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Re: Mitch » Kingfish

Posted by Mitch on June 21, 2001, at 23:10:56

In reply to Re: Mitch, posted by Kingfish on June 21, 2001, at 13:56:08

> Mitch:
>
> Thank you so much for your suggestion! I've thought about it but am nervous because I seem to need it this high to feel stabilized. That's why I was wondering about adding another stabilizer such as Lamictal, and then lowering the Top some, but not quitting it all together. What do you think?
>
> What classes are Klonopin and Zoloft? How have they worked for you? Are you tired all the time? (I feel like I could handle a New side effect as long as it wasn't sedation - just woke up, very grudgingly, from a 3 hour nap).
>
> Thanks again.
>
> - K.

K.

The *combination* of Neurontin and Topamax could be really the trouble. Could you stay stable with just the Neurontin and Celexa? Or could you just back off the Topamax a little at a time and see if you still feel ok? I wonder, because sometimes docs jack the dose up really rapidly and you *pass* a *sweet-spot* with the med without really knowing it.

The Zoloft is in the same class of med the Celexa is-I doubt if switching to it would help much-although it tends to be more activating. Klonopin is a benzodiazepine like Valium, if you are OK with exception to excess sedation I doubt that it that would help you any.

On the other hand-your Neurontin dose might be just a little higher than you need (with the TOP). If you really feel the Topamax is giving you more benefit than the Neurontin you could try backing off the Neurontin dose a bit at a time and keep your TOP dose the same.

You wouldn't really want to add a *third* med or switch one of them if you don't need to. I would investigate dosage adjustments of what you are currently taking FIRST.

Just suggestions,
Mitch


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URL: http://www.dr-bob.org/babble/20010618/msgs/67431.html