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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Sheilac on January 16, 2014, at 12:42:46
I just want to thank you for your sage advice. I've read back over some earlier posts of mine(just a few months ago) where I was experiencing some mixed episodes, rage incidents, etc. due to not being on a continuous, correct dose of Trileptal.
I recently dropped back to 450mg of Trileptal, thought I was great, then after only 2 days experienced some serious rage and irritability. I read over some past posts and realized I needed to stick with my 600mg of Trileptal. Period.
You have been a great contributor to this board and to my posts.
After 2 days of 450mg, I'm back to my 600mg of Trileptal and will deal with the flatness when it comes. I realize that stability is far better than the craziness that insues when you play with your meds!
Thanks, Scott. I'm back and I'm stable.
Posted by SLS on January 16, 2014, at 14:19:24
In reply to Shout out to SLS - Scott, posted by Sheilac on January 16, 2014, at 12:42:46
Hi Sheila.
I can't tell you how much your warm sentiments mean to me. Thank you so very much.
How are you feeling right now?
I guess the next thing to do is to get a handle on your residual flat affect. What is it about the way you feel at 600 mg/day of Trileptal that compels you to keep reducing the dosage? I know it is a struggle to "stick with the plan", but sometimes time works to our advantage. Could it be that the longer you stay on Trileptal, the less of a problem the flat affect is? Perhaps there is a residual depression after the hypomania is taken away. That you suffer from a mixed-state leads me to believe that this is possible.
Coming down off of a hypomania is sometimes precipitous. It occurs often that people feel their worst depression immediately after the hypomania resolves. I guess you could call it a rebound or "over-shoot" of sorts. People very often bounce back and stabilize, becoming euthymic.
It is possible that Trileptal is the culprit for producing the flat affect after all. If this is true, there may be ways to treat the depression and flat affect that remains. Meanwhile try hanging in there with the 600 mg/day. Half the battle is won.
Have a nice day.
:-)
- Scott
Posted by Sheilac on January 16, 2014, at 14:34:04
In reply to Re: Shout out to SLS - Scott » Sheilac, posted by SLS on January 16, 2014, at 14:19:24
Feel very stable on 600mg of Trileptal.
Doc says I can treat my depression with Geodon. He gave me 40mg, once or twice a day. He originally thought 80mg might be good. I'm still not sure what dose to take for depression.
I think it's hard to get used to NOT having the hypomania. When treated, there could be some underlying depression combined with me just plain missing the high. But, I can tell you, it's just not worth it.
I would rather tackle the low grade depression than become unstable.
Sticking with the higher dose of a Trileptal is good for me.
This is the end of the thread.
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