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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Rainee on March 13, 2003, at 20:15:56
Here's my thing.. I guess when i get depressed I get this irritability factor. or maybe it's the way I get hypomanic.. But I get tense and want to be alone and I'm angry my anxiety goes up. basically I sleep which isn't not the answer.
I think you all get my drift.. so what kinda stabilizer is good for this?Thanks,
Rainee
Posted by Ritch on March 13, 2003, at 22:59:38
In reply to Ok, so I havn't heard any raves about Gabitril..., posted by Rainee on March 13, 2003, at 20:15:56
> Here's my thing.. I guess when i get depressed I get this irritability factor. or maybe it's the way I get hypomanic.. But I get tense and want to be alone and I'm angry my anxiety goes up. basically I sleep which isn't not the answer.
> I think you all get my drift.. so what kinda stabilizer is good for this?
>
> Thanks,
> RaineeHave you tried any low-dose Depakote for that before? Depakote can slam-dunk your energy level and make depression worse, but it has worked miraculously for my temper spell problems. I just recently have found that increasing my Depakote from 250mg to 375mg has eliminated nearly all anxiety/hostility I previously got from Wellbutrin that was above 25mg/day. I'm taking 100mg of WB with 375mg of Depakote and the WB isn't bugging me. WB usually makes me quite hostile on its own.
Posted by SLS on March 14, 2003, at 19:01:36
In reply to Re: Ok, so I havn't heard any raves about Gabitril... » Rainee, posted by Ritch on March 13, 2003, at 22:59:38
> > Here's my thing.. I guess when i get depressed I get this irritability factor. or maybe it's the way I get hypomanic.. But I get tense and want to be alone and I'm angry my anxiety goes up. basically I sleep which isn't not the answer.
> > I think you all get my drift.. so what kinda stabilizer is good for this?
> >
> > Thanks,
> > Rainee
>
> Have you tried any low-dose Depakote for that before? Depakote can slam-dunk your energy level and make depression worse, but it has worked miraculously for my temper spell problems. I just recently have found that increasing my Depakote from 250mg to 375mg has eliminated nearly all anxiety/hostility I previously got from Wellbutrin that was above 25mg/day. I'm taking 100mg of WB with 375mg of Depakote and the WB isn't bugging me. WB usually makes me quite hostile on its own.
Have you tried Tegretol or Trileptal for temper/anger problems?
- Scott
Posted by Ritch on March 14, 2003, at 19:55:10
In reply to Re: Ok, so I havn't heard any raves about Gabitril..., posted by SLS on March 14, 2003, at 19:01:36
> > > Here's my thing.. I guess when i get depressed I get this irritability factor. or maybe it's the way I get hypomanic.. But I get tense and want to be alone and I'm angry my anxiety goes up. basically I sleep which isn't not the answer.
> > > I think you all get my drift.. so what kinda stabilizer is good for this?
> > >
> > > Thanks,
> > > Rainee
> >
> > Have you tried any low-dose Depakote for that before? Depakote can slam-dunk your energy level and make depression worse, but it has worked miraculously for my temper spell problems. I just recently have found that increasing my Depakote from 250mg to 375mg has eliminated nearly all anxiety/hostility I previously got from Wellbutrin that was above 25mg/day. I'm taking 100mg of WB with 375mg of Depakote and the WB isn't bugging me. WB usually makes me quite hostile on its own.
>
>
> Have you tried Tegretol or Trileptal for temper/anger problems?
>
>
> - ScottScott, I tried Tegretol a long time ago, but it was during a bad BP depression and it seemed to make things worse after a few days so I switched back to lithium (so don't know about that one). Trileptal seemed to help with depression and cycling, but I felt the anger simmering on it (when I dropped the Depakote and was taking only Trileptal for awhile recently). I don't know why but it has been the only med that specifically seems to work on explosive temper. Even AP's weren't as good.
Posted by SpreadDaALoha on March 16, 2003, at 21:57:48
In reply to Re: Ok, so I havn't heard any raves about Gabitril... » SLS, posted by Ritch on March 14, 2003, at 19:55:10
Similar to your comments about Depakote, 50mg Topamax seemed to eliminate my irritablity (when it was added to my Keppra/Lamictal). But Topamax made me so tired and made me cry a lot (which I sort of liked at first because it was so different not being angry, but then the depressed feeling got old). I've never tried Depakote, Lithium, or Trileptal. Right now my mood seems "fairly" stable and my irritability is "low." My main issue is depression and social anxiety now (which is good I suppose). My doc said my next step is Selegilene... Any comments or ideas?
Right now I take 300mg Lamictal and 1500mg Keppra (+4mg Folic Acid also prescribed).
Posted by Ritch on March 17, 2003, at 10:11:47
In reply to Re: Ok, so I havn't heard any raves about Gabitril..., posted by SpreadDaALoha on March 16, 2003, at 21:57:48
> Similar to your comments about Depakote, 50mg Topamax seemed to eliminate my irritablity (when it was added to my Keppra/Lamictal). But Topamax made me so tired and made me cry a lot (which I sort of liked at first because it was so different not being angry, but then the depressed feeling got old). I've never tried Depakote, Lithium, or Trileptal. Right now my mood seems "fairly" stable and my irritability is "low." My main issue is depression and social anxiety now (which is good I suppose). My doc said my next step is Selegilene... Any comments or ideas?
> Right now I take 300mg Lamictal and 1500mg Keppra (+4mg Folic Acid also prescribed).Topamax worked wonders to help sleep when I tried it (with just 15mg sprinkle caps at bedtime,too). I had some paresthesia though-misinterpreted as a rash thing. The reason I didn't stay on it was trouble concentrating and thinking straight the following day. However, I was also on 900mg of Neurontin with it-so maybe the two in combo made that worse. Never noticed any depressive feelings with the TOP though. Selegeline.. never tried that one. I've heard that it can trigger irritability because of the amphetamine metabolites. Given that your doctor is investigating dopaminergic meds for your symptoms--why not ask about some dexedrine? Would sure be a heck of a lot cheaper. Dex was the only stimulant that I tried where I didn't tic and it actually seemed to reduce anxiety somewhat. In fact, I nearly got off SSRI's (Celexa in this case) with dex.(went two weeks straight without a dose and my mood cycling was flattening out). It could be that the dex didn't aggravate cycling and that getting off the SSRI was reducing the cycling.
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