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Re: Should BP II's nix the AD's? » nmk

Posted by Ritch on May 27, 2003, at 23:08:14

In reply to Should BP II's nix the AD's?, posted by nmk on May 27, 2003, at 18:43:09

> All you BP's out there, please help me with a question. Have been doing alot of reading lately and many doc's have stated that AD's should be used cautiously with BP I and II. Some say that if used, they should be administered in small doses while some say a mood stabilizer should be used solo.
>
> Has the combo of an ssri/snri with a mood stabilizer worked for you guys or is better to try the mood stabilizer solo?
>
> My current combo of 18mg strattera, 50 mg zoloft, and 1200mg of Trileptal isn't working and I am cycling frequently. I don't know if I should ask my pdoc to eliminate the AD's or simply increase the trileptal.
>
> Any thoughts, advice would be appreciated.
>
> Thanks,
>
> Nicole

Nicole, FIRST, find out *which* antimanic agent actually works the best for you (lithium, Teg, Trileptal, Depakote, etc.) The reason I say that is it could be possible that the Trileptal isn't doing diddly-squat for you. Just because it is *supposed* to work-doesn't mean that it will. Some of the newer AED's can actually trigger mania. After you figure that one out, then work on what antidepressants and what dosages are tolerable and workable.


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poster:Ritch thread:229544
URL: http://www.dr-bob.org/babble/20030525/msgs/229613.html