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Re: Discontinuing Depakote » HMK

Posted by Ritch on September 6, 2002, at 12:58:53

In reply to Discontinuing Depakote, posted by HMK on September 6, 2002, at 8:40:21

> I'm a bipolar II who takes Effexor XR, Depakote, and Risperdal. I've gained something like 40 lbs since starting Depakote and I can't put up with it anymore. Risperdal has been an amazing drug for me and really helps with my mood stabilization- much more than the Depakote ever has. I want to discontinue the Depakote and try just using Risperdal and Effexor but am wondering if there will be any withdrawal effects from going off the drug that I should know about. Can anyone advise? I can't get ahold of my doctor. Thanks!
> Heather


Hi Heather,

Yes, there is a discontinuation syndrome that can happen when you stop Depakote. A neurologist I saw once told me about it. It's not as bad as discontinuing many AD's, though. Depakote induces a metabolic slowing that occurs over several weeks-which is why people often gain weight on it. I have to exercise pretty vigorously to keep my weight from going up while taking my Depakote now. When you stop taking it your metabolism will start to speed back up-and when it does you might get pretty agitated and frazzled. Kind of a "rebound" effect. When I stopped Depakote last time I cut my dose in half for a week every week until I was down to 125mg/day for a week and then stopped it. I was a little agitated the last week on 125mg/day and for a week afterwards after I stopped it, but I was OK after that.

hope this helps,

Mitch


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