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Re: need help

Posted by doxogenic boy on December 2, 2013, at 13:18:04

In reply to Re: need help, posted by ed_uk2010 on December 2, 2013, at 12:37:43


> It's called ultradian bipolar, not ultra radeon. There is still some good info on google, some from journals if you like that kind of thing.


I found this abstract about treatment of ultradian cycling:

http://www.ncbi.nlm.nih.gov/pubmed/10357518
Quote:
J Child Adolesc Psychopharmacol. 1999;9(1):51-61.
Nimodipine treatment of an adolescent with ultradian cycling bipolar affective illness.
Davanzo PA, Krah N, Kleiner J, McCracken J.
Source

Department of Psychiatry and Behavioral Sciences, University of California, Los Angeles, USA.
Abstract

This is a single case report of an open trial of nimodipine, a dihydropyridine-type calcium antagonist, in the treatment of a 13-year-old boy with refractory, ultradian rapid cycling, bipolar disorder type I. Prior clinical trials with calcium channel blockers in adults with ultrarapid cycling affective disorder supported an empirical trial of nimodipine for treatment of ultradian rapid cycling in this adolescent. Severity of mania and depression were rated before and after nimodipine therapy. A marked decrease in rapid, repeated, and significant mood changes was clinically observed and measured by standardized scales after 9 days of nimodipine 180 mg daily. No adverse effects were noticed. Remission persisted with continued treatment at 36-month follow-up. Medication response was partially attributed to adjunctive therapy with levothyroxine. Implications of treatment benefit are discussed in the context of novel pharmacotherapies for refractory bipolar disorder. These findings are preliminary and do not provide sufficient basis to recommend nimodipine as the treatment of choice in adolescents with ultradian cycling bipolar disorder, but suggest that controlled studies may be indicated.
End quote.

http://www.dbsalliance.org/site/PageServer?pagename=education_brochures_bipolar_disorder_rapid_cycling

Excerpt:
If there are four mood episodes within a month, it is called ultra-rapid cycling, and when several mood switches occur within a day, on several days during one week, it is called ultra-ultra-rapid, or ultradian cycling. Typically, however, someone who experiences such short mood swings has longer episodes as well. Some individuals experience rapid cycling at the beginning of their illness, but for the majority, rapid cycling begins gradually. Most individuals with bipolar disorder, in fact, experience shorter and more frequent episodes over time if their illness is not adequately treated.
End quote.

- doxogenic


Earlier TRD/anxiety
300 mg tianeptine, 6 X 50 mg successfully since Oct 2009
20 mcg liothyronine
40 mg escitalopram
100 mg trimipramine
50 mg agomelatine
600 mg quetiapine


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