Posted by SLS on August 15, 2008, at 4:16:52
In reply to Re: Question to SLS on Pristiq, posted by oceancat on August 15, 2008, at 2:45:06
> Hi,
> Pristiq affects the same neutrotransmitters as Effexor, serotonin and norepinephrine, and at high doses, dopamine, but its metabolism and formulation is different from and "cleaner" than Effexor's, so theoretically there should be less side effects. I don't think this new formulation would reduce the rapid cycling tendencies, but I do think that being on the mood stabilizer and zyprexa definitely will.
>
> oceancat (SLS's friend)
I agree with Oceancat. If weight gain becomes an issue, you could, at that point, try switching over to Abilify or Geodon. However, I do think it is a good idea to start with Zyprexa and establish some mood stabilization first. Otherwise, you won't have anything to use as a comparison as you try other drugs.For rapid cycling Bipolar I, a combination of lithium and Lamictal helps. For rapid cycling Bipolar II, Depokote can be helpful. There is a trend towards using Lamictal to treat rapid cyclicity. However, if you end up needing Depakote, you must reduce your dosage of Lamictal by 50%. Depokote will slow down the elimination of Lamictal. 100mg is probably a good number to shoot for.
* Oceancat: Are you sure you want to admit being friends with me? It's not much of a club. Besides, I would never want to join a club that would have me as a member.
Be well!
- Scott
poster:SLS
thread:845493
URL: http://www.dr-bob.org/babble/20080814/msgs/846329.html