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Re: 300mg Lith - Re: Trileptal kicking my butt!

Posted by SLS on June 22, 2011, at 9:27:56

In reply to Re: 300mg Lith - Re: Trileptal kicking my butt!, posted by sheilac on June 22, 2011, at 9:13:27

> I already take Synthroid for a bum thyroid. So I wonder if in time I would have to take more Synthroid even on just 300mg of Lithium.
>
> The only bad thing about Trileptal is that it makes me hot and sweaty and dumb.
>
> Maybe there is another drug in that same class that wouldn't cause those problems. My sleep really get interrupted from a sweaty bed!


I mentioned Topamax in a previous post. I have seen it work wonders for someone in a very hostile mixed state. Topamax has a reputation for producing cognitive side effects. However, if you start at 25mg and work up very gradually to 100-200mg, these can be avoided. Kidney stones are a possible side effect, but these tend to occur at higher dosages.


Topiramate Dosing Information

Usual Adult Dose for Migraine Prophylaxis:

Initial dose: 25 mg once a day in the evening.

In the second week, the dose may be titrated up to 25 mg twice a day, in the morning and in the evening.

In the third week, the dose may be titrated up to 25 mg in the morning and 50 mg in the evening.

In the fourth week, the dose may be titrated up to 50 mg in the morning and 50 mg in the evening.

The dose and titration should be guided by clinical outcome.

Longer intervals between dose adjustment may be used as needed.


Some see things as they are and ask why.
I dream of things that never were and ask why not.

 

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URL: http://www.dr-bob.org/babble/20110619/msgs/989066.html