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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by e503 on April 11, 2003, at 14:46:21
I decreased Ben's trileptal last Saturday (6 days ago) from 1800 to 1500 mg./day. THere was an immediate (next day) difference in him. He was MUCH happier. Even though he is happier, he still is a little "manic". Do you think I should cut the dosage down again?
elise
Posted by Ritch on April 11, 2003, at 23:11:12
In reply to trileptal, posted by e503 on April 11, 2003, at 14:46:21
> I decreased Ben's trileptal last Saturday (6 days ago) from 1800 to 1500 mg./day. THere was an immediate (next day) difference in him. He was MUCH happier. Even though he is happier, he still is a little "manic". Do you think I should cut the dosage down again?
>
> elise
Elise, What does his doctor say about all of this?
Posted by e503 on April 12, 2003, at 10:07:34
In reply to Re: trileptal » e503, posted by Ritch on April 11, 2003, at 23:11:12
> > I decreased Ben's trileptal last Saturday (6 days ago) from 1800 to 1500 mg./day. THere was an immediate (next day) difference in him. He was MUCH happier. Even though he is happier, he still is a little "manic". Do you think I should cut the dosage down again?
> >
> > elise
>
>
> Elise, What does his doctor say about all of this?
>Ritch- I spoke to the doctor on Monday and told him how much less agitated he was. He told me to keep the dose at 1500 mg/day for a little while, which I did. He Also mentioned something about cutting down to 1200 mg. Ben was better on 1500 mg., but still seemed a little manic to me....self-talking at times. Since it is the weekend, I decided yesterday to cut back to 1200 and see if it was/is any better. I don't know yet..... I guess I know that 1500 mg. wasn't the "perfect" place for him...and it seemed that 2400 mg. made him sooooo agitated, so it only made sense to me to cut back....but I really don't know WHAT I am going to do if he gets MORE hyper on 1200. Maybe trileptal just isn't the right med for him? Or do I try and increase it SLOWLY back up? If that happens I will call the doctor again on Monday or Tuesday. What do you think??????
elise
Posted by judy1 on April 12, 2003, at 11:56:38
In reply to Re: trileptal, posted by e503 on April 12, 2003, at 10:07:34
sorry to interrupt, but what other symptoms of mania do you see? agitation is a very common side-effect of trileptal (at least for me), but that is far different than mania. take care, judy
Posted by e503 on April 12, 2003, at 15:47:45
In reply to Re: trileptal » e503, posted by judy1 on April 12, 2003, at 11:56:38
> sorry to interrupt, but what other symptoms of mania do you see? agitation is a very common side-effect of trileptal (at least for me), but that is far different than mania. take care, judy
When I think of mania, he has "pressured" speech and just kind of Very happy. I could be wrong, but to me, it seems as if this is a continuum....the more he gets like this (more meds or not) the more agitated he might get. That's just how I see it for Ben.
Posted by Ritch on April 12, 2003, at 18:32:10
In reply to Re: trileptal, posted by e503 on April 12, 2003, at 10:07:34
> > > I decreased Ben's trileptal last Saturday (6 days ago) from 1800 to 1500 mg./day. THere was an immediate (next day) difference in him. He was MUCH happier. Even though he is happier, he still is a little "manic". Do you think I should cut the dosage down again?
> > >
> > > elise
> >
> >
> > Elise, What does his doctor say about all of this?
> >
>
> Ritch- I spoke to the doctor on Monday and told him how much less agitated he was. He told me to keep the dose at 1500 mg/day for a little while, which I did. He Also mentioned something about cutting down to 1200 mg. Ben was better on 1500 mg., but still seemed a little manic to me....self-talking at times. Since it is the weekend, I decided yesterday to cut back to 1200 and see if it was/is any better. I don't know yet..... I guess I know that 1500 mg. wasn't the "perfect" place for him...and it seemed that 2400 mg. made him sooooo agitated, so it only made sense to me to cut back....but I really don't know WHAT I am going to do if he gets MORE hyper on 1200. Maybe trileptal just isn't the right med for him? Or do I try and increase it SLOWLY back up? If that happens I will call the doctor again on Monday or Tuesday. What do you think??????
> eliseThe doc probably wanted to keep him at 1500mg for awhile to make sure the effects of the dosage drop from 2400mg aren't confused with some mild withdrawal syndrome (that might settle down with a little time). When I was taking Trileptal it made me feel a little anxious and "buzzy" and activated similar to what Judy said. The good part is that it really helped my depression. Too bad I couldn't handle the nausea. I would follow your doctor's advice closely on the dosage, just be assertive about any suspicions you have about the medication or the dosage.
