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Re: Shielac » Sheilac

Posted by SLS on February 21, 2014, at 8:36:56

In reply to Re: Shielac » SLS, posted by Sheilac on February 21, 2014, at 6:25:54

> I'm just not sure what to take anymore.

That's why it would be helpful to create a list of what medications you have tried in the past and how you reacted to each one of them. Give a copy to your doctor. He has too many clients to remember everyone's treatment history. You should be a participant in deciding your treatment plan, but not the sole decision maker.

Did your doctor prescribe Depakote without ordering a blood test?

It may be that Tegretol (a cousin drug of Trileptal) would help with the irritable mixed-state hypomania without producing hyponatremia and pain symptoms.

For now, Depakote may not be a bad idea to control the manic aspects of your mental illness. Depression is a possible side effect of Depakote, but it isn't usually severe. Although Depakote might leave you moderately depressed, I think that, in your case, this might be part of your illness rather than a side effect. You will probably need an antipsychotic with antidepressant properties like Geodon or Latuda. (Latuda enhanced the quality of my sleep, although sleep disruption is also possible). You might even need to add an antidepressant like Wellbutrin. Wellbutrin can sometimes produce anxiety and anger, but it is less likely to produce mania at normal dosages compared to other antidepressants. You won't know until you try it. Wellbutrin can be energizing.

Edema (swelling) is a possible side effect of Depakote. However, it occurs infrequently and usually after taking Depakote for an extended period of time. Depakote is good for anxiety. Liver toxicity can occur during the first 6 months of treatment. This is why having blood tests is a good idea.

* What are the main symptoms of your depression in the absence of mania?

* Have you ever taken a stimulant?

I would try to avoid antidepressants for now. It is unfortunate that you react badly to Lamictal. You might consider using minocycline as a replacement. Like Lamictal, it suppresses glutamate hyperactivity. It works for bipolar depression. It would be nice if one drug could treat your condition. Perhaps Latuda or Saphris could do this.

ONE STEP AT A TIME!!!

(Do as I say and not as I do).

:-)


- Scott


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

- George Bernard Shaw

 

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poster:SLS thread:1060931
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