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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by cpallen79 on August 15, 2004, at 12:05:17
Hello all,
I see my PDOC this week and was thinking about asking for a small dose of Depakote to add onto my 600 MGS of Trileptal. I was thinking about 250 MGS of Depakote a day to help quell racing thoughts. Trilpetal helps with this but not completely. Can it be done? I'm trying to take the lowest dose possible to avoid the nasty trappings of depakote side effects. Does anyone know if depakote ER comes in 250 MG capsules or is it just 500 MGs? Can you cut the regular release tabs in half??
Thanks,
Chris
Posted by HappyGirl on August 15, 2004, at 12:39:37
In reply to Can I take Trileptal and Depakote together??, posted by cpallen79 on August 15, 2004, at 12:05:17
Hi:
In my experience along with from the reading/hearing, .... a small dosage, a 250 mg. does NOT help 'racing thoughts.' Because, 'racing thoughts' sounds like 'rapid cycler' that means cycling from depression to manic alternatively more than twice a day, ... that's in my case tho'. But, some BPer's cycle more slow-pace, ... on weekly, even monthly basis.I know VERY well 'racing thoughts' is truly bothersome, however as I said the above, I do NOT think a small dosage, a 250 mg. Depakote, either regular or ER alleviates 'racing thoughts' you have. Most of cases, it's needed to be more than at least 500 mg.
This is based on my personal experience, then the other might have different opinions/experiences on this.
H.G.
Posted by cpallen79 on August 15, 2004, at 12:51:52
In reply to Re: Can I take Trileptal and Depakote together??, posted by HappyGirl on August 15, 2004, at 12:39:37
Hi BP, I've had racing thoughts since I was about 17... My PDOC thinks it has alot to do /w ADD and that my BP aggravates it... This last hypomanic episode I went through lasted about a two weeks, and it freaked my PDOC out... then I started to plunge with an increase in an SSRI... we're upping the trileptal and it helps a ton, but I want more... someone told me to add in a dab of depakote... I'm skeptical but it may be just what I need. The trileptal has turned down the volume... I wish there was a mute button though. I might use also Zypreza as a "fire extinguisher" so to speak.
> Hi:
> In my experience along with from the reading/hearing, .... a small dosage, a 250 mg. does NOT help 'racing thoughts.' Because, 'racing thoughts' sounds like 'rapid cycler' that means cycling from depression to manic alternatively more than twice a day, ... that's in my case tho'. But, some BPer's cycle more slow-pace, ... on weekly, even monthly basis.
>
> I know VERY well 'racing thoughts' is truly bothersome, however as I said the above, I do NOT think a small dosage, a 250 mg. Depakote, either regular or ER alleviates 'racing thoughts' you have. Most of cases, it's needed to be more than at least 500 mg.
> This is based on my personal experience, then the other might have different opinions/experiences on this.
> H.G.
Posted by cpallen79 on August 15, 2004, at 12:59:24
In reply to Re: Can I take Trileptal and Depakote together??, posted by HappyGirl on August 15, 2004, at 12:39:37
HP, my racing thoughts involve music and whatnot, drives me absolutely nuts when it gets aggravated. Trileptal has helped but I'm hoping for more results. I'm really wanting to mix Depakote in but am scared of all the nasty side effects.. I guess thats a price to be paid for emotional comfort.
> Hi:
> In my experience along with from the reading/hearing, .... a small dosage, a 250 mg. does NOT help 'racing thoughts.' Because, 'racing thoughts' sounds like 'rapid cycler' that means cycling from depression to manic alternatively more than twice a day, ... that's in my case tho'. But, some BPer's cycle more slow-pace, ... on weekly, even monthly basis.
>
> I know VERY well 'racing thoughts' is truly bothersome, however as I said the above, I do NOT think a small dosage, a 250 mg. Depakote, either regular or ER alleviates 'racing thoughts' you have. Most of cases, it's needed to be more than at least 500 mg.
> This is based on my personal experience, then the other might have different opinions/experiences on this.
> H.G.
Posted by HappyGirl on August 15, 2004, at 18:46:51
In reply to (one more thing) » HappyGirl, posted by cpallen79 on August 15, 2004, at 12:59:24
Hi Chris:
>>>> my racing thoughts involve music and whatnot, drives me absolutely nuts when it gets aggravated. <<<--- It's VERY hard to say whether this is called 'Racing thoughts,' ... more likely you may have 'some form of manic' phrase that causes 'music,' and the others.
If this is due to 'manic,' then increase 'Trileptal' dosage could alleviate the symptom. One thing you need to know about Bp tx.is that you never know what form of 'manic' episodes would start/emerge. In my case, for first several months on Bp dx, I thought I had a 'milder form of Bp II' close to 'depression,' but it wasn't. But, ... hopefully your Bp is 'milder' and you and your pdoc. will find a right med. combo. soon.
H.G.
Posted by cpallen79 on August 15, 2004, at 19:44:19
In reply to Re: (one more thing), posted by HappyGirl on August 15, 2004, at 18:46:51
Thanks HP, you're helps has been sp valuable to me. I noticed you said that sounds upset you in a post early on, me too! I've been there. I've considered adding in Zyprexa, we'll see though.
Best,
Chris> Hi Chris:
> >>>> my racing thoughts involve music and whatnot, drives me absolutely nuts when it gets aggravated. <<<
>
> --- It's VERY hard to say whether this is called 'Racing thoughts,' ... more likely you may have 'some form of manic' phrase that causes 'music,' and the others.
>
> If this is due to 'manic,' then increase 'Trileptal' dosage could alleviate the symptom. One thing you need to know about Bp tx.is that you never know what form of 'manic' episodes would start/emerge. In my case, for first several months on Bp dx, I thought I had a 'milder form of Bp II' close to 'depression,' but it wasn't. But, ... hopefully your Bp is 'milder' and you and your pdoc. will find a right med. combo. soon.
> H.G.
>
Posted by HappyGirl on August 15, 2004, at 23:35:15
In reply to Re: (one more thing) » HappyGirl, posted by cpallen79 on August 15, 2004, at 19:44:19
Hi Chris:
In my personal experience, ... if there is/are any other meds. for your condition, most of pdocs. do NOT rx anti-psycho.med., especially a potent A.P., Zyprexa. Then, in my guess, ... your pdoc. rxes other form of med. for your condition, at least until he/she sees you more often.In the beginning of Bp dx., I was on Depakote, from 750 mg. to 1250 mg. depending on my moods and symptoms. It's one of most widely rxed med. for Bp, due to simply working well on Bp condition. Also, it is much milder than those AP meds.
In my case, the reason why I've been on the Zyprexa is due to the complexity of my Bp condition, mostly 'ultra-rapid cycler' and 'dysphoric/rageous manic.' Without the Zyprexa, my cycling is like 'crazy,' which sends me 'very' discomfort both mentally and emotionally. The Zyprexa helping me a great deal in all areas of my Bp.
In your case, ... just dxed with Bp, I doubt your pdoc. rxed the Zyprexa, as said the above. Possibly, Depakote if you compalin about your condition.
For me, Depakote did not offer any weight, but everyone reacts differently on different med., then I can NOT be sure in your case.Hopefully, everything going well for you at your pdoc.'s visit this week.
H.G.
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