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Re: Topamax, mood stabilizers? » floatingbridge

Posted by SLS on September 9, 2011, at 6:28:57

In reply to Topamax, mood stabilizers?, posted by floatingbridge on September 9, 2011, at 0:57:55

> Topamax has been brought up for consideration.
>
> What I have read about cognitive effects is not encouraging.

Start at 25mg and move up slowly to 100-200mg. The slower you increase the dose of Topamax, the less trouble you will have with cognitive side effects. It seems that if triggered by rapid titration, these side effects linger. With slower titration, you might not suffer any cognitive impairments at all.

> I experienced enough of that on Lyrica. I have also read that Topamax has a nasty withdrawal.

How so? I had none on two occasions?


> That effect usually hits me hard.
>
> Topamax and Lyrica are unrelated, correct?)
>
> I suspect the suggestion was made because Topamax is
> weight neutral and reduces anxiety. My doctor does not want to increase risperidone past .5mg because I am 'higher functioning'. This makes no sense at all, and I just about wept.

I have seen Topamax 100mg work well to treat a mixed-state mania with rage. She looked somewhat BPD, as her mood and behavior was very labile during the courses of the day. I think she was more BD than BPD.

> So, if I pursue a stabilizer, lamictal is out.
> Seroquel and abilify are out.
>
> Trileptal?

If you have tried Tegretol to no avail, I doubt Trileptal would work. Trileptal is a good drug, though. It can help with mania, impulse control, and rage.


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

 

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