Psycho-Babble Medication | about biological treatments | Framed
This thread | Show all | Post follow-up | Start new thread | List of forums | Search | FAQ

Re: parnate agitation

Posted by SLS on February 14, 2012, at 7:45:04

In reply to Re: parnate agitation » SLS, posted by g_g_g_unit on February 14, 2012, at 7:20:54

> > I find that Depakote works great for bipolar II mania, but not so much for depression. Some people feel somewhat more depressed on Depakote.
> >
> > In the past, lithium had been the most popular augmenter of Parnate. As an augmenter, one needs only to take a relatively low dosage - 300-600 mg/day. It might stabilize mood "drift" in depression, but actually feels like an antidepressant if it hits the right target.
> >
> > Trileptal is a good choice if you start experimenting with mood-stabilizers. It is weight-neutral and is not sedating.
> >
> > Well, let's take just one step at a time.
> >
> > Good luck.
> >
> >
> > - Scott
>
> Thanks Scott. I wrote to Dr Ivan Goldberg and he said that Lithium is his mood-stabilizer of choice when augmenting Parnate.
>
> Which do you believe produces the least cognitive impairment and 'flattening' effect?


I really liked the way Trileptal felt. Although it didn't help improve my depression, my thoughts were very clear and I was not at all sedated. Unfortunately, Trileptal has not attracted sufficient attention to encourage clinical study. Perhaps this is because its sister drug, Tegretol, has already demonstrated efficacy. I guess it is assumed that Trileptal is as effective as Tegretol. I happen to agree that it this.

A friend of mine is doing well with Keppra as an antimanic drug for bipolar II. I don't know to what extent it helps with depression.

This is going to seem counterintuitive, but Topamax (topiramate) can act as a mood stabilizer with little or no cognitive impairments. The key is not to trigger the impairments in the first place. You need to start very low and titrate very gradually. I established a dosage of 200 mg without any hint of impairment. I felt that it gave me more energy and motivation. It just wasn't enough for me to justify continuing with it. Topamax is more effective as a mood stabilizer than is generally thought. Just drink some extra water to avoid kidney stones.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

Thread

 

Post a new follow-up

Your message only Include above post


Notify the administrators

They will then review this post with the posting guidelines in mind.

To contact them about something other than this post, please use this form instead.

 

Start a new thread

 
Google
dr-bob.org www
Search options and examples
[amazon] for
in

This thread | Show all | Post follow-up | Start new thread | FAQ
Psycho-Babble Medication | Framed

poster:SLS thread:1009862
URL: http://www.dr-bob.org/babble/20120212/msgs/1010196.html