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Re: Keppra (levetiracetam) for bipolar disorder? Nickengland

Posted by SLS on August 6, 2005, at 15:05:38

In reply to Re: Keppra (levetiracetam) for bipolar disorder? SLS, posted by Nickengland on August 6, 2005, at 12:28:09

Hi Nick.

> I know you've tried many medications in the past (I remember your list you posted of what you have tried before) I'm curious, as you haven't yet tried Topamax (Topiramate) in your line of treatments for bipolar depression.
>
> I wonder if this would be of any benefit for you?...

:-)

I can't believe you went back and checked that out! Yes, I have avoided Topamax because of its cognitive side effects. How silly, right? Considering the severity and refractoriness of my condition, it doesn't make sense to avoid it forever. I guess I should go ahead and put it back near the top of my list of things to try. Thanks. One more ray of hope to cling to.

> You know i'm presently using it and I can speak well of it in terms for helping with depression for sure.
>
> The intial response was that of very much a similar response of an anti-depressant medication

That is a pretty compelling testimonial. Did the antidepressant effect fade with time?

> Of interest as well, I've read that Tegretol, Trileptal and Topamax are the main 3 medications that effect the Temperal Lobes.

Hmm.

> *If* for instance you have any problems in your temoral lobes then Topamax could be very good for this, seeing as you have had fairly good results with Trileptal - although I know they may not have benn the *best* results you were expecting.

Things with Trileptal certainly started out well enough. Damned tachyphylaxis!

> The final advantage with Topamax which i know of, is that it would be a very easy medication for you to rule out in terms of if it will be effective for your needs.

The titration period would be protracted if I were to go low-and-slow. How long and at what dosage do you feel I should wait before passing judgment?

Thanks!


- Scott

 

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