![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Ben on December 8, 2011, at 11:56:00
I am BP II and take (beside Parnate) mood stabilizers. Lithium, valptoat, Lamictal and Abilify. The problem is a strong tremor (but the Lithium level should be okay. My pdoc wants me to switch to Trileptal. I also have strong attacks of tiredness, In the evening I could sleep at 6 in the evening. Any advivice with Trileptal please?
Posted by Phillipa on December 8, 2011, at 12:05:08
In reply to Oxcarbazepine any experience?, posted by Ben on December 8, 2011, at 11:56:00
Not bipolar but took a low dose of 150mg for about a year and had no side effects at all. Is it good for bipolar as I took it for augmenting an SSRI. Only reason stopped it was didn't notice a diffence and was expensive on medicaire. Phillipa
Posted by mellow on December 8, 2011, at 14:46:39
In reply to Re: Oxcarbazepine any experience? » Ben, posted by Phillipa on December 8, 2011, at 12:05:08
When I was diagnosed bipolar II initially my pdoc added lamictal and trileptal to my ssri and antipsychotic. I became stable very rapidly. I would say I found a safe baseline within a few weeks. I had been either full blown psychotic or close to it for about a year.
I did very well on the lamictal/trileptal combo for several years until I started to have weigh issues. My doc swapped the trileptal for topamax as it suppressed appetite. I never had any side effects other than weight gain and you could probably contribute that more to my antipsychotic. I would give it a fair shot.
I don't understand why you need lithium, lamictal and trileptal on board though. Seems like you either go the lithium route or the anticonvulsant route. I'd be tired too if I took all that and abilify to boot.
mellow
Posted by Raisinb on December 8, 2011, at 18:33:33
In reply to Oxcarbazepine any experience?, posted by Ben on December 8, 2011, at 11:56:00
I just started it about five days ago. So far, my mood is excellent. I also am combining it with Lamictal, also Zoloft. The only side effects I notice are tremor and sleepiness. The sleepiiness isn't overwhelming, though. I am taking 300 mg twice a day.
Posted by linkadge on December 9, 2011, at 18:38:57
In reply to Re: Oxcarbazepine any experience?, posted by Raisinb on December 8, 2011, at 18:33:33
I didn't mind trileptal when I took it. It was a fairly tollerable mood stabilizer for me.
Linkadge
Posted by Ben on December 10, 2011, at 1:49:01
In reply to Re: Oxcarbazepine any experience?, posted by Raisinb on December 8, 2011, at 18:33:33
Hi Linkage can you let me updated of your trial with Trileptal? I started with 60mg twice a day (liquid) and then I should go slowly up. My pdoc believes that he could combine it with Valproate when both drugs are taken in smaller increments than usual. I have tremor of Lithium, the combo wit Valproate and this with Lamictal. So it would be good when I could get rid of the Valproat and Trileptal would work without so much tremor!
Posted by linkadge on December 10, 2011, at 5:48:23
In reply to Re: Oxcarbazepine any experience? » Raisinb, posted by Ben on December 10, 2011, at 1:49:01
Its been a while since I took it, but I don't remember tremor like I had with lithium.
3 mood stabilizers is probably too much. You might try trileptal and a low dose of lithium.
Linkadge
Posted by Phidippus on December 11, 2011, at 18:18:05
In reply to Oxcarbazepine any experience?, posted by Ben on December 8, 2011, at 11:56:00
Does nothing for depression. Can cause anxiety. Can kind of screw with your thinking. I hated it.
Eric
Posted by crazyjoe on December 17, 2011, at 12:40:44
In reply to Re: Oxcarbazepine any experience? » Ben, posted by Phidippus on December 11, 2011, at 18:18:05
i believe it is similiar to tegretol without the proven track record
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.