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Old Jul 14, 2013, 01:22 PM
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Secretum Secretum is offline
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Member Since: Mar 2008
Posts: 1,983
Luckily, I don't do many impulsive things regardless of my mood, though there was a time while I was manic when I severely neglected my coursework because I was so involved in other, more pleasurable pursuits. I paid for that one...

I don't have any advice except to find the medication combo that will keep you from getting too manic. I know that it sucks to take a drug that takes away one of life's greatest pleasures, but the price of mania is very high for you, and it probably isn't worth it. Drugs that completely got rid of my highs include tegretol and high-dose abilify. In an ideal world, you'd find something that allows you to get hypo now and again, but go no higher. Unfortunately, I've yet to find a med that does that!

As for maxing out the dose on your AP, relax. If the 80 mg dose of Geodon is current, you have a long way to go. I was on 120 mg of Geodon for awhile there (had to stop due to nausea), and my pdoc told me that if the psychosis got bad we could up that to 160 mg, which is the dose most of his schizophrenic patients take. In fact, you may still be having such bad manias because your Geodon might not be high enough. Lamictal is great for depression, but it doesn't do much against severe mania. The other thing you could try is going off of celexa. ADs are often destabilizing for us. (I really shouldn't be on prozac, but I need it because my depressions are much more severe than my manias).

Good luck!
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Thanks for this!
BipolaRNurse