Posted by kelv on December 21, 2006, at 21:03:23
In reply to Re: Antipsychotics and Mood Stabilizers Deadlock, posted by med_empowered on December 21, 2006, at 17:29:00
> maybe Klonopin? 1-3mgs/day helps some people w/ mood issues..if you go too high, though, I think you run the risk of *increasing* mood lability.
>
> Trileptal and Lithium are probably good options--Trileptal b/c it tends to be weight neutral (although some people lose or gain weight) and lithium b/c the lithium/lamictal combo has proven effective for some patients...that said, if weight gain is an issue, you might want to steer clear of lithium, depakote, risperdal, seroquel, and certain ADs.
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> Abilify might help, but there's a definite akathisia for a lot of people the first couple weeks..your doc may want to provide you something for that in advance.
>
> Topamax might help, it also induces weight loss, but it makes some people stupid--very, very stupid--and it isn't approved for bipolar so..its iffy, at best. Weirdly enough, some bipolars/schizoaffectives do well on Wellbutrin; you might consider adding it into the mix, since it also causes an average weight loss of 5lbs.
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>You seem VERY adverse to atypical APs. Risperdal has been a life saver at times, when high doses of benzos havn't done the job. It shuts up and silences the noise in my head. I use it on an as needed basis, rather than a fixed schedule.
PS-Johnny Cash would take Thorazine to sleep when he had been without sleep for days due to a heavy intake of Dex and speed.
poster:kelv
thread:715474
URL: http://www.dr-bob.org/babble/20061217/msgs/715577.html