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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by D minor on May 10, 2005, at 14:08:40
Hey Guys,
one more question. When I took Cymbalta by itself it sent me into a hypomania/mania. But now I'm depressed again. And also, I'm now on Topamax for a mood stabilizer. Can I retry the Cymbalta? Will the Topamax keep me from going manic? Thanks
dm
Posted by linkadge on May 10, 2005, at 15:52:47
In reply to Safe to take and AD with a Mood Stabilizer?, posted by D minor on May 10, 2005, at 14:08:40
Mood stabaizers will offer a degree of protection against mania. The degree protection depends on many factors. Timing, dosage, particular state etc.
Linkadge
Posted by stresser on May 11, 2005, at 22:05:40
In reply to Re: Safe to take and AD with a Mood Stabilizer?, posted by linkadge on May 10, 2005, at 15:52:47
I have a question for some of you. Both my daughter and I take Topamax, and are having luck with it, (I think)?, but I am a bit confused about the rapid cycling thing. Our pdoc has never said she, or I have mixed or rapid cycling. How do you know? Both of us seem to be irritable one minute, and fine the next. It's like a light switch gets turned on, and then off.Topamax and Zoloft help me, more than the topomax and
Wellbutrin help her. We are both taking Adderall XR, but different dosages at the moment. (We are so much alike it's spooky)
I just have to wonder if she is taking what is best for her, because I do think we could still see some improvement in her attitude. She is still snappy, irritable, and I feel like I walk around on egg shells when she's here at home. Any suggestions? -L
Posted by HappyGirl on May 12, 2005, at 0:36:36
In reply to Re: Safe to take and AD with a Mood Stabilizer?, posted by stresser on May 11, 2005, at 22:05:40
Hi:
In my opinion, ... if both of you have NO problem of taking 'Topamax,' then no need to worry about. At the beginning of my participation on Bp Support in the Internet(six years ago, then not this site/board), I used to 'enjoy' reading others experiences particularly, in terms of med./med. combo., due to my own 'curiosity' about Bp med./med. combo. along with my 'battle' med. serarch. One lady with Bp(seems severe form with rapid cycler), she used to mention about her 'successful' med. combo, Zyprexa(high dosage), Topamax, Neurontin and one more(I can't recall, due to the time). In reading, I see most of Topamax takers seem NO problem on it. Then, if it were me, I'd never question myself as long as it works OK, although I never took one. Luckily, I can take any sort of med./med. combo, except SSRIs. Then, my pdoc. never put me on Topamax, believing that Topamax is a kind of 'add-on' mood-stabilizer, at least from the reading. I took Depakote and Lithium as for M.S.s, and no problem while on them. For me, Lithium seems the best M.S. and most likely take as long as I can.In regard to your daughter's problem, ... 'like walking around egg-shells while she's home' ... my 'good' guess is to be a depressive side of her Bp. She may need to increase its dosage, ... or need one more AD to 'boost' more AD effect on her depression. In my case, Zyprexa is a big help in this area.
It sounds to me like your Bp is milder than your daughter's, that makes you confused. There is an exact same dx, Bp, but still seems to have some 'difference' between two of you, in regard to med. adjustment/dosage, ... or to need one more AD for your daughter.
At your next appt., you need to talk to your/your daughter's pdoc. openly and honestly in her current situation.
H.G.
Posted by Bill LL on May 12, 2005, at 11:19:15
In reply to Re: Safe to take and AD with a Mood Stabilizer?, posted by stresser on May 11, 2005, at 22:05:40
How is she doing with her school work? Does she interact well with friends? If things are going well for her, aside from her irritability, and if she is reasonably happy with herself, you might not want to make big changes in her medications.
Wellbutrin makes some people more irritable, and some people less irritable.
