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Re: Trileptal 600mg » SLS

Posted by emme on June 15, 2005, at 17:28:09

In reply to Re: Trileptal 600mg » emme, posted by SLS on June 15, 2005, at 7:00:27


Hi Scott,

> I apologize for the tone I took with you in my last post. I was frustrated that you aren't doing well, and that so many treatments seemed to be excluded from consideration. Now I see that they have been considered and understand more why they have not been placed high on your list of things to try. I guess I poked at you just to make sure. Sorry. It is hard to watch someone else suffer if you think there is something available to treat the illness that they haven't tried yet. I like you, so I think I was overly stiff with my tone.

Thanks. I’ll let ya get away with it this time. ;)
I appreciate the kindness that motivated your post even if a few lines landed badly. I know you’re a very good person. I tend to be sensitive – maybe oversensitive – and electronic media make it easy to miscommunicate. Next time you poke at me, I’ll know what it means.

> Perhaps your doctor could give you only enough TCA medication to last one week at a time if there are safety concerns.

That’s true.

> Do you think your acting out by throwing things is a sign of a mixed state, or is it due to the irritability that can often accompany depression?

Tough distinction, isn’t it? Every once in a blue moon I have some sort of nasty but brief outburst. These are pretty rare but distressing. In this case, my doctor took this as a sign of bipolar tendencies and had me stop the Paxil since it happened within about a week of starting it. She had already suspected a few soft bipolar signs. I’ve actually never been 100% convinced I’m bipolar, but I’m not convinced I’m NOT either. So I don’t get hung up on having a label.

> Don't forget about Keppra. I had a consultation with a doctor who found it enormously effective for one of his bipolar patients who cycled between mixed states and depression. He found that it was effective for her as monotherapy.

I liked it. It’s on my list of “helpful things that I can tolerate a teeny bit of”. Of course w/o Selegiline in my system, I didn’t need to keep taking it regularly.

> On another note, I am getting scared that I am beginning to plateau with Trileptal. I know that I can be very impatient with a drug unless I am convinced that there is a trend towards improvement beyond a month of the beginnings of a response.

You’re not sliding backwards, though, are you? It’s still easing your depression? I completely understand about being impatient. I believe that even if a drug starts helping fairly quickly, it can still take time for your brain to recover after being down for so long. IF the drug is tolerable and you are sustaining some benefit, it’s probably worth seeing how much additional improvement you see over the next couple of months or so. You’ve got nothing to loose.

> The doctor I spoke to didn't say exactly how long it takes for the cognitive or affective side effects of Trileptal to dissipate, but he gave me the impression that it doesn't linger for very long at all. I find that it comes in waves. I don't recall it being present yesterday at a dosage of 600mg.

Okay, so this sounds potentially workable. Are you finding Trileptal energizing or calming?

> I'm really hoping you get well *soon*. You deserve it.

Thanks. I’m hoping the same for you.

em

 

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poster:emme thread:511101
URL: http://www.dr-bob.org/babble/20050611/msgs/513270.html