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Monster on the Hill
Member Since Sep 2020
Location: by the river
Posts: 5,451
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Oct 15, 2024 at 09:21 AM
#1
Apparently Depakote isn't working, and my team and I decided I can not take any antipsychotics anymore. Lithium has nearly killed me several times too.
Tonight my pdoc wants me to take trazodone and do bloodwork tomorrow to see if I can go up on the Depakote safely (I know I can't based on my last labs, and I don't think my valproic acid levels, AST, or ALT have gotten any lower). I have never really heard of people treating BP1-mania with anything but APs, lithium, depakote, or tegretol, but I know there are less heavy hitting anticonvulsants that might help like gabapentin or trileptal. __________________ [Insert thought-provoking and comedic quote here] |
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 Moose72
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Legendary Wise Elder
Member Since Jun 2013
Location: Middle Earth
Posts: 37,435
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Oct 15, 2024 at 09:57 AM
#2
I do take antipsychotics (30mg abilify and 200mg of Thorazine ) but I also take 1500mg of trileptal. The trileptal has helped me a ton. More so than Depakote or lithium ever did for leveling out my mood.
__________________ “All the darkness in the world cannot extinguish the light of a single candle.” -St. Francis of Assisi
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Crone
Member Since May 2010
Location: Some where between my inner mind and the solar system.
Posts: 73,881
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Oct 15, 2024 at 11:24 AM
#3
I too am on a AP just one latuda for years. I’m having trouble now and he added gabapentin and very recently another AP seroquel.
I’m thinking back to everyone I’ve met inpatient and in outpatient places and to my knowledge everyone who was bipolar was on some kind of ap plus the other meds you mentioned. Sorry if this doesn’t help. __________________ Nammu …Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …... Desiderata Max Ehrmann |
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Insert Smiley Face
Member Since Mar 2015
Location: USA
Posts: 6,207
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Oct 15, 2024 at 01:26 PM
#4
Lamictal? Trileptal? Gabapentin? I don't know. Whenever I got really manic and ended up in the hospital they always put my *** on haldol and that (mostly) calmed me down.
__________________ The darkest of nights is followed by the brightest of days. 😊 - anonymous The night belongs to you. 🌙- sleep token "I'm scared. I'm old. I want to go home!" 😁 - anonymous |
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Legendary
Member Since Oct 2004
Location: usa
Posts: 11,580
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Oct 15, 2024 at 03:08 PM
#5
Mood
Stabilizers never helped me as much as my haldol/risperdl Combo __________________ schizoaffective bipolar type PTSD generalized anxiety d/o haldol, prazosin, risperdal and prn klonopin and helpful cogentin |
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Magnate
Member Since Mar 2021
Location: California
Posts: 2,809
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Oct 15, 2024 at 11:15 PM
#6
Trileptal, I highly doubt, with your history, but it never hurts to try. The evidence of its use in mania is weak from studies, but since reactions are individual, you personally just might respond to it. I tried it in 2018 and could not tolerate it because it caused a very bad, long playing migraine.
Trazodone helps some people with sleep but might make others go up, as it is an AD. The sleep dose is smaller than the old dose for AD from back when it was used as an AD, but the point remains, it is an AD. I love Gabapentin and it has so many varied beneficial uses, including the improvement in sleep architecture, but I have not heard of it being used for mania. You can try. There are other anticonvulsants you can try that are milder. Some people report good results with Topamax. It can make one lose one's appetite, though, which would be very dangerous in your case, but again, you won't know unless you try. There is nascent interest in manipulating your light exposure: Blue Light Blocking Treatment for the Treatment of Bipolar Disorder: Directions for Research and Practice - PMC __________________ Bipolar I w/psychotic features Last inpatient stay in 2018 Geodon 40 mg Seroquel 75 mg Gabapentin 1200 mg+Vitamin B-complex (against extrapyramidal side effects) Long term side effects from medications, some of them discontinued: - hypothyroidism - obesity BMI ~ 38 |
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Legendary
Member Since Apr 2012
Location: Earth
Posts: 15,305
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Oct 22, 2024 at 02:57 AM
#7
Did they figure out a new medicine for you?
__________________ Dx: Me- SzA Husband- Bipolar 1 Daughter- mood disorder+ Comfortable broken and happy "So I don't know why I'm tongue tied At the wrong time when I need this."- P!nk My blog |
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Monster on the Hill
Member Since Sep 2020
Location: by the river
Posts: 5,451
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Oct 22, 2024 at 09:19 AM
#8
Quote:
__________________ [Insert thought-provoking and comedic quote here] |
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| Tart Cherry Jam, Victoria'smom
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