Posted by SLS on February 19, 2012, at 0:14:37
In reply to Desperate, posted by Solstice on February 18, 2012, at 21:08:07
Interestingly, I was thinking of Latuda, too. It was the logical next step. However, like your doctor, I have concerns that there is inadequate symptom reduction after 4 weeks.
I would think about adding Depakote. It can squash a bipolar II hypomania even more quickly than a neuropleptic antipsychotic.
Klonopin also occurred to me.
I also have concerns that the stimulants are making the bipolar worse, but an expert would know better than me. Bipolar and ADHD occur so often in young people. They are very often hard to separate. I am wondering if the distractibility is really a bipolar thing and not a ADHD thing. Maybe there is no ADHD to treat. But then again, things were good for awhile on Geodon while also taking the stimulants.
Regarding neuroleptic antipsychotics, Fanapt (iloperidone) has one of the better side effect profiles with respect to EPS and weight gain.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1010739
URL: http://www.dr-bob.org/babble/20120212/msgs/1010776.html