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Re: switch to trileptal from lamictal? » banga

Posted by ed_uk on April 5, 2005, at 9:52:27

In reply to Re: switch to trileptal from lamictal?, posted by banga on April 5, 2005, at 9:05:18

PS. Banga,

In the treatment of 'classical' manic-depression ie. Bipolar I, dramatic grandiose manias, no mood-incongruent psychotic features, no rapid cycling etc...... lithium is often the most effective drug. I don't know much about your cousin, yet I suspect lithium may be more effective than Trileptal. You did mention that she had side effects though... and it won't be effective if she doesn't take it!!! Trilepal may be less likely to cause weight gain, which is why I suggested it. Trileptal might possibly be more useful lithium for rapid-cycling/mixed states and other non-classical presentations. It is unfortunate that Trileptal has not been well studied. I definitely think it's worth thinking about low-dose lithium prophylaxis, I suspect that some doctors may prescribe excessive doses which are poorly tolerated.

Ed xxx


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