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med dialogue

Posted by Lyrical13 on July 26, 2004, at 10:16:58

In reply to Re: good med for bp2 Lyrical13, posted by SLS on July 25, 2004, at 10:53:19

> 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?

Right now I am just tired all the time and want to sleep or just lay around...no motivation. Low level depression I think. I am occasionally a little sad. I'm not manic though.
>
> > 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?

Re: Celexa...I was on it for 3 years and eventually maxed it out (60 mg). After a while that didn't work any more either so I had to switch meds.
>
> > 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?

Paxil worked but it killed my sex drive. I felt like I was just wooden. That was distressing on its own.
>
> > 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?

The only other AD I tried (besides the WEllbutrin in combo with Paxil...which worked pretty well. I just stopped taking it in the summer one year because I felt pretty good and didn't think I needed it then) Anyway....after Celexa pooped out, I tried Serzone. I felt "zoned". It helped but eventually we maxed that out and a year later we switched to Effexor. Effexor XR was wonderful. It took care of my depression through the fall and winter. When spring came is when I got manic. My worst hypomanias are basically some irritability, spending sprees (maybe $200 at a time...total of $500 in one month) and LOTS of projects all at once (I counted 15 one time). Also only 2-4 hours of sleep per night and not feeling tired. That's my all time worst.
>
> > 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? see above
>
> Does Depakote work to control your manias?

Yes...mania got much better once I got on Depakote.
>
> 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? see above

Thanks for your suggestions. Lyrical
>
>
> - Scott


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Psycho-Babble Medication | Framed

poster:Lyrical13 thread:369525
URL: http://www.dr-bob.org/babble/20040724/msgs/370667.html