Posted by Chloe on January 26, 2002, at 9:32:21
In reply to Re: TCA's and BPD-Link? » Chloe, posted by Ritch on January 26, 2002, at 0:41:41
Hey Mitch,
Boy am i ever glad to see you! I was hoping I would hear from you.
I am really peeved with my pdoc (my current stage of hypo/rage doesn't help!). She is so clueless and just treating me by the seat of her pants in her spare moments. BTW, I went for a med consult, and my pdoc won't even consider his suggestions like verapamil, or clonidine.Anyway, I can't really go down on the Celexa. She had me do this once before and it was awful. I need the SSRI for my ruminating thoughts and probably some impulse control. Other AD's just don't help with the obsessons. The TCA is helping with the scalp burning, but I have had to go down on that because I keep getting into very abusive, nasty rages, hostility, mixed states. And I can't go up on the lithium (and I am only at 112 mgs right now, which is not helping the cycling at all!)if I can't take the TCA at 20 mgs or above...
So I was thinking of switching the Li(and pdoc also gave this option), for depakote which is supposed to be better for rapid cycling anyway.
My feeling is that this is probably the way to go. Then I can stay on the Celexa and low dose ami(until the scalp pain is totally gone) but not have the added AD push from the lithium. The down side of depakote for me though is hair loss! My scalp and hair just can't get a break...
Do you have any comments on my options, or other suggestions? I am still on the neurontin, 400 mgs. I think you had good result with dep and N together. Am I right?
Option 1
NO celexa
225-450 lithium(if tolerated)
400 neurontin
20 amitrip
10 valiumOption 2
1.75 Celexa
250? Depakote
400 Neurontin
10-20 ami(until pain is gone, or keep on to help with sleep?)
10 ValiumI really hope you are doing ok. It probably about time for a med adjustment for you too...The days are getting longer, have you noticed?
Thanks,
Chloe
> Just an FYI, I am taking Celexa and have taken Celexa and/or Nortripyline recently and have found that Celexa and other SSri's can and have caused just as much or worsened *cycling* than TCA's do (I am BPII as well-and have been on several TCA's in the past), the difference is that TCA's have more tendency to *not* help impulsiveness like SSri's seem to help. It is interesting that your pdoc wants you to wean off the Celexa, did she mention any reasons why she thinks that might be the culprit for your troubles?
>
> Mitch
poster:Chloe
thread:90799
URL: http://www.dr-bob.org/babble/20020124/msgs/91663.html