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Is Dilantin (phenytoin) a mood stabilizer/A.D. ???

Posted by 3 Beer Effect on January 21, 2003, at 17:13:16

My psychiatrist is not sure if I am Bipolar II or ADHD. I have manic-type hyperactive behavior from alcohol, & find it stimulating even in near lethal amounts such as BAC .30 (I don't drink anymore). The only other med that has ever made me manic was Zoloft & only at 100 mg (50mg made me sleepy). Right now I take Paxil CR 50 mg/day + Wellbutrin SR 300mg/day, neither of which make me manic. I have also been on Dextrostat (d-amphetamine) 40 mg/day, the benzo Klonopin 2-4 mg/day, & a long time ago Ritalin 40 mg/day. Have also tried various A.D.'s such as Celexa, Remeron 45 mg, Effexor XR, none of which worked very well or caused too much drowsiness (Remeron).

As for mood-stablilizers, I have already tried Lamictal & stopped at 200 mg due to lack of efficacy & teenager-like acne. Neurontin @ 900 mg mostly made me tired/lethargic. I was reading about Lithium & how it corrects both depression or mania while most of the other mood stablizers only calm mania & do little for depression. It sounds like Lithium is almost like ElectroShock Therapy in that whatever your problem- too much or too little of 5-HT, NE, DA, both EST & Lithium return those to NORMAL. The only problem is the side effects of Lithium sound pretty bad.

I noticed Dilantin (phenytoin) like most of the mood stablizers is an anti-convulsant & is said by some to have anti-depressant qualities so I am wondering if it is used as a Lithium-like anti-depressant/mood stablizer with less side effects than Lithium?

Thanks,
3 Beers.


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poster:3 Beer Effect thread:136914
URL: http://www.dr-bob.org/babble/20030119/msgs/136914.html