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Re: worst mixed episode » b2chica

Posted by ed_uk2010 on February 11, 2015, at 17:46:45

In reply to Re: worst mixed episode, posted by b2chica on February 10, 2015, at 23:27:56

Hi B2,

Glad to hear you're feeling somewhat better. People usually dissociate when they've reached a level of distress and anxiety which is no longer tolerable. I think the adjustment to your meds helped you get out of this state.

I agree that increasing Zyprexa probably made a big difference, but do continue with Deplin - it could be helpful.

You were only taking 5mg of Zyprexa before, which is lower than the minimum effective dose for most people in a mixed state. The majority need 10mg or more. 5mg-7.5mg does sometimes work but it's not reliable. And many people need more than 10mg. You have plenty of room to adjust. I think you're absolutely right that a change was needed.

Hopefully, Zyprexa (at an adequate dose) and Deplin will help to keep you stable. If not, you still have lithium and Depakote to consider. Tegretol is less well-established as a mood stabiliser than Depakote so I'd always suggest Depakote first for a mixed state.

Hope you're feeling OK.

 

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