> I have a question for some of you. Both my daughter and I take Topamax, and are having luck with it, (I think)?, but I am a bit confused about the rapid cycling thing. Our pdoc has never said she, or I have mixed or rapid cycling. How do you know? Both of us seem to be irritable one minute, and fine the next. It's like a light switch gets turned on, and then off.Topamax and Zoloft help me, more than the topomax and
> Wellbutrin help her. We are both taking Adderall XR, but different dosages at the moment. (We are so much alike it's spooky)
> I just have to wonder if she is taking what is best for her, because I do think we could still see some improvement in her attitude. She is still snappy, irritable, and I feel like I walk around on egg shells when she's here at home. Any suggestions? -L
Posted by stresser on May 12, 2005, at 15:31:28
In reply to Re: Safe to take and AD with a Mood Stabilizer?, posted by Bill LL on May 12, 2005, at 11:19:15
Thank you for responding to my post. I did call the doctor today, and am expecting a call tomorrow because he was out of the office. I explained everything to his nurse, and am hoping he will add something into this medication mixture. I keep wondering about the Wellbutrin? She does gain weight very easily, and has had a binge eating problem in the past. What can she take that won't add to that problem? This is one reason for the topamax and Wellbutrin combo. -L
Posted by HappyGirl on May 12, 2005, at 23:32:18
In reply to Re: Safe to take and AD with a Mood Stabilizer?, posted by stresser on May 12, 2005, at 15:31:28
Hi:
I've been on WB for more than four years along with other meds. and it has been working on me quite well. However, if your daughter has 'eating problem,' then I have no clue whether the WB is good for her. Also, some of WB takers complaining about irritability, anxiety and insomnia caused by the WB. In my case, other med., the Zyprexa 5 mg. has a good 'counteract' efficacy to not get me in that place. In my 'personal' experience on the WB, it's a good AD which also has ADD efficacy, because a depression often brings on ADD even you're NOT officially dx'ed. Actually, I got the WB when I had concentration problem, ... not for a depression, but I found this med. has AD efficacy as time progressed. Also, other meds. similar to the WB are available, ... but I just can't remember those names, except 'Provigil(sp?).'That being said, ... irritability is a depressive side of Bp, however dysphoria/intense anger and rage is a part of 'bad' form of 'hypomania.' Then, mostly likely her pdoc. may ask which form of irritability/anger she has. For me, the Zyprexa is good for 'dysphoric'(bad hypomania) and WB for irritability and concentration.
Please let us know about your daughter's progress.
H.G.
Posted by stresser on May 13, 2005, at 12:05:21
In reply to Re: Safe to take and AD with a Mood Stabilizer? » stresser, posted by HappyGirl on May 12, 2005, at 23:32:18
I think it's odd that her psychiatrist has really never talked about what type of mania she has. I feel as if I have to do all the research and go into the office and present the information to the doctor, instead of the opposite. This is her third doctor, and it's been that way with all of them. I still waiting for a call from the office, and if I don't hear from the nurse, I will call back before the day if over. Is Provigil a mood stabiliser? -L
Posted by theo on May 13, 2005, at 15:04:32
In reply to Re: Safe to take and AD with a Mood Stabilizer?, posted by stresser on May 13, 2005, at 12:05:21
> I think it's odd that her psychiatrist has really never talked about what type of mania she has. I feel as if I have to do all the research and go into the office and present the information to the doctor, instead of the opposite. This is her third doctor, and it's been that way with all of them. I still waiting for a call from the office, and if I don't hear from the nurse, I will call back before the day if over. Is Provigil a mood stabiliser? -L
No, Provigil is a drug for narcolepsy prescribed off label for chronic fatigue, shift work and even ADD. It's in a class of it's own.
Posted by stresser on May 13, 2005, at 20:53:15
In reply to Re: Safe to take and AD with a Mood Stabilizer? » stresser, posted by theo on May 13, 2005, at 15:04:32
I have been doing quite a bit of reading about Zoloft and Trileptal, and I am wondering if she needs a change from Wellbutrin to Zoloft. She's just not happy, and she lets EVERYTHING bother her. I was exactly the same way before Zoloft. She does take Adderall, and I wonder if that can act as a anti-depressant as well. -L
This is the end of the thread.
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