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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by cpallen79 on August 18, 2004, at 17:56:56
I again had another really bad vertigo attack today... two today so far. It has to be the trileptal, I can think of no other reason. I am so nauseated right now. Does anyone have any ideas on why this is happening?? Will it stop?? I'm only on 600 MGS for crying out loud and am supposed to go up to 1200 MGS! This is a good medicine, but not at this price, I can't even sleep at night!
Posted by chemist on August 18, 2004, at 18:26:24
In reply to AGAIN! help! (chemist?), posted by cpallen79 on August 18, 2004, at 17:56:56
> I again had another really bad vertigo attack today... two today so far. It has to be the trileptal, I can think of no other reason. I am so nauseated right now. Does anyone have any ideas on why this is happening?? Will it stop?? I'm only on 600 MGS for crying out loud and am supposed to go up to 1200 MGS! This is a good medicine, but not at this price, I can't even sleep at night!
hello there, chemist here....i do make it a policy to try to address posts directed at me, even ones for which i am of little to no help....sorry, but my answer to this problem is very likely similar if not identical to yours: either back off the trileptal or discontinue, reintroduce at a slower rate, and keep if results are satisfactory, discard if vertigo continues. i believe at least one other poster has recommended a trip to an ENT specialist: c'est possible? i would rule out physical causes while cutting back on trileptal and certainly before discarding it, as it seems to be helping you. as a stop-gap measure, how about an anti-vertigo med, such as the aptly-named Antivert? all the best, chemist
Posted by woolav on August 18, 2004, at 19:31:46
In reply to Re: AGAIN! help! (chemist?) » cpallen79, posted by chemist on August 18, 2004, at 18:26:24
I have a question. Is there anything going on in your life that is really stressing you out? Even something you dont realize? Because I have never taken triptical (or whatever its called) and i had experianced some vertigo last summer. For a few weeks. I almost made an appt with a reg. doctor. Then, i started thinking if i was stressed or nervous about something, and when i convinced myself it was stress due to a new boyfriend (my husband now :) ) the vertigo stopped. So, mine was nerves, not medication related. just a thought.
S
Posted by HappyGirl on August 18, 2004, at 23:22:50
In reply to AGAIN! help! (chemist?), posted by cpallen79 on August 18, 2004, at 17:56:56
Hi Chris:
Besides Trileptal, ... I recall you've been on other two meds., one is Luvox and other is a med. for sleep, Ativan and something?(I can not remember what med.). Then, your experiencing on Vertigo(very nauseating) might be 'interaction' from all those meds.Besides vertigo, if you're still in trouble on sleeping and other problems that interferes your daily acitivies, ... then you may need to talk to your pdoc. ASAP. Because, there could be some 'other' reasons, not only from the med. combo. but also your physical problem(?) surfaced after the med. regimen.
Vertigo(severe form of nausea) shouldn't be ignored. That's my personal opinion.
H.G.
Posted by cpallen79 on August 18, 2004, at 23:39:34
In reply to Re: AGAIN! help! (chemist?), posted by HappyGirl on August 18, 2004, at 23:22:50
Update: I called my PDOC today.. I also developed a small rash but I'm not waging that it's from the trileptal... Basically, it started to occur three days after upping my dose of trileptal... It occurs when I lie down and turn my head, it is so severe that it is incapacitating... I've also been incredibly dizzy, I had to leave work today. My PDOC called me back and instructed me to head to the ER immediately. I went and they were so backed up that I left... I'm now checking out other hospitals that my insurance covers and will be on my merry way at this late hour to make sure I'm not having an allergic reaction
Posted by psychosage on August 18, 2004, at 23:40:58
In reply to Re: AGAIN! help! (chemist?), posted by HappyGirl on August 18, 2004, at 23:22:50
trileptal has a great side effect profile, and i have experienced the typical side effects to the typical extent, and if any of them are that troubling then it sounds like too much too soon or a problem with the combo -- check with your pdoc if there are enzyme conflicts because another drug already in your regimen may increase the normal concentration level of trileptal, so your dosage effect may not be what the pdoc anticipated.
