Posted by catmint on January 31, 2005, at 0:57:18
In reply to Re: Trileptal: Great sleep, no hypomania » catmint, posted by Ron Hill on January 29, 2005, at 18:00:38
Hi Ron,
It makes me smile whenever you post lately. You only have one or two more days, and you can't resist!
I have been feeling better since I dropped from 200 to 100 mg. Lamictal. I see my pdoc tomorrow and will discuss three options with her (in order of my preference):
1)Decrease Lamictal to 75mg. Use melatonin at night.
3)Add Depakote, decrease Lamictal to 25-50 mg.(doesn't Depakote increase levels of Lamictal)?
3)Add Trileptal (not sure about where to keep Lam.)
Ron, I tried Tripetal a couple years ago. It didn't do much for me although I probably didn't give it enought time because it upset my stomach considerably. Maybe I'll give it another go. I'm intrigued by it's ability to promote a good nights sleep. I can only remember one good nights sleep in the past 3 months.
Depakote is A #1 for my irritablity which is one of my main symptoms. I not thrilled about weight gain or PCOS (polycystic ovarian syndrome), not to mention worsening depression and not able to get my *ss out of bed in the morning! Do you have trouble rising in the morning on Trileptal?
I gave Lithium a trial this summer and had the driest, bad taste in my mouth and constipation. I felt pretty slammed on it. I gave it 2 weeks. I was taking a low dose of Lithobid I believe. I was still irritable and wouldn't increase the dose.
You asked what my symptoms are. I am primarily BPII now but when I was younger I had a couple full blown manic episodes. My doctor has also diagnosed me as dysphoric and I supposedly have a personality disorder NOS (whatever).
The mixed state and manic sypmtoms that are marked with a * are what I have constantly and have only responded to Depakote. The depressive sypmtoms have responded to Lamictal, although only in the beginning of treatment and maybe half the time now.
I was on Depakote before Lamictal three years ago and until now had never considered combining the two.
Mixed state symptoms:
*Agitation
*Irritablity
Pressured speech
*Hypersensitivity
*Racing thoughts
*Insomnia
Paranoia
Rage (suppressed, because ya know I'm a sweet girl really).Manic symptoms:
*Increased awareness
Active and obssessed
Agitation
*Heightened perception
Delusions
Auditory hallucinations (very rarely, once every 3 months).
*Thought disorder
Inappropriate behaviour
Poor judgemnentDepressive sypmtoms:
*Anger
*Despair
Hopeless
Suicidal ideation
*Crying spells
Severe agitation
*Increased appetite
*Insomnia
Sleep all the time
*Sad
Substance abuseThanks for your support Ron.
Amy
poster:catmint
thread:449685
URL: http://www.dr-bob.org/babble/20050128/msgs/450429.html