Posted by SLS on December 5, 2005, at 7:49:19
In reply to Re: personality disorder, posted by paddie on December 5, 2005, at 5:22:43
> Thanks for that advice:-)
I agree with everything Med_Empowered said. I have seen a combination of Tegretol + Zyprexa work wonders for one person. I don't think she is taking any antidpressants, but I am not absolutely sure.
Tegretol has been well-studied for BPD and deemed to be moderately effective. One disadvantage to this drug is that it carries a relatively small risk of producing agranulocytosis, a condition that prevents the production of white blood cells. Regular blood tests are necessary. More recently, a cousin drug named Trileptal has become available and is often tried first because it is less sedating, produces less cognitive impairment, and is without the risk of agranulocytosis, so that regular blood tests are not necessary. Its effectiveness in BPD has not been studied intensively, but I would endorse its use.
Another drug to keep in mind for further down the road is Parnate. It is an older MAOI antidepressant that seemed to be a favorite of some doctors for treating BPD before the SSRIs became available.
- Scott
poster:SLS
thread:585660
URL: http://www.dr-bob.org/babble/20051203/msgs/585690.html