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  #26  
Old Dec 23, 2014, 01:23 PM
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AstridLovelight AstridLovelight is offline
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Location: Virginia
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Wow, that must have been a strong mania if haldol didn't touch it!

When I was younger I had a lot more mania. As I've gotten older it's primarily been depression ... I've been severely depressed for the past four years pretty steadily.

I went off meds in June (more about that later) and since October or so it's been pretty much rapid cycling, mixed states, depression. Although this month I've started feeling more hypomanic and experiencing euphoric states again. And those are the times when I'm like, "Oh, I don't need meds. I've got it all figured out." Everything is just cosmic and beautiful

But I had very bad reactions to several different meds this summer ... it was the perfect storm really, and it triggered what I now think was a really bad dysphoric mania that lasted from June until October. And it was terrifying because I had no idea what was going on and my nurse practitioner just dismissed it as anxiety. But it did lead me to finally getting diagnosed as BP1 by a therapist.

So now I have it in my brain that if I take a med it's going to send me into that same awful dysphoric state. I know it's illogical but that's how it feels. That any med is going to increase my suffering instead of decreasing it.

Thanks for listening to me and letting me talk this out. I'm nervous about my appointment tonight. I'm going to see if he thinks seroquel is a good idea, it's what I'd like to get back on. (Was on it a couple of years ago). Because I think it might calm me down and stabilize me.
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In the midst of hate, I found there was, within me, an invincible love. In the midst of tears, I found there was, within me, an invincible smile. In the midst of chaos, I found there was, within me, an invincible calm. --Albert Camus

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  #27  
Old Dec 23, 2014, 03:05 PM
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Just so you know the mood stabilizers are safer than the AAP's. But I do not know which meds may have triggered your dysphoric mania. I suspect antidepressants. If it was AD's then that makes it hard if you have primarily had depression recently. I personally think Lamictal is a good choice as it has a clean side effect profile and is supposed to help with depression and mania. The only way to know is try it and see. You have to really watch for the rash thing when first starting and start slow. The rash is rare though. I personally would rather try mood stabilizers before AAP's but I do not know your history.
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The "paradox" is only a conflict between reality and your feeling of what reality "ought to be." -- Richard Feynman

Major Depressive Disorder
Anxiety Disorder with some paranoid delusions thrown in for fun.
Recovering Alcoholic and Addict
Possibly on low end of bi polar spectrum...trying to decide.

Male, 50

Fetzima 80mg
Lamictal 100mg
Remeron 30mg for sleep
Klonopin .5mg twice a day, cutting this back
  #28  
Old Dec 23, 2014, 03:30 PM
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Mood Stabilizers for Bipolar Disorder | Psych Central

Bipolar Medication Spotlight: Lamictal (Lamotrigine) | Bipolar Beat

Effectiveness of mood stabilizers and antipsychotics in the mainten... - PubMed - NCBI

Quote:
RESULTS:
Fourteen studies (n = 2,526) met the inclusion criteria. Lithium, lamotrigine, olanzapine and valproate semisodium each demonstrated evidence to support long-term use. Compared with placebo, all medications were more effective at preventing relapse because of any mood episode.
__________________
The "paradox" is only a conflict between reality and your feeling of what reality "ought to be." -- Richard Feynman

Major Depressive Disorder
Anxiety Disorder with some paranoid delusions thrown in for fun.
Recovering Alcoholic and Addict
Possibly on low end of bi polar spectrum...trying to decide.

Male, 50

Fetzima 80mg
Lamictal 100mg
Remeron 30mg for sleep
Klonopin .5mg twice a day, cutting this back
Thanks for this!
AstridLovelight
  #29  
Old Dec 23, 2014, 03:32 PM
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AstridLovelight AstridLovelight is offline
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Member Since: Dec 2014
Location: Virginia
Posts: 236
Thanks, I really appreciate the suggestion. I'll discuss lamictal or another mood stabilizer with the dr. tonight .... it's also been something I've been considering. Seroquel is the only AAP I'd consider right now, and I think a large part of my wanting it is just because I want to feel numb and just sleep.

Funnily enough, my previous nurse practitioner had prescribed lamictal and I got the prescription the very day that I had the bad reaction to the other two meds, and then the dysphoric mania began, so I never started the lamictal. So I spent a month trying to talk myself into taking it, but was too scared.

What seemed to trigger the dysphoric mania was a reaction to an over-the counter asthma medicine one night, a strong paradoxical reaction to 1/4 of a klonopin the next night, added to the combination of simultaneously discontinuing Prazosin and Saphris. I had stopped taking my anti-d (first Celexa, then Prozac) in late winter after my sodium dropped so low.

Thanks again for your help and apologies to Vital for hijacking his thread
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In the midst of hate, I found there was, within me, an invincible love. In the midst of tears, I found there was, within me, an invincible smile. In the midst of chaos, I found there was, within me, an invincible calm. --Albert Camus
  #30  
Old Dec 23, 2014, 03:33 PM
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AstridLovelight AstridLovelight is offline
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Member Since: Dec 2014
Location: Virginia
Posts: 236
Cool, I just saw your second post. I'll check those links out. I think I would also be open to low-dose lithium. I'm so tired of the freakin' mood roller coaster.
__________________


In the midst of hate, I found there was, within me, an invincible love. In the midst of tears, I found there was, within me, an invincible smile. In the midst of chaos, I found there was, within me, an invincible calm. --Albert Camus
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