Posted by SLS on July 17, 2012, at 11:45:11
In reply to Re: Scott: Meds and Mania » SLS, posted by brynb on July 17, 2012, at 10:51:22
> > Trileptal is not notorious for producing flattened affect or cognitive dulling like Tegretol is. Depakote and Topamax are worth considering for BPII mixed-states, but Trileptal is recognized as being a good choice disorders for which anger and rage predominate. It is good for impulse-control.
> i'm in a similar boat here. (depression is my main issue, though.) if i do have mania/hypomania, it presents as anxiety, irritability, rage and poor impulse control. i'm taking 300 mg of lithium and already feel dull/cognitive blunting, but i think it is helping my mood (though i'm still irritable off and on). per your comment above re: trileptal, do you think it's a better option over lithium?
First of all, I don't think 300 mg of lithium will be effective at controlling mania - if you indeed have it. Depression sometimes presents with anger and irritablity, particularly in young people. However, lithium 300 mg can help with depression. You might have no better choice but to continue with the lithium and hope that the side effects are only startup effects, and that they disappear within a few weeks. As to choosing one drug over another, it would be hard to guess at without having more information. There is no reason why you can't remain on your low dose of lithium and add 600 mg of Trileptal. If you end up feeling great, you can then try to remove the lithium to see if it is necessary.
Some see things as they are and ask why.
I dream of things that never were and ask why not.
- George Bernard Shaw