Posted by Phil on June 25, 2015, at 15:40:43
In reply to Re: Lyrica..head in a vise headaches » Phil, posted by SLS on June 25, 2015, at 14:39:24
> I'll need to think about this for a little while.
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> The sunlight thing is interesting. It could have produced a shift in your circadian rhythm. Advancing the biological clock can trigger mania. It might be worth looking into whether a sudden rise in vitamin D could account for your experience. I favor the first explanation at this point.But I was manic before I stepped into the sun. I've talked about this a lot. When I opened my door that morning, I couldn't wait to start yard work. Heavy duty stuff. Knee high weeds etc. Asking my neighbor if I could detail her car. Telling another, damn you're fine. Asking another neighbor if I could work on his yard...it looked like a jungle then, after I got finished, looked like Pebble Beach golf course. I just don't do those things. Otherwise it was the best month of my life. It happened in April. A really bad time for suicides although I was definitely not suicidal.
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> Acute stress can trigger mania. Your "nervous breakdown" at work might be an indicator that such stressors were present. Combining circadian dysruptions and extreme psychosocial stress would be a recipe for the induction of a manic shift in brain function. Being on an antidepressant may have sealed the deal.That. ^^^^ I've also had say 10 days of 2 hours sleep a night and not realizing it. Not in a long time though.
He took me off of Lithium 'out of the blue.' I later asked him why. He said because of my tremors(I couldn't write) I don't buy it. I had tremors for years. I don't know that I got the full story but he wasn't concerned with my blood work.
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> Being on Adderall and having an acute mixed-state hypomania emerge upon the discontinuation of lithium would suggest that you are indeed bipolar and that lithium might remain a good mood stabilizer for you. If long-term toxicity (kidneys; thyroid) becomes a concern, you could try something like Trileptal as a substitute. I mention Trileptal because I like what I have seen with it - particularly with mixed-states. It is a very tolerable drug, and weight gain is usually not a problem. Just be aware that hyponatremia (too little sodium in the blood stream) is an infrequent adverse effect that it can be easily monitored for with blood tests. Lamictal sucks for mania. It helps for depression, and possibly rapid cycling. Trileptal + Lamictal make a good combination. You might not even need an antidepressant.I thought antidepressants were a bad idea w/ bipolar...unless I was stabilized. He hasn't even discussed one and I haven't brought it up.
However, I would not discontinue what you are already taking at this juncture.
I'm staying the course for now. Would Lamictal, Clonazepam, Trileptal be a good combo with added Ritalin? As I dropped the dose on Lyrica I'm back to 2 hour naps(today). Although the headache is not as bad as it was..yet, anyway.
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> If you need me to clarify anything I wrote or you have more questions, please don't hesitate to ask.My doctor still has bipolar I for me. I think there's some truth to that but I feel that I'm BPII. To me, it's the most accurate. I need to ask him about that again. I've never had a mania where anyone, including myself, was in danger. Although I had a half-hearted suicide attempt but I felt more hypomanic(even giddy) when it happened. I wasn't depressed. That episode landed me in the psych ward after I called him. The doctor there lowered my Lithium and Seroquel. When I saw my doc the next time, he upped both doses back to where they were. ACKKK.
I'm definitely bipolar..no doubt, but the lines are blurry to me. I don't think about it much. I just want to get better. BTW, the Lyrica is stimulating to me. I'm writing a lot more than usual.
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> - Scott
"All my life, I always wanted to be somebody. Now I see that I should have been more specific."
Jane Wagner
poster:Phil
thread:1079968
URL: http://www.dr-bob.org/babble/20150520/msgs/1079976.html