Psycho-Babble Medication Thread 1116947

Shown: posts 1 to 12 of 12. This is the beginning of the thread.

 

How to quell a hypomanic episode

Posted by Beckett2 on September 15, 2021, at 0:58:38

I recently experienced a major stressor. Low and behold, I am hypomanic. This means debilitating anxiety, pressured activity, inability to sleep properly. Aka not fun.

I have a call out to my doc. What would you suggest as stopgap treatment? A few seroquel? A little Valium?

My regular meds work well: trintellix, lamotrigine (200 mg), pregabalin (25 mg).

My assumption is this episode will pass soon, I just want to feel comfortable and reduce the pressure.

Suggestions welcome!

 

Re: How to quell a hypomanic episode Beckett2

Posted by sigismund on September 15, 2021, at 2:55:41

In reply to How to quell a hypomanic episode, posted by Beckett2 on September 15, 2021, at 0:58:38

A minimum of Valium and some Lyrica, perhaps 75mg?

I don't know anything about hypomania though.

 

Re: How to quell a hypomanic episode

Posted by undopaminergic on September 15, 2021, at 8:04:21

In reply to How to quell a hypomanic episode, posted by Beckett2 on September 15, 2021, at 0:58:38

> I recently experienced a major stressor. Low and behold, I am hypomanic. This means debilitating anxiety, pressured activity, inability to sleep properly. Aka not fun.
>
> I have a call out to my doc. What would you suggest as stopgap treatment? A few seroquel? A little Valium?
>

This is just my experience, but: benzodiazepines did not have any noticeable effect. Try 5-HTP (I can't say how much), and if that doesn't work, try 50 mg of sertraline. If that doesn't work try olanzapine or risperidone. If the key is histamine H1-antagonism and not dopamine, then quetiapine (Seroquel) would be expected to work.

-undopaminergic

 

Re: How to quell a hypomanic episode

Posted by beckett2 on September 15, 2021, at 11:58:09

In reply to Re: How to quell a hypomanic episode, posted by undopaminergic on September 15, 2021, at 8:04:21

> > I recently experienced a major stressor. Low and behold, I am hypomanic. This means debilitating anxiety, pressured activity, inability to sleep properly. Aka not fun.
> >
> > I have a call out to my doc. What would you suggest as stopgap treatment? A few seroquel? A little Valium?
> >
>
> This is just my experience, but: benzodiazepines did not have any noticeable effect. Try 5-HTP (I can't say how much), and if that doesn't work, try 50 mg of sertraline. If that doesn't work try olanzapine or risperidone. If the key is histamine H1-antagonism and not dopamine, then quetiapine (Seroquel) would be expected to work.
>
> -undopaminergic
>

Wait, are you saying Seroquel wouldn't work? I suppose olanzapine would work, but I'm not real familiar with AP's. I don't currently take any now (they scare me). I'll keep that in mind when I talk with him.

For the record, I hated Abilify and how it made me feel from day one. Would olanzapine feel the same?

Btw, thank you!

 

Re: How to quell a hypomanic episode sigismund

Posted by beckett2 on September 15, 2021, at 12:00:18

In reply to Re: How to quell a hypomanic episode Beckett2, posted by sigismund on September 15, 2021, at 2:55:41

> A minimum of Valium and some Lyrica, perhaps 75mg?
>
> I don't know anything about hypomania though.

Hypo used to be more fun. Now I get anxious and paranoid in the sense that my GAD thing kicks in, and I'm in a state of dread and impending doom. Like a very energized bad mood.

 

Re: How to quell a hypomanic episode undopaminergic

Posted by beckett2 on September 15, 2021, at 21:23:26

In reply to Re: How to quell a hypomanic episode, posted by undopaminergic on September 15, 2021, at 8:04:21

He prescribed a little zyprexa. I had it in the hospital and don't remember because I slept through it.

I really need some sleep!

