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Re: topamax+lamictal; + Acamprosate????

Posted by JohnX2 on January 21, 2002, at 15:03:29

In reply to topamax+lamictal = less stimulant poop out?, posted by JohnX2 on January 21, 2002, at 0:33:54


I should add that I take a 5 mg dose of
Zyprexa, and I believe that 5ht-2 antagonism
may also help alleviate a bit some stimulant
poop out.

I was thinking of testing Acamprosate to my
Lamictal + Topamax and dumping Zyprexa.

Acamprosate is a simple carrier molecule for the amino
acid Taurine which has anti-epileptic properites
and is generally produced naturally in the brain.
I believe it is a GabaB agonist and a mild
NMDA antagonist. (correct me if I am wrong)
Acamprosate has been shown to prevent
ethanol (alcohol) tolerance. I think it may
be a good mood stabilizer and help relieve
agitation.

With this wicked trio you would have
your GabaA,GabaB,AMPA,NMDA all covered from
many angles with few side effects hopefully.
I think it could be a real home run for
bipolar. . Just a random thought.

-John


>
> I don't get stimulant poop out (at least
> from taking pseuedoepedrine nasal decongestants
> during this tree pollen crap in Austing),
> now that I am taking Topamax with my Lamictal.
> Caffeine doesn't crap out either like it was
> for me before.
>
> I wonder if the cascaded modulation of AMPA
> and NMDA glutamate receptors by Topamax and Lamictal
> coupled with the increased GabaA conductance
> by Topamax all work together to substantially lower
> the stimulants tolerance/sensitization pathway.
>
> This seems quite feasable to me from what I
> have read about the addiction pathway.
>
> It's curious that when I added Topamax on Lamictal
> I got no typical glutamate side effects like blurry
> vision, slurred speech, etc. Any other anti-convulsant
> I added to Lamictal had the usual side effects. I wonder
> if there is a interesting synergy when one combines
> the two meds. Alas, I seem to be one of the 1st
> guinea pigs...
>
> -John


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poster:JohnX2 thread:90939
URL: http://www.dr-bob.org/babble/20020116/msgs/91005.html