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Re: Keppra (levetiracetam) for bipolar disorder? SLS

Posted by zeugma on August 16, 2005, at 15:17:27

In reply to Re: Keppra (levetiracetam) for bipolar disorder? theo, posted by SLS on August 16, 2005, at 8:05:38

> Hi Theo.
> I hope today finds you well.
> I can't say that I feel anything positive from Keppra at 500mg that I should notice a fluctuation throughout the day. If my doctor has me increase the dosaged today, I might take it three times a day. I have to take an afternoon dose of Parnate anyway, so it is not really an added inconvenience.
> I think the appearance of agressiveness would be a good thing for me. Depression leaves me feeling passive, inhibitited, and submissive.

Hi Scott.

Ritalin definitely makes me more aggressive. If lack of aggression were my target symptom, then 30 mg Ritalin would be ideal, at least for half the day. Unfortunately it is not my only target symptom, so I have to find treatments more broadly effective and excessive inhibition is hardly my biggest problem, although a 'normal' person might well find it intolerable.

I don't think amphetamines or methylphenidate have more long-term effects than other classes of medication. Linkadge did mention a 'chromosome study' but did not elaborate on this. I myself would gladly take methylphenidate if it helped more of my ADHD symptoms, but it leaves too many untreated, although it does a good job at treating sleepiness. I am a walking set of DSM-IV disorders, and I have to go for optimal treatments, not ideal ones.

Lack of aggression is a real problem for males.

> Dexedrine (amphetamine) helps me for a few days only. Ritalin (methylphenidate) has no effect. As far as long term use is concerned, I haven't seen a trend in the reporting of irreversible side effects for Dexedrine, Adderall, or methylphenidate. Linkadge would be a good person to ask about this. To my knowledge, it is only Desoxyn (methamphetamine) that represents a hazard to the integrety of nerve terminals.
> - Scott




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