Posted by cpallen79 on August 19, 2004, at 2:19:02
In reply to Re: AGAIN! help! (chemist?), posted by psychosage on August 18, 2004, at 23:40:58
well, I'm back from the hospital...Benedryl for the rash and antivert for the vertigo. I'm hoping this will solve the problem while my body gets used to the trileptal. I like this med too much to give it up, and am willing to work with the side effects to see if they can be overcome. I may go see an ENT if I keep on getting flare ups of vertigo though... the most recent episode happened at a very embarrassing innappropriate time, and that cannot continue happening. I guess we'll jsut have to wait and see what happens.
Posted by HappyGirl on August 19, 2004, at 8:30:45
In reply to back from hospital, posted by cpallen79 on August 19, 2004, at 2:19:02
Hi Chris:
I'm VERY glad you went to the hospital.
It seems you got 'proper' meds. for your problem, Vertigo, although I'm not familiar with one of the meds. 'Antivert.'
In my case, I'm always carrying 'Dramamine'primarily designed for 'travel/motion sickness.' after milder 'dizzy spells' on the road. It was VERY scary experience NOT knowing whether I was capable to drive back home. Luckily, the dizziness subsided with time, ... probably took about a couple of hours.As for ETN, .... in my personal opinion, ... first, to give some time to see those 'two' meds. can eliminate 'vertigo,' and 'sleepless/Bernydal.' In my experience, most of doctors normally/routinely asking what med./med. combo. you've been on. If you mention all of the meds., he/she may advise you to discontinue or at least 'lower' its dosage. Someone with Bp visited the Endocriologist and the doc. advised her to take off the Lithium completely due to negative effect on her problem. She complied, however without Lithium, her 'mania' aggrevated. After that, she went immediately went back to the Lithium regimen without any manic episodes. Then, be cautious before making a trip any of those 'specialists,' unless you ABSOLUTELY feel it necessary.
Hopefully, those 'two' meds. helping your 'vertigo' soon. If you like Trileptal SO much, then stick with it, because it's tough to find the med. you really like. This is also based on my personal opinion.
H.G.
Posted by cpallen79 on August 19, 2004, at 15:01:05
In reply to Re: back from hospital, posted by HappyGirl on August 19, 2004, at 8:30:45
Hi HP,
Thanks for the encouragement. Turns out the rash is basically nothing, the vertigo can be controlled with dramamine/meclizine... I'll just take it at night to sleep. My PDOC wanted me to back off a little on the trileptal (go back to 450 from 600 for awhile)... my answer to that is absolutely not and I will fight her on that one if she pushes because this medicine has helped me very very much... In fact, once my dizziness subsides, I have every intention of slowly moving on up in dose to get the full therapeutic effect of it. I've considered dumping the Luvox for Paxil as it seems to aggravate rapid cycling for me... but alot of them probably will to certain extent so on the same token, maybe I should just let sleeping dogs lie with it. Luvox is actually working
> Hi Chris:
> I'm VERY glad you went to the hospital.
> It seems you got 'proper' meds. for your problem, Vertigo, although I'm not familiar with one of the meds. 'Antivert.'
> In my case, I'm always carrying 'Dramamine'primarily designed for 'travel/motion sickness.' after milder 'dizzy spells' on the road. It was VERY scary experience NOT knowing whether I was capable to drive back home. Luckily, the dizziness subsided with time, ... probably took about a couple of hours.
>
> As for ETN, .... in my personal opinion, ... first, to give some time to see those 'two' meds. can eliminate 'vertigo,' and 'sleepless/Bernydal.' In my experience, most of doctors normally/routinely asking what med./med. combo. you've been on. If you mention all of the meds., he/she may advise you to discontinue or at least 'lower' its dosage. Someone with Bp visited the Endocriologist and the doc. advised her to take off the Lithium completely due to negative effect on her problem. She complied, however without Lithium, her 'mania' aggrevated. After that, she went immediately went back to the Lithium regimen without any manic episodes. Then, be cautious before making a trip any of those 'specialists,' unless you ABSOLUTELY feel it necessary.
