Posted by AMenz on June 22, 2001, at 16:56:43
In reply to Re: What's worked 4 folks 4 BP II » Mitch, posted by chloe on June 22, 2001, at 10:14:06
If you are cycling you should go off anti depressants altogether. That was the answer for me after cycling (mixed state) for a number of months while on 100 mg of Zoloft. At 50 mg I have stopped cycling. I keep taking it for whatever residual social anxiety effect it may have.
But it is for a fact that cycling that does not remit while on mood stabilizer and anti depressant spell take off anti depressant. Otherwise (like me) you'll go from one mood stabilizer to the next with no success.
It's been my experience that although mypsychiatrists were aware of the above, if you are depressed they will continue to augment and fiddle the mood stabilizer before they take the step of taking off the AD. I think that really sucks specially if they don't tell you that's what's happenning.
I am stable on 560 mg of lithium 50 zoloft, 50 tegretol and 1 mg of lorezapam. However, I have had a relapse on social anxiety. This is a separate issue that at present I can't resolve.
> Be careful of the Trileptal or Lamictal they can trigger hypomania, though.
> >
> > I am taking Neurontin/Klonopin/Zoloft.
> >
> > Mitch
>
> BTW, Kingfish, this is a great topic!!!
>
> Mitch,
> You mentioned that Trileptal can be activating. I think you told me before in another post that Trileptal can cause hypomania, but I guess I wasn't ready to hear it. I have been cylcing more, since Trileptal (and I felt agitated, wired and racy on Lamictal). I just can't imagine that an AC would be activating! Live and learn!
>
> Anyway, my point is, that since I switched from Tegretol to Trileptal, I have constantly been having to adjust and add things to my cocktail. The lastest being Neurontin, which was nice and calming in the beginning and helped my sleep. But now I am not sleeping well, but tired alot during the day. So I don't know if going up on the Neurontin would be helpful, but I am only on 600mgs.
>
> I take Trileptal/Neurontin/Celexa (one and a half mgs!)/Valium which for the moment is keeping the lid on things. The addition of Neurontin has decrease the cycling greatly.
>
> BP II and the treatment, for me is constantly evolving. So I am always needing to make adjustments and switches. Has anyone found a regime that has worked well and lasted for more than a few months???
>
> Best wishes to all
> Chloe
poster:AMenz
thread:67368
URL: http://www.dr-bob.org/babble/20010618/msgs/67507.html