 

Re: How to quell a hypomanic episode Beckett2

Posted by SLS on September 16, 2021, at 2:17:27

In reply to How to quell a hypomanic episode, posted by Beckett2 on September 15, 2021, at 0:58:38

> I recently experienced a major stressor. Low and behold, I am hypomanic. This means debilitating anxiety, pressured activity, inability to sleep properly. Aka not fun.
>
> I have a call out to my doc. What would you suggest as stopgap treatment? A few seroquel? A little Valium?
>
> My regular meds work well: trintellix, lamotrigine (200 mg), pregabalin (25 mg).
>
> My assumption is this episode will pass soon, I just want to feel comfortable and reduce the pressure.
>
> Suggestions welcome!


In my experience, Zyprexa (olanzapine) worked almost instantly to put the fire out. I was not hypomanic, though. I was beyond that. I was delusional. Because most people gain weight on Zyprexa, it is not an ideal answer if you need to cover a period of time longer than a few weeks. I have a *hunch* that Zyprexa works quickly and completely enough to be able to use it for 5-7 days, and then be able to discontinue it without hypomania reemerging.

In the days before olanzapine, doctors often combined lithium with a benzodiazepine, usually clonazepam.

How would you characterize Trintellix?


- Scott

 

Re: How to quell a hypomanic episode

Posted by sigismund on September 16, 2021, at 3:19:55

In reply to Re: How to quell a hypomanic episode undopaminergic, posted by beckett2 on September 15, 2021, at 21:23:26

I was left some Zyprexa and found that minimal doses were fine, less than 2mg. Real sleep.

 

Re: How to quell a hypomanic episode

Posted by undopaminergic on September 16, 2021, at 8:12:35

In reply to Re: How to quell a hypomanic episode, posted by beckett2 on September 15, 2021, at 11:58:09

> >
> > This is just my experience, but: benzodiazepines did not have any noticeable effect. Try 5-HTP (I can't say how much), and if that doesn't work, try 50 mg of sertraline. If that doesn't work try olanzapine or risperidone. If the key is histamine H1-antagonism and not dopamine, then quetiapine (Seroquel) would be expected to work.
> >
> > -undopaminergic
> >
>
> Wait, are you saying Seroquel wouldn't work?

I'm saying it would work if the key turns out to be histamine H1-antagonism. If the key is dopamine antagonism, Seroquel wouldn't work.

> For the record, I hated Abilify and how it made me feel from day one. Would olanzapine feel the same?
>

Probably not, they are very different. Many people find that Abilify has an antidepressant action at low doses, but it never worked for me.

-undopaminergic

 

Re: How to quell a hypomanic episode

Posted by linkadge on September 16, 2021, at 17:55:43

In reply to Re: How to quell a hypomanic episode, posted by undopaminergic on September 16, 2021, at 8:12:35

For hypomania, you can always use a single supratheraputic dose of magnesium.

Linkadge

 

Re: How to quell a hypomanic episode

Posted by beckett2 on September 18, 2021, at 22:09:28

In reply to Re: How to quell a hypomanic episode, posted by linkadge on September 16, 2021, at 17:55:43

Thanks for all the replies, I really appreciate the input!

I've been sleeping a lot, which is good, but on the heels, my mood has taken a downturn. Hypomania in my case is always followed by a depressive episode, and I'm hoping to avoid that :(

I've been stable for a long time.

Zyprexa will be for a very short time. AP's are not a sustainable treatment because it messes with my blood sugar levels.

 

Re: How to quell a hypomanic episode

Posted by undopaminergic on September 19, 2021, at 0:35:16

In reply to Re: How to quell a hypomanic episode, posted by beckett2 on September 18, 2021, at 22:09:28

>
> Zyprexa will be for a very short time. AP's are not a sustainable treatment because it messes with my blood sugar levels.
>

Not all APs do that, although Zyprexa does -- in fact, it is the worst of them all.

-undopaminergic


This is the end of the thread.


Show another thread

URL of post in thread:


Psycho-Babble Medication | Extras | FAQ


[dr. bob] 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.