Posted by azalea on October 10, 2008, at 0:25:56
In reply to Question azalea, posted by qbsbrown on October 9, 2008, at 22:51:35
IMHO, you're asking for trouble starting, stopping, restarting Lexapro, especially with your recent mixed episode.
With regard to Depakote, messing with the dosage and timing of a mood stabilizer defeats the purpose of the ultimate goal of mood stability.
Sometimes, short-term sacrifice is required for long-term success and stability.
While on vacation, your pdoc likely has another pdoc on call.
> Ok Azalea, now I'm a little worried.
>
> I have an interview, well actually a 2 day job onsite shadow/interview on Tues and Wed.
>
> That gives me 5 days to get stable on the meds (10mg lexapro, 2000 mg depakote, 30mg dexedrine).
>
> So i might need to start the lexapro tomorrow, so it'll be in full effect in 5 days (will make me normal and social, outgoing). If a mixed mood does occur, it would be after those 2 days.
>
> Here's my question though. I need to be at the top of my game for the job.
>
> Depakote gives me the terrible cognitive dulling/slowness, even at 1000mgs. Could I take the 2000mgs for 5 days, which would be a steady serum level, and then SKIP my Tuesday (I'll take mondays early), so hopefully I won't be affected on tue and wed? Perhaps even lower mondays to 1000mgs so I will be clear for Tuesday?
>
> Unfortunately my PDOC is out of town, so it's going to be up to me how to decide this.
>
> I appreciate the advice!
>
> Brian
poster:azalea
thread:854600
URL: http://www.dr-bob.org/babble/20081006/msgs/856710.html