Posted by HappyGirl on March 18, 2004, at 23:59:16
In reply to STIMULANTS PLUS 1 MOOD STABILIZER ANYONE??, posted by aazospiro on March 18, 2004, at 19:23:55
Hi:
> Anyone here who COULD NOT tolerate valproate or lithium or tegretol? Would gabapentin be a good choice? And would it be prude to add a stimulant for daytime?
>--- In my knowledge, gabapentin is a sort 'add-on' to 'regular' mood-stabilizer, such as the meds. you already described, above. Those three M.S. are commonly prescribed upon newly dx'ed Bipolar.
In regard to stimulant for daytime, ... in my opnion, unless you ABSOLUTELY need this, you'd better to avoid any stimulant, because those stims. often produces 'anxiety' problems. ---
> Are the atypical anti-psychotics effective for anxiety, since they all bind to 5-HT2a receptors, in NON_PSYCHOTIC patients?--- For me as Bp II that has mostly major depression with dysphoric mania, ... NON- psychotic episodes, yes, ... one of APs, Zyprexa calms me down quite a bit, ... but then, I'm on Nefadozone/Serzone occasionally that gives me 'anti-anxiety' most of time, ... along with depressive effect. ---
Especially if nefazodone is not a choice. COuld they be used safely with antidepressants like bupropion?
>--- I've been on Wellbutrin SR and Nefadone mix for both purposes, depression and anxiety along with few OCD and works good for those areas. However, like any other AD meds., you may/can NOT expect 100%, ... about 85-90%satisfactory range. The rest is you need to know how to deal with the symptoms, for the comings and goings, like tidal wave in the ocean. In my opinion, there are NO 100%/perfect AD meds. up to date. Hopefully, it will come SOON tho'. ---
> WHICH IS THE ATYPICAL ANTIPSYCHOTIC LEAST LIKELY TO CAUSE SEDATION AND WEIGHT GAIN?--- It might be either 'Seroquel' or 'Risperdal.' The former is one of the weakest APs and the latter is one of the most potent APs and works well for psychotic and delusional features, but also might be good for other symptoms that varies from person to person, ... in my guess.)---
H.G.
poster:HappyGirl
thread:325832
URL: http://www.dr-bob.org/babble/20040313/msgs/325908.html