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Re: Am I on a risky drug treatment?..or is it okay? » ed_uk

Posted by Nickengland on August 21, 2005, at 16:35:27

In reply to Re: Am I on a risky drug treatment?..or is it okay? » Nickengland, posted by ed_uk on August 21, 2005, at 13:23:11

Hi Ed,

>Atypical APs seem to combine quite well with anticonvulsants. Drug-induced mania is uncommon with Seroquel. In fact, it seems to work well in the treatment of acute mania.

I totally agree, in general Seroquel does appear to work well for acute mania...its approved for this use as well isn't it in bipolar? I feel because the atypical antipsychotics are orginally for the treatment of Schizoprenia, I don't think the symtoms I have are really that similar to Schizophrenia...thats kind of my reasoning for not wanting to use them myself personally. They act on dopamine too ~ whereas from what I understand the anticonvulatants work on gaba...I would be going into a whole new territory so to speak, and i'm not sure if the sedation would really work to make me feel better...

LOL - But then I take anticonvulsants and I don't have epilepsy?!...I've read that Temporal Lobe Epilepsy is very similar to bipolar disorder though and some of the symtoms mimic each other or even overlap. So my theory ~ for my own individual treatment, is that if the medications i'm taking and have responded to best are actually the same ones that are for if I was to have temperal lobe epilepsy, then maybe i'm best with these?..as the antipsychoatics do lower the seizure threshold, I could be taking a risk making my condition worse? Its all theory and of course this is just for me, but I think I have more in common with the temperal lobe symtoms than I do with the symtoms of schizoprenia...

>Are you taking 25mg Topamax at the moment? Will you increase to 37.5mg soon?

I was at 37.5mg a couple of weeks ago, but at the time of the increase i had a really bad flu (I don't think I timed the increase very well lol) I dropped back down to 25mg as I was having some sleeping problems, I seem to be doing fine on this dosage, but in about a week i'm going to try again to increase to 37.5mg, if all goes well then i'll push it up to 50mg and see how it goes from there.. I was reading wikipedia yesterday (great site for info!) it said under the Pharmacodynamics for Topamax..

"Its possible effect as a mood stabilizer seems to occur before anticonvulsant qualities at lower dosages."

I don't know how accurate that information is...but it seems to be holding true for me i think so far..

Hows the celexa treating you?...are you still at 60mg?

Kind regards

Nick


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poster:Nickengland thread:544191
URL: http://www.dr-bob.org/babble/20050821/msgs/544873.html