Posted by ed_uk2010 on April 2, 2010, at 16:55:24
In reply to Re: Trileptal, why do you do this to me?, posted by qbsbrown on April 2, 2010, at 16:33:34
Hi Brian,
Do you get any support at home or do you live alone? It's difficult to even imagine what you must be going through at the moment.
Your meds have been changed so many times it's virtually impossible to know what the meds are actually doing. You seem to be suffering from a mixture of withdrawal symptoms between doses and side effects at the same time.... and then there's the further complication of the MS.
Diazepam has interesting pharmaco-kinetics. It is a drug which accumulates on repeated dosing due to the long duration of action of its major active metabolite.
After a single isolated dose of diazepam, its duration of action is normally quite short. After repeated doses, the effects last for many hours. 20mg three times a day should be OK initially but you should be able to reduce after a few days down to a much lower dose once it starts to accumulate. The lower the dose gets, the slower you will need to reduce. Hopefully, you will be able to get down to 30mg/day quite quickly. For example, you could take 20mg three times a day for three days then 15mg three times a day for five days then 10mg three times a day. From this point, you will need to reduce more slowly.
What do you think?
Ed
PS. It's difficult to be positive about mental healthcare in the UK but at least you wouldn't have to pay anything for the ECT. Most treatment is free here, except for small prescription charges (but many people have an exemption from charges).
> I was trying to come off the drugs to be healthy and happy again lol. Not to become crazy and schizophrenic.
>
> Before ECT, i literally could not even see the present moment. I could only see images from the past, and almost hearing future conversations at the same time. I could only see the past and hear/see the future. i would try to force myself to look at the tv, and try to watch it. Couldn't. Even going for drives in cars, i could still only see the past, and future conversations. I would try to focus on anything in the present, i could only hear myself reading license plates numbers, or hear me reading billboards. I could only hear my own voice. I could not think. The psychotic phonmenea would take hours to explain, not to mention my own voice talking about death and suicidie all day long, from the second i woke up, i would hear things about harming myself. Debates, arguments, intrusive images, thoughts, conversations, hearing my own voice, i could not even do simple things the intrusive everything was so bad, i couldn't do anything. I could only hear me talking to my doctors all day/night, explaining what i experience etc, it never ended.
>
> Much has improved. Now, how to get back to completely normal, if that's at all posssible, i don't know.
>
> What meds to take during this, i don't know.
>
> I do know it's valium and lyrica for now. Trileptal seems to be my choice, and i'm not sure about it.
>
> Brian
poster:ed_uk2010
thread:941095
URL: http://www.dr-bob.org/babble/20100328/msgs/941829.html