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Re: Is depakote good for ultra ultra rapid cycling?

Posted by 4wd on October 15, 2005, at 22:26:31

In reply to Re: Is depakote good for ultra ultra rapid cycling? » 4wd, posted by SLS on October 15, 2005, at 10:23:03


>
> Depakote can work very fast to treat acute mania. However, I'm not so sure how quickly it would stabilize one's chronic rapid cycling without the aid of a second mood stabilizer. I guess lithium, Lamictal, and Trileptal would be those I would choose. Just remember that when you combine Depakote and Lamictal, you must decrease the dosage of Lamictal by 50% and titrate more gradually.


You know, Scott, something you said in an earlier post just now kind of hit me. If I was manic, it probably wouldn't just go away nearly every night at 9 or 10 o'clock. I mean, by then the Klonopin I took at 9 am is not really in my system much anymore (certainly not as much as it was at noon or 3 when I'm still scared). But I gradually get better as the day goes on. That is, IF I take the Klonopin in the morning. If I don't, I usually stay bad all day.

So maybe it is agitated depression. I do remember doing well on imipramine a long time ago. But I didn't have much anxiety then, just depression. Nortriptyline made me more anxious. Amitryptiline sent me into furious rages. Desipramine didn't work as well as imipramine. Sinequan made me unable to tell if water was hot or cold, if something was large or small, etc. and I couldn't make sense of what people were saying to me.

At least I get a few hours peace at night. That's a lot more than some of us get.

I see my pdoc on Thursday. I hope he can sort this out. Thanks for all your suggestions and answers.

Marsha

Thanks.

Marsha


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