>
> Hopefully, those 'two' meds. helping your 'vertigo' soon. If you like Trileptal SO much, then stick with it, because it's tough to find the med. you really like. This is also based on my personal opinion.
> H.G.
Posted by chemist on August 19, 2004, at 15:31:17
In reply to Re: back from hospital » HappyGirl, posted by cpallen79 on August 19, 2004, at 15:01:05
hello chris, chemist here...i wanted to add my thoughts to those of the others, especially since i do recall weighing in quite heavily about luvox: i hope your experience with paxil and trileptal proves to be promising in light of what appears to be an addressable and not overly severe setback, and that you are getting well overall. i do not recall if i shared my trileptal experience with you, but it was favorable for the time i did take it, in the 300 mg bid dose. in any event, please keep us posted, and be well! yours, chemist
> Hi HP,
> Thanks for the encouragement. Turns out the rash is basically nothing, the vertigo can be controlled with dramamine/meclizine... I'll just take it at night to sleep. My PDOC wanted me to back off a little on the trileptal (go back to 450 from 600 for awhile)... my answer to that is absolutely not and I will fight her on that one if she pushes because this medicine has helped me very very much... In fact, once my dizziness subsides, I have every intention of slowly moving on up in dose to get the full therapeutic effect of it. I've considered dumping the Luvox for Paxil as it seems to aggravate rapid cycling for me... but alot of them probably will to certain extent so on the same token, maybe I should just let sleeping dogs lie with it. Luvox is actually working
>
>
> > Hi Chris:
> > I'm VERY glad you went to the hospital.
> > It seems you got 'proper' meds. for your problem, Vertigo, although I'm not familiar with one of the meds. 'Antivert.'
> > In my case, I'm always carrying 'Dramamine'primarily designed for 'travel/motion sickness.' after milder 'dizzy spells' on the road. It was VERY scary experience NOT knowing whether I was capable to drive back home. Luckily, the dizziness subsided with time, ... probably took about a couple of hours.
> >
> > As for ETN, .... in my personal opinion, ... first, to give some time to see those 'two' meds. can eliminate 'vertigo,' and 'sleepless/Bernydal.' In my experience, most of doctors normally/routinely asking what med./med. combo. you've been on. If you mention all of the meds., he/she may advise you to discontinue or at least 'lower' its dosage. Someone with Bp visited the Endocriologist and the doc. advised her to take off the Lithium completely due to negative effect on her problem. She complied, however without Lithium, her 'mania' aggrevated. After that, she went immediately went back to the Lithium regimen without any manic episodes. Then, be cautious before making a trip any of those 'specialists,' unless you ABSOLUTELY feel it necessary.
> >
> > Hopefully, those 'two' meds. helping your 'vertigo' soon. If you like Trileptal SO much, then stick with it, because it's tough to find the med. you really like. This is also based on my personal opinion.
> > H.G.
>
>
Posted by cpallen79 on August 19, 2004, at 16:21:17
In reply to Re: back from hospital » cpallen79, posted by chemist on August 19, 2004, at 15:31:17
Hey Chemist, it's so hard to say, I really really like how the luvox has helped my OCD, it's helped alot... I'm hoping the mood stabilizer will offset that rapid cycling though, we shall see!
Posted by chemist on August 19, 2004, at 16:41:35
In reply to Re: back from hospital » chemist, posted by cpallen79 on August 19, 2004, at 16:21:17
> Hey Chemist, it's so hard to say, I really really like how the luvox has helped my OCD, it's helped alot... I'm hoping the mood stabilizer will offset that rapid cycling though, we shall see!
hello chris....regardless of the final med cocktail, i am heartened to see that things are going your way....thanks for keeping us in the loop....all the best, chemist
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