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Re: status of topamax+lamactal+wellbutrin+klon combo JohnX2

Posted by Mitch on December 15, 2001, at 10:29:42

In reply to status of topamax+lamactal+wellbutrin+klon combo, posted by JohnX2 on December 15, 2001, at 7:04:15

> Well its been about 1.5 weeks since adding
> Topamax and 1.25 since adding Wellbutrin.
> I'd say results are outstanding.
> The Topamax has completely rid me of myofacial
> pain, plus I can tolerate a full Wellbutrin
> dose, which previously was an extremely anti-depressant
> that would make me manic but poop out and give
> severe myofacial pain. Tolerating it now without
> myofacial pain is a very good sign.
> My lack of interest in life has waned substantitally
> although I am not sure if I have felt the full effects
> of Wellbutrin. I usually get a 1.5 - 2 weeks response.
> But on my previous trials I became (hypo)manic and
> was not an any mood stabilizer, so it is hard for
> me to know if I should get some of that dopamine kick
> that I would get before, like on Adderall when not
> manic? Any thoughts???

Hi John,

I think you are onto something there. I am getting a "little" bit of hypomania from WB, that I *never* got from Adderall, however. You are on a lot more mood stabilizer than I am, though. So, it might work out quite well. Topamax (IMO), is as powerful an antimanic agent as Depakote or Lithium (and obviously it is giving you the analgesia that you need).

> The Wellbutrin is really playing games with my
> sleep. Yesterday I slept-walked from my master bedroom
> into my closet and fell asleep!!!! I had to go pee
> really bad, but was having this intense freudian dream
> telling me not to go pee-pee. Finally my body threw
> in he towel, got me up and I walked straight into
> a wall (because I didn't know I was in the closet and
> it was dark). ;).

I have noticed an increase in dreaming as well in the last week or so. I had a dream last nite that my ADHD nephew gave me a giant bottle of Ritalin for Christmas! I have been on the WB for exactly four weeks as of today (with Klon, Celexa, Neurontin). The WB seems to take some weird quirky twists and turns. I had really blurry vision the first week with a little irritability but with an anxiolytic effect. Then the third week I got really anxious from it. Now that is fading and my attention is finally starting to improve (but I have developed a few nasty headaches in the back of my head-like on Adderall-but they go away after the peak). All of this on a dose of 75mg/day. I am going to wait this out and see what happens next.

> Concentratring on Klonopin tapering since Topamax
> is working..
> -John

Just an opinion, but I would wait on that one until the Wellbutrin goes through all of its changes. good luck





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