you give the mood stabilizers before going off of them?
Lamictal-12 weeks at dose up to 300mg per day
Lithium-6 weeks at doses up to 1200mg per day (was getting vomiting and diarrhea above that)
Depakote-4 days at doses up to 500mg per day (made me severely depressed and almost catatonic)>I am confused on what these meds do if one is not bipolar. With me, the depression and anxiety are the same on or off the Trileptal. Am I better off trying another mood stabilizer or trying a new antidepressant?
Have you ever taken a bipolar questionaire like
http://www.psycheducation.org/depression/MDQ.htmThis might help you and your doc decide the likehood of you being bipolar. Also reading the website www.psycheducation.org can be helpful. No matter what the results of the test, lithium augmentation has been proven in studies to be helpful to a signficant amount of non responders. 600 to 900 mg can bring dramatic relief to patients sometime within 48 hours.
If you had a family history of bipolar illness or scored high on the test, maximizing the trileptal or adding a different mood stablizer would be sensible. Also reducing the zoloft may help. If you scored low on the test or have no family history of bipolar disorder or did not get hypomanic with zoloft, augmenting zoloft with wellbutrin or pamelor would be a reasonable decision.
>I am so confused. What finally worked for you?
Nardil and klonopin.
> Thanks,
>
> Nicole
>Hang in there, it is a bumpy road, but eventually most people find relief with some medication combination, exercise, good sleep, therapy ... and if necessary ECT.
Jumpy
PS I would get routine blood work like CBC, liver function tests, chem-7, RPR, B12, Folate levels, full thyroid panel (make sure your TSH is between 2 and 0.5 ... even though up to 4 is normal, but for depressed individuals the TSH should be maximally low)
poster:Jumpy
thread:134602
URL: http://www.dr-bob.org/babble/20021230/msgs/134659.html