Posted by e503 on April 12, 2003, at 19:31:41
In reply to Re: trileptal » e503, posted by Ritch on April 12, 2003, at 18:32:10
> > > > I decreased Ben's trileptal last Saturday (6 days ago) from 1800 to 1500 mg./day. THere was an immediate (next day) difference in him. He was MUCH happier. Even though he is happier, he still is a little "manic". Do you think I should cut the dosage down again?
> > > >
> > > > elise
> > >
> > >
> > > Elise, What does his doctor say about all of this?
> > >
> >
> > Ritch- I spoke to the doctor on Monday and told him how much less agitated he was. He told me to keep the dose at 1500 mg/day for a little while, which I did. He Also mentioned something about cutting down to 1200 mg. Ben was better on 1500 mg., but still seemed a little manic to me....self-talking at times. Since it is the weekend, I decided yesterday to cut back to 1200 and see if it was/is any better. I don't know yet..... I guess I know that 1500 mg. wasn't the "perfect" place for him...and it seemed that 2400 mg. made him sooooo agitated, so it only made sense to me to cut back....but I really don't know WHAT I am going to do if he gets MORE hyper on 1200. Maybe trileptal just isn't the right med for him? Or do I try and increase it SLOWLY back up? If that happens I will call the doctor again on Monday or Tuesday. What do you think??????
> > elise
>
> The doc probably wanted to keep him at 1500mg for awhile to make sure the effects of the dosage drop from 2400mg aren't confused with some mild withdrawal syndrome (that might settle down with a little time). When I was taking Trileptal it made me feel a little anxious and "buzzy" and activated similar to what Judy said. The good part is that it really helped my depression. Too bad I couldn't handle the nausea. I would follow your doctor's advice closely on the dosage, just be assertive about any suspicions you have about the medication or the dosage.
I don't want to "jinx" anything, but Ben was even better today on 1200 mg. (his second day). Only gave him 600 mg. in the a.m., none in the afternoon, and will give him 600 mg. before bed. I haven't heard any of his "pressured speech" so far today. I guess we will have to see how tomorrow goes. The interesting thing is that yesterday after I gave him 300 mg. in the afternoon, about 1 1/2 to 2 hours later he started this "pressured speech". Today I haven't heard any yet. I am beginning to think that trileptal has been agitating and activating him.....as every time we decrease so far, he seems a little better. Keep your fingers crossed!
elise
Posted by Ritch on April 13, 2003, at 12:23:02
In reply to Re: trileptal, posted by e503 on April 12, 2003, at 19:31:41
> > > > > I decreased Ben's trileptal last Saturday (6 days ago) from 1800 to 1500 mg./day. THere was an immediate (next day) difference in him. He was MUCH happier. Even though he is happier, he still is a little "manic". Do you think I should cut the dosage down again?
> > > > >
> > > > > elise
> > > >
> > > >
> > > > Elise, What does his doctor say about all of this?
> > > >
> > >
> > > Ritch- I spoke to the doctor on Monday and told him how much less agitated he was. He told me to keep the dose at 1500 mg/day for a little while, which I did. He Also mentioned something about cutting down to 1200 mg. Ben was better on 1500 mg., but still seemed a little manic to me....self-talking at times. Since it is the weekend, I decided yesterday to cut back to 1200 and see if it was/is any better. I don't know yet..... I guess I know that 1500 mg. wasn't the "perfect" place for him...and it seemed that 2400 mg. made him sooooo agitated, so it only made sense to me to cut back....but I really don't know WHAT I am going to do if he gets MORE hyper on 1200. Maybe trileptal just isn't the right med for him? Or do I try and increase it SLOWLY back up? If that happens I will call the doctor again on Monday or Tuesday. What do you think??????
> > > elise
> >
> > The doc probably wanted to keep him at 1500mg for awhile to make sure the effects of the dosage drop from 2400mg aren't confused with some mild withdrawal syndrome (that might settle down with a little time). When I was taking Trileptal it made me feel a little anxious and "buzzy" and activated similar to what Judy said. The good part is that it really helped my depression. Too bad I couldn't handle the nausea. I would follow your doctor's advice closely on the dosage, just be assertive about any suspicions you have about the medication or the dosage.
>
>
> I don't want to "jinx" anything, but Ben was even better today on 1200 mg. (his second day). Only gave him 600 mg. in the a.m., none in the afternoon, and will give him 600 mg. before bed. I haven't heard any of his "pressured speech" so far today. I guess we will have to see how tomorrow goes. The interesting thing is that yesterday after I gave him 300 mg. in the afternoon, about 1 1/2 to 2 hours later he started this "pressured speech". Today I haven't heard any yet. I am beginning to think that trileptal has been agitating and activating him.....as every time we decrease so far, he seems a little better. Keep your fingers crossed!
> elise
That is interesting. Make sure to relay the 600mg bid dosing to his doctor to get his reaction. The Trileptal may indeed be helping him, but perhaps he needs a more "typical" dosing and not quite so much.
This is the end of the thread.
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