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Re: Started Geodon, off Zyprexa--scott Emme

Posted by SLS on October 5, 2001, at 23:32:29

In reply to Re: Started Geodon, off Zyprexa--scott SLS, posted by Emme on October 5, 2001, at 21:47:42

Dear Emme,

Just curious.

Was your doctor convinced that this skin anomaly was indeed the appearance of the dangerous skin reaction? I dont know enough about it to be able to evaluate your description. If I were in your sneakers, I would be determined to try again, if you feel you have failed enough previous drug trials to justify it. You might ask your doctor to consult with someone that perhaps has had more experience seeing patients through the start-up period of Lamictal. He might be better able to assess whether the appearance of your skin discoloration is an absolute contraindication to continued treatment, or whether there are strategies to help establish a therapeutic dosage. If I have time, Ill see if I can come up with anything more specific.

You might want to check out the work of Robert M. Post of the NIMH. I consider him among the top experts for treating refractory bipolar disorders bipolar depression and rapid-cyclicity, particularly. For rapid cyclers, he advocates the use of at least two mood stabilizers; usually lithium combined with Tegretol (or perhaps Trileptal, its sister drug), Depakote, or Lamictal. He has also had some success with the combination of Lamictal and Neurontin.

If anything comes to mind and stays there :-) - Ill let you know.

Take care.

- Scott




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