Posted by SLS on September 23, 2001, at 19:27:21
In reply to Re: TANKING ON BUPE - help » Mitch, posted by Zo on September 23, 2001, at 17:15:36
> Mitch, thanks again, yr little notes really help. Tanking abruptly stopped at 4pm. . .then started again at 1:30 am last night, but nipped that sucker in the bