Posted by SLS on May 26, 2013, at 19:57:32
In reply to At a dead end- stop meds or switch., posted by Diana1981 on May 25, 2013, at 8:40:22
What do you think would happen if you were to stop taking medication entirely?
Which antipsychotics have you tried so far, and why did you stop taking each them?
From your description of irritability and mania, it seems likely that you will need something to keep the mania in check as you continue to take antidepressants. Although Trileptal is a good mood stabilizer, it usually won't do very much unless you take a minimum of 400 mg/day. If the pain and burning sensations of the tongue limits your ability to titrate Trileptal to a therapeutic dosage, you might need to discontinue it in favor of an antipsychotic that you tolerate well or perhaps look into using other mood stabilizers. It may be that you need to combine an antidepressant, an antipsychotic, an AED (anticonvulsant) mood stabilizer, and lithium. In my experience, Lamictal is not very good at treating mania, but might be a great choice to help make antidepressants work better. If irritable mixed-state hypomania is a constant problem, then don't exclude Topamax from consideration.
- 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:1044214
URL: http://www.dr-bob.org/babble/20130501/msgs/1044277.html