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Re: Keppra for hard-to-treat Bipolar Disorder JohnX2

Posted by Psydoc on May 31, 2002, at 4:46:48

In reply to Re: Keppra for hard-to-treat Bipolar Disorder Psydoc, posted by JohnX2 on May 30, 2002, at 19:11:56

Hi . . .

The people for whom I have prescribed Keppra have been individuals with Bipolar Disorder not adequately controlled by other treatments. Typically they have not improved on combinations of mood stabilizers such as Lithium + Depakote or Lamictal + Topamax. Generally these are people with rapid cycling or severe mixed states.

As yet I have not been able to identify anything that allows me to predict who will do well or who will do poorly with Keppra.

As yet there are no reports on the succesful or unsuccessful use of Keppra as a treatemnt for people with pain syndromes.

Best regards . . .

Ivan Goldberg
> Hi Dr. Goldberg,
> I was wondering if you could give a feeler for
> the profile (cycling patterns, which meds did good/bad
> on) of hard to treat bipolars that have
> done well on Keppra? I know this is a very generic
> question, but it would be useful.
> Also do you know if Keppra may be useful in the
> treatment of facial neuralgia/myofascial pain/med
> incuded tension headaches?
> Thanks,
> John




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