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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by elbee on February 27, 2003, at 21:05:46
Hi folks,
I'm interested in any suggestion re: tweaking meds/what has worked for you. Obviously, I would also need to talk to pdoc, but, of course, I have.
I have bp1 (to a mild/moderate degree, I guess). Have been taking 1250 depacote/300 lithium/75 mg seroquel for a while. Take all meds in eve.
My meds work OK, but I have trouble functioning in a.m. because I'm sort of out of it. Also have problems w/memory & mild depression. The prob. is I'm in grad school & feel that it's really hard to function w/meds making me sorta sleepy in am. & intellectually at a disadvantage. Pdoc not super knowledgeable. I guess it's possible it's the bp & not just meds...But, for instance, would it be better to switch off of depacote to carbmazepine (sp?) or something? Sorry to ramble, maybe this is too general a question. What will make me more alert am & in general &, ideally make me unmildly depressed. Any suggestions or do I live w/it? Cut back a little? Can't take more Li b/c it makes me feel depressed..Can't tolerate antidepr. & iffy on lamictal (hypom).
Have only had one Big manic episode (but feel diagnosis is correct) & it's hard not to switch around drugs or cut back because consequences not terrible so much as a bit hypo. But it can bite me in butt. Sorry to ramble.
Posted by Ame Sans Vie on February 27, 2003, at 21:26:55
In reply to Meds: What has worked for you re:BP1 being alert, posted by elbee on February 27, 2003, at 21:05:46
How about modafinil/adrafinil?
Posted by Ritch on February 27, 2003, at 22:22:40
In reply to Meds: What has worked for you re:BP1 being alert, posted by elbee on February 27, 2003, at 21:05:46
> Hi folks,
> I'm interested in any suggestion re: tweaking meds/what has worked for you. Obviously, I would also need to talk to pdoc, but, of course, I have.
> I have bp1 (to a mild/moderate degree, I guess). Have been taking 1250 depacote/300 lithium/75 mg seroquel for a while. Take all meds in eve.
>
>
> My meds work OK, but I have trouble functioning in a.m. because I'm sort of out of it. Also have problems w/memory & mild depression. The prob. is I'm in grad school & feel that it's really hard to function w/meds making me sorta sleepy in am. & intellectually at a disadvantage. Pdoc not super knowledgeable. I guess it's possible it's the bp & not just meds...
>
> But, for instance, would it be better to switch off of depacote to carbmazepine (sp?) or something? Sorry to ramble, maybe this is too general a question. What will make me more alert am & in general &, ideally make me unmildly depressed. Any suggestions or do I live w/it? Cut back a little? Can't take more Li b/c it makes me feel depressed..Can't tolerate antidepr. & iffy on lamictal (hypom).
>
> Have only had one Big manic episode (but feel diagnosis is correct) & it's hard not to switch around drugs or cut back because consequences not terrible so much as a bit hypo. But it can bite me in butt. Sorry to ramble.The seroquel really can put a lead lid on you in the mornings. I would suggest simply reducing the Seroquel and/or taking it 2-3 hrs. before bedtime so it won't linger so badly in the AM.
Posted by JohnV on February 27, 2003, at 22:53:12
In reply to Re: Meds: What has worked for you re:BP1 being alert » elbee, posted by Ritch on February 27, 2003, at 22:22:40
> The seroquel really can put a lead lid on you in the mornings. I would suggest simply reducing the Seroquel and/or taking it 2-3 hrs. before bedtime so it won't linger so badly in the AM.
>
>Yes, indeed, and I honestly wouldn't suggest adding a stimulant if you are BP1, but that is just my take. As Ritch said, adjusting the Seroquel can make a big difference. It seems to be an excellent and safe med. Best. John.
This is the end of the thread.
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