Posted by nmk on May 28, 2003, at 15:29:44
In reply to Re: Should BP II's nix the AD's? » nmk, posted by Ritch on May 27, 2003, at 23:08:14
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> Nicole, FIRST, find out *which* antimanic agent actually works the best for you (lithium, Teg, Trileptal, Depakote, etc.) The reason I say that is it could be possible that the Trileptal isn't doing diddly-squat for you. Just because it is *supposed* to work-doesn't mean that it will. Some of the newer AED's can actually trigger mania. After you figure that one out, then work on what antidepressants and what dosages are tolerable and workable.Thanks Mitch for your advice...as always it is greatly appreciated. I like your approach and will work with my doc in finding the right AED first. Just a few more questions, please, please...(you should charge a fee you know):)
*I have been on Trileptal 1200 mg for about six weeks now. Would you consider this a fair trial and is it time to move on?
*What about increasing the Trileptal? (my doc says some of his pts. are at a much higher dose). Since I am at such a high dose now I don't know if it is futile to play the waiting game with a higher dose. Plus, I don't know if my tummy could take it.
*Is there an AED that is better suited for rapid cycling?
*Is there an AED that has been known to have more antidepressant qualities that others? What about anxiety?
*Just to play devil's advocate...you suggested to find the right AED before messing with the AD's, right? How will I know if the Trileptal would have worked without my current AD's or with different ones?
Sorry again for the barrage of questions. My pdoc hasn't returned my call and I don't see him for another week.
Take care,
Nicole
poster:nmk
thread:229544
URL: http://www.dr-bob.org/babble/20030525/msgs/229759.html