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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by tendency on March 29, 2005, at 19:14:10
Hello again. Ok, I've been on lamictal for 10 months but am wondering if i should tinker with it or change. Here are my symptoms:
- rapid cycling (big time)
- very depressed at low end of cycle. on top of world feelings on high end
- often get very irritable and angry on low end as wellas ive aged the depressive side seems to have worsened. ive been reading about 'mood stabilizers' and am wondering if trileptal or maybe lithium might be worth trying.
Ideas? Thanks
Posted by Maxime on March 29, 2005, at 20:14:41
In reply to which mood stabilizer for my symptoms?, posted by tendency on March 29, 2005, at 19:14:10
I find this link really helpful. It has chart with all mood stabilisers and which symptoms it will alleviate and some of the main side effects.
http://www.psycheducation.org/depression/meds/moodstabilizers.htm#symptomsMaxi
> Hello again. Ok, I've been on lamictal for 10 months but am wondering if i should tinker with it or change. Here are my symptoms:
>
> - rapid cycling (big time)
> - very depressed at low end of cycle. on top of world feelings on high end
> - often get very irritable and angry on low end as well
>
> as ive aged the depressive side seems to have worsened. ive been reading about 'mood stabilizers' and am wondering if trileptal or maybe lithium might be worth trying.
>
> Ideas? Thanks
Posted by HappyGirl on March 30, 2005, at 1:02:51
In reply to which mood stabilizer for my symptoms?, posted by tendency on March 29, 2005, at 19:14:10
Hi:
It sounds to me like your Bp is NOT easy to get under control. I, too have Bp with ultra-rapid cycler like yours. For this form of Bp, most of pdocs. has a difficult time to rx a proper med. combo. For me, it took almost two and a half years to find a right pdoc. who is willing to help me out.In my opinion through the experience along with the reading others who has similar to same Bp category, there needs some 'aggressive' tx that includes anti-psycho. med. like Zyprexa and Seroquel. Just a typical mood-stabilizer with anti-depressant(if you're on) does NOT alleviate all of those symptoms you have. Sorry to be SO honest and blunt about this, ... but you seem SO desperate to get a 'real' answer on this.
First off, you may need 'overwhole' your med. regimen due to 'severity' of your Bp symptoms. Rapid cycler along with 'intense' mood-swings need aggressive med. regimen to get under control. Simply, it's because this form of Bp is more than typical Bp. In other word, Bper's with rapid cycler have rapid cycler on top of Bipolar, ... as if you have 'two' illnesses combined in one disorder. I, still have some 'bad' days even on my med. regimen, Zyprexa 5 mg., Lithium 900 mg. along with two anti-depressants. However, I've been 'almost' normal to hold a job and doing 'normal' social acitivies to enjoy every day. Then, it seems to me finally the 'reward' came to my 'endless' effort on my Bp tx.
In my suggestion, first you need to talk with your pdoc. asking whether any 'aggressive' med. regimen is available to you.
H.G.
Posted by banga on March 30, 2005, at 12:07:42
In reply to which mood stabilizer for my symptoms?, posted by tendency on March 29, 2005, at 19:14:10
How high a dose on the Lamictal?
Posted by tendency on March 30, 2005, at 12:56:11
In reply to Re: which mood stabilizer for my symptoms?, posted by banga on March 30, 2005, at 12:07:42
> How high a dose on the Lamictal?
im at 100mg twice a day. went as high as 150mg twice a day but got a rash.
This is the end of the thread.
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