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Old Aug 12, 2023, 03:37 AM
Soupe du jour Soupe du jour is offline
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Member Since: Jun 2015
Location: Czechia
Posts: 5,172
Welcome, GBigi95!

Truth is, finding the right medication(s) does usually involve trial and error, and what works for one may not work for another. Also, sometimes what works at one period of time may not work best at another, and vice versa. Waiting to find out does often require patience. That's why psychiatrists don't quickly change mixes before a fair shake.

I found Depakote to be a very good antimanic when taken with an antipsychotic. It wasn't, for me, that good with depression, but I've heard people say the opposite. I know some people who also need an antidepressant with a moodstabilizer (or antipsychotic) to fight depression. Any antidepressant, regardless of the medication cocktail, makes me unstable.

Keep being honest and sharing a lot with your psychiatrist, to let them make the decisions. That's what we have to do. Give the extra Depakote a bit more time before deeming your mix ineffective.

Add on: Sometimes what has worked fairly well for me was not side effect friendly. It's a shame that that can decide on a medication, too. Overall, Seroquel XR (quetiapine prolong) has been the lesser of the evils for me. It's been good as an anti-manic, antidepressant, anti-mixed states, anxiety control, and sleep aid.Unlike other APs, it's never given me akathisia, other EPS, hypoprolactinemia, nor other side effects. It hasn't been "weight friendly", but others were much worse. It is a bit sedating, but that's lessened a lot over time. As much as I've complained about it, all in all that was/is good for me, as I was always too hyper in the past, in a bad way.
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Dx: Bipolar type 1

Psych Medications:
* Tegretol XR (carbamazepine ER) 800 mg
* Lamictal (lamotrigine) 150 mg
* Seroquel XR (quetiapine ER) 500 mg

I also take meds for blood pressure, cholesterol, and tachycardia.

Last edited by Soupe du jour; Aug 12, 2023 at 05:01 AM.
Thanks for this!
insideoutsider