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Re: One other question Mitch? » Paul1

Posted by Ritch on September 29, 2004, at 9:43:21

In reply to One other question Mitch?, posted by Paul1 on September 28, 2004, at 21:55:51

> I seem to need both antidepressants and mood stabilizers on board to feel normal. Lithium and depakote sometimes feel too *heavy* .... do you feel neurontin or klonopin have stabilizing properties? (despite most pdocs/literature saying they do not for bp I) .... Thanks Paul

Hi Paul,

Mirapex... I tried that before. It didn't do much for me. It caused way too much sleepiness and lethargy in the daytime. Pergolide worked a little better for me, but it was too nauseating for the benefits it gave. I wonder if Mirapex might be a good sleeper....?

Need for AD's as well as mood stabilizers...
I have to agree with you there for sure. Earlier this year I went without them and didn't do well at all. Can't take much though. SRI's definitely are the ones that trigger nearly immediate hypomania and kick up cycling. If I take *too much* it ends up making everything worse. NRI's and stims don't seem to accentuate the *cycling*, they *do* work well for my bipolar depression, but they don't do much for anxiety-in fact they tend to make me too aloof, quiet and tense (and sometimes dysphoric), but at least I feel generally the same over time..

I think clonazepam definitely has *antimanic* qualities and if I'm having mixed symptoms with prominent anxiety it cools that down a lot. I wished I could tolerate Neurontin better (I get esophageal spasm and chest tensions on it that I can't stand). It really made a wonderful augmentor with Depakote for all sorts of co-morbid anxiety sx. It has however triggered some mild hypomanias.. there were two pdoc visits where I had taken some Neurontin for a few days just prior to visiting and I got some remarks like: "I'm sensing a little pressured speech from you-what's up?..". However, I *never* got any dysphoria or mixed stuff attributable to Neurontin it was always a euphoric chattiness.

hope that helps some.. :)


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