Posted by Ritch on March 23, 2003, at 10:18:37
In reply to Mixture of Drugs/Comments Please, posted by hopko on March 22, 2003, at 13:18:06
> I am extremely worried about a friend who recently was released from the psych hospital in our community. I know she has been diagnosed as BP but I do not know her other specific illnesses. She was most recently admitted for suicidal thoughts. She gave me her list of current meds today and I am astounded at what she is taking and at the mixture of meds. I am asking for others opinions (either positive or negative) on her meds before I jump to any conclusions and advise her to seek help elsewhere. I must tell you she is extremely unstable and really needs some excellent help. Here is her list:
>
> Lithium: 300mg X2 a day
> Geodon: 40mg X2 a day
> Lamictal: 100mg X2 a day
> Klonopin: .5mg X4 a day
> Seroquel: 50mg X2 a day plus 300mg at night
> Trileptal: 150 a day
> Lexapro: 20mg a day
> Sectral: 200mg X2 a day
>
> I am interested to hear what any of you think. Thanks in advance.
>
Hi, a lot depends on her specific diagnosis. She is taking two AP's instead of just one. Maybe one AP would be better? BTW, I have heard a few posters here talk about Geodon inducing mania (just an FYI). If she is bipolar and rapid-cycling the Lexapro could be aggravating it (especially at a standard dosage). The lithium at 600mg/day usually stabilizes most folks, but you said she had been hospitalized. She might need a higher lithium dose-she may not be in the therapuetic range even at 600mg. The Trileptal even at 150mg *could* be potentiating any toxic effects of the lithium/Lamictal since all three affect sodium channels. Seroquel and esp. Lithium can depress thyroid function or lower thyroid hormones that could aggravate cycling. Do you know her specific diagnosis? Was she hospitalized for an acute manic episode? Was she experiencing psychosis (other than manic symptoms)?
poster:Ritch
thread:211470
URL: http://www.dr-bob.org/babble/20030319/msgs/211742.html