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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Katarina on January 1, 2003, at 23:20:26
Hi All,
It's been a while since I have contributed to this site. Been in a spiral. P-doc has diagnosed me as BP and put me on Trileptal(started at 150 2x/day up to 450 2x/day) for 3 weeks and now added Wellbutrin (75). After being on Trileptal I started getting very weepy and angry, smashing things. I have never acted out on my anger so I scare myself! Maybe it's good but it makes me feel awful. So she added the Wellbutrin. Anyone have comments on this combination? It's all new to me, though I try to do my homework.
Thanks in advance...
Cheers!
-Kat
Posted by Ritch on January 2, 2003, at 10:08:47
In reply to Combo Trileptal and Wellbutrin, posted by Katarina on January 1, 2003, at 23:20:26
> Hi All,
> It's been a while since I have contributed to this site. Been in a spiral. P-doc has diagnosed me as BP and put me on Trileptal(started at 150 2x/day up to 450 2x/day) for 3 weeks and now added Wellbutrin (75). After being on Trileptal I started getting very weepy and angry, smashing things. I have never acted out on my anger so I scare myself! Maybe it's good but it makes me feel awful. So she added the Wellbutrin. Anyone have comments on this combination? It's all new to me, though I try to do my homework.
> Thanks in advance...
> Cheers!
> -KatI am finding Trileptal more of an antidepressant than an antimanic. It sounds like you are in a mixed-state of sorts. Wellbutrin makes me much worse when it comes to hostility. Has the Wellbutrin been helping?
Posted by Katarina on January 2, 2003, at 14:31:05
In reply to Re: Combo Trileptal and Wellbutrin » Katarina, posted by Ritch on January 2, 2003, at 10:08:47
Hi Ritch,
Thanks for the reply. I just started the Wellbutrin 3 days ago so I've not seen results yet. When I was on Prozac I was, hmmm...happy(?) but to the point of becoming manic and right giddy. But with only Trileptal I became melancholy, hostile and quite difficult to be around. Thus it seems that Trileptal has not been an AD for me. Interesting, the disparity between our experiences. I'll keep you updated as the Wellbutrin kicks in, and I'll keep my fingers crossed.
Cheers!
-Kat
Posted by Ritch on January 2, 2003, at 15:48:52
In reply to Re: Combo Trileptal and Wellbutrin » Ritch, posted by Katarina on January 2, 2003, at 14:31:05
> Hi Ritch,
> Thanks for the reply. I just started the Wellbutrin 3 days ago so I've not seen results yet. When I was on Prozac I was, hmmm...happy(?) but to the point of becoming manic and right giddy. But with only Trileptal I became melancholy, hostile and quite difficult to be around. Thus it seems that Trileptal has not been an AD for me. Interesting, the disparity between our experiences. I'll keep you updated as the Wellbutrin kicks in, and I'll keep my fingers crossed.
> Cheers!
> -Kat
Kat, one might interpret hostility and being difficult to be around as manifestations of dysphoric hypomania. It may be the Trileptal isn't controlling the *dysphoria* and you may need something different such as lithium or Depakote.
Posted by anut on June 27, 2003, at 12:28:24
In reply to Combo Trileptal and Wellbutrin, posted by Katarina on January 1, 2003, at 23:20:26
> Hi All,
> It's been a while since I have contributed to this site. Been in a spiral. P-doc has diagnosed me as BP and put me on Trileptal(started at 150 2x/day up to 450 2x/day) for 3 weeks and now added Wellbutrin (75). After being on Trileptal I started getting very weepy and angry, smashing things. I have never acted out on my anger so I scare myself! Maybe it's good but it makes me feel awful. So she added the Wellbutrin. Anyone have comments on this combination? It's all new to me, though I try to do my homework.
> Thanks in advance...
> Cheers!
> -Kathey, kat! you have got to be kidding me...the SAME THING happened to me when my NEW psych doc ADDED trileptal to a cocktail of topamax, buspar and wellbutrin while AT THE SAME TIME taking me off paxil. you're absolutely right...it is terribly scary...he said my weepiness and anger were due to coming off the paxil, but i had my suspicions. every BODY has a different reaction to different meds, so i am looking into thus. however, i have since passed through that period (it took about three weeks) and am now stabilized. HOW ARE YOU FEELING NOW? i will send new information if i can be of help.
anut (my neice couldn't spell aunt and the nickname stuck...ironic, huh?)
Posted by Katarina on June 28, 2003, at 21:10:23
In reply to Re: Combo Trileptal and Wellbutrin, posted by anut on June 27, 2003, at 12:28:24
> > Hi All,
> > It's been a while since I have contributed to this site. Been in a spiral. P-doc has diagnosed me as BP and put me on Trileptal(started at 150 2x/day up to 450 2x/day) for 3 weeks and now added Wellbutrin (75). After being on Trileptal I started getting very weepy and angry, smashing things. I have never acted out on my anger so I scare myself! Maybe it's good but it makes me feel awful. So she added the Wellbutrin. Anyone have comments on this combination? It's all new to me, though I try to do my homework.
> > Thanks in advance...
> > Cheers!
> > -Kat
>
> hey, kat! you have got to be kidding me...the SAME THING happened to me when my NEW psych doc ADDED trileptal to a cocktail of topamax, buspar and wellbutrin while AT THE SAME TIME taking me off paxil. you're absolutely right...it is terribly scary...he said my weepiness and anger were due to coming off the paxil, but i had my suspicions. every BODY has a different reaction to different meds, so i am looking into thus. however, i have since passed through that period (it took about three weeks) and am now stabilized. HOW ARE YOU FEELING NOW? i will send new information if i can be of help.
>
> anut (my neice couldn't spell aunt and the nickname stuck...ironic, huh?)Hi Anut! (it's a cute name)
I was on that combo for a short while and developed an allergic reaction to the Wellbutrin. I immediately quit and went back to Prozac but included the Trileptal. It was a terrible experience, really. The doc also put me on Clonazepam for occasional panic attacks (which only began after this combo). It only got worse. I spiraled and lost so much weight. The doc had me stop everything for while (in May) and I am just taking Prozac now. She says I am Cyclothymic (sp?), and not full-tilt BP. Of course I still have the slight manic episodes but right now it's entirely preferable to the horrible, depression and anger I'd feel when on Trileptal. The doc is waiting a few more weeks before reevaluating me and deciding about another course. However, as I emphasized, this "bubbly" feeling and not sleeping well is better than the alternative.
Good luck and I pray that this combo will work better for you than it did for me.
Sincerely,
Kat
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