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Re: I'm rapid cycling and my pdoc added klonopine p.m.

Posted by HappyGirl on March 6, 2004, at 15:25:53

In reply to I'm rapid cycling and my pdoc added klonopine p.m., posted by hundredhugs on March 6, 2004, at 9:54:22

Hi:
I have some similarity to your condition, Bp II with ultra Rapid Cycler. Yes, ... cycling is 'pain in the neck,' but have to live with it, since cannot get rid of this.
In regard to the med. combo., Lamical is good for both, depressive side of Bp II and mood-stabilizer effect. Topamax is, in my knowledge, just add-on or maximize Lamical you've been on. Because, like yours and mine, Bp II with ultra rapid cycler is unfortunately 'resistence treatment' form of Bp. Also, risperdal is quite potent AP. In my case, I've been on Zyprexa that gives me tremendous relief for both, cycling and dysphoric mania/rageous form of manic I have due to the complexity of Bp II.
In my knowledge, Risperdal has as good effect as Zyprexa and another other APs, ... but this med. is more likely for schizophrenic form that has delusional and psychotic features. Thus, if there is NO existence of those two, then you may get other form of AP, such as Geodon, Ability, both of which has known to be a good anti-dep. effect also. Lithium is one of BEST mood-stabilizer, then your pdoc. is right on this. Why are you resisting to take Lithium? Lithium works very well with any of AP med., in my knowledge. However, I cannot be sure, because Lamical you've been on as seeing some of folks saying Lithium and Lamical just killing its effect each other.

It sounds like you're 'not long' to this, Bp, then there are some 'trials and errors' to find a right med. combo. In my suggestion, you need some patience along with a good faith to find a right med. combo. Also, you need to work with your attending pdoc. as best as you can, since the communication is one of best tools to search for a right med. combo.by team-working with her/him.
H.G.


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