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Re: good med for bp2 Lyrical13

Posted by SLS on July 25, 2004, at 10:53:19

In reply to Re: good med for bp2, posted by Lyrical13 on July 25, 2004, at 10:20:49

I don't mind having a dialogue if you don't. It might be a pretty cool way to arrive at a decision.

How do you feel right now?

> re: choosing AD. Probably Celexa because it worked for me before with few side effects if any. It has been a couple years since I have taken it so it might work for me again.

Did it poop-out and stop working? Why did you stop taking it?

> Or I might try Wellbutrin..I took that briefly to counteract the effects of Paxil (sexual SE's).

Did Paxil work? Why did you stop taking it?

> I have taken a few different SSRI's so maybe one that works on a different chemical would be helpful.

I guess the questions above cover this, but why were all of the SSRIs you tried inadequate?

> My pdoc is concerned about them pushing me into manic phase but if I have a MS along with it maybe they would balance each other?

How manic do you get?

Does Depakote work to control your manias?

The goal is to find a replacement for Depakote. However, it is important to know that you have a drug to use in an emergency as a fire-extinguisher against mania. Zyprexa might also be a good drug for this purpose. You might want to start out with AD + Trileptal, and use Depakote or Zyprexa in case a manic reaction occurs that warrants treatment. Other mood stabilizers that you can discuss with your doctor would be:

AED:
Trileptal
Lamictal
Topamax
Neurontin(?)
Zonegran(?)
Keppra(?)

AP:
Zyprexa
Seroquel
Risperdal
Abilify(?)

lithium (of course)


How did you feel on Effexor before you became hypomanic on it? What else were you taking at the time?


- Scott

 

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