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Re: Trileptal, why do you do this to me?

Posted by qbsbrown on April 2, 2010, at 16:23:58

In reply to Re: Trileptal, why do you do this to me? » qbsbrown, posted by ed_uk2010 on April 2, 2010, at 13:57:42

> Hi Brian,
>
> It seems to me that anything which helps you to stop taking benzos is going to be useful for you in the long term. You seem to suffer from a lot of side effects with them. In the long term, I think you would probably be better off without any benzos but you can't stop too quickly or else you will feel worse.
>
> Why would Trileptal make you feel good in the morning and depressed in the afternoon? I don't really understand that.
>
> I would start Valium at 10mg three times a day and then go from there. You will obviously need to adjust.

Yes, getting off of the benzos was the goal over the past year, and now i am at double the starting dose of where i was a year ago, psychotic and crazy from it, even slow taper, the cold turkey, and the horror and terror of what i've experienced the past year that i see in intrusive images and thoughts all day is tormenting.

I just had to turn in my xanax to my dr, we discussed taking xanax xr, but ultimately went back to valium. He suggests 20mgs 3x a day. You think this is too high Ed? Being at double the starting dose from a year ago is very depressing. But i've been on 6mgs xanax for 2 weeks, wouldn't going to 30mgs valium cut in half my benzo intake?

Why trileptal makes me hypomanic in the morn, and the sort of depressed in the afternoon, and semi normal at night is beyond me. Perhaps 3 doses a day are better.

I DO know that trileptal has helped me wean off valium much quicker 2 times before, although trying to add it during my taper last year was terrible, as were adding all of the other anticonvulsants.

There are some studies. Some recent evidence in the literature suggests that the anti-convulsants Carbamazepine and its derivative oxcarbazepine show some potential in reducing benzo withdrawal severity. I'll refer you to the following studies:

Study (http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=16189750&ordinalpos=5&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsP anel.Pubmed_RVDocSum)
Study (http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=15510234&ordinalpos=6&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsP anel.Pubmed_RVDocSum)
Study (http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=2021297&ordinalpos=12&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsP anel.Pubmed_RVDocSum)

This also said, when i was i the serious throws of my benzo wd last summer, and i tried to add an anticonvulsant so i could leave the house, they almost gave me nervous breakdowns literally. Just some sights and sounds, just hearing specific words from adding these anti convulsants was horrifying. These were drugs that i used to swallow like candy, such as depakote etc. I would even try to add back trileptal in the throws of my wd, and i'd be hypomanic in the morn, looking at teaching jobs overseas, and then depressed in bed, and ultimately making my wd symptoms worse.

Lyrica does seem to help with some anxiety, and I don't mind increasing it, and would imagine that it will help both my mood and perhaps help with WD.

Although even with a high dose of lyrica, which allowed me to do many things i couldn't, i still needed a stimulant for any concentration.

Even with all of the other drugs, i had severe concentration problems, and always seemed to need a stimulant, or once thought provigil was god send.

That said, i think with benzo wd, stimulants are going to have to wait for now.

I can't imagine what my cns has been through for the past years with benzos and stimulants, and i can probably even trace back MS symptoms maybe 3-4 years back, which i thought at the time were benzo wd related.

I still wonder that if taking my valium and lyrica with me to the mountains of california, to work on an organic farm, in a place i have no history, and people i do not know. I could not imagine not having computer use, as i've been obsessional with it for many years lol.

Because here, i hear me telling stories to people all day long, of my past, mental health history, about the withdrawal etc.
What i say to people, will repeat in my head over and over, what others say, will usually repeat. Before ECT, i would just look at my phone, i would hear what i had just texted the past person, or i would just touch my phone, and i would hear what i was going to text someone. Some of this psychotic phenomenea has calmed since ect, and perhaps the readdition of benzos.

This is why i wonder that getting away from people, phones, computers, places with history, might be the most therapeautic thing for me.

Brian


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URL: http://www.dr-bob.org/babble/20100328/msgs/941818.html