Posted by Christ_empowered on June 20, 2010, at 20:45:42
In reply to Re: I know you don't like me, but.., posted by bulldog2 on June 20, 2010, at 18:42:52
OK...I'd recommend lamictal primarily b/c you have BP II, not type I, so why start out w/ Lithium? Also...I believe Lamictal would help with anger; anticonvulsants in general have a "taming effect" of varying degrees on people, so it can help with that. Unlike lithium, lamictal doesn't require blood work, won't wreck your kidneys, and is generally pretty clean w/ regards to cognition. You do have to increase your dose slowly and under supervision, though, b/c of the whole rash-of-death thing.
Trilepal I would think might have more of a taming effect (its like a cleaned up, slightly weaker Tegretol), but it can cause depression. And stupidity.
Neurontin sucks. I get that it might help an individual here and there, but in some trials with Bipolar, it actually does *WORSE* than placebo.
Lyrica is stronger, newer, and more expensive than Neurontin. It may help anxiety--I think it's approved in the EU for some forms of anxiety--but I'd personally go for a benzo first. They're very cheap, fast-acting, predictable, and effective.
Are benzos out of the question? PRN Ativan is awesome for anybody with anxiety, but especially if you have mood probs; Klonopin is good, but I find its better for daily, long-term use than PRN use b/c it takes so long to start working and then lasts forever.
Good luck.
poster:Christ_empowered
thread:951588
URL: http://www.dr-bob.org/babble/20100615/msgs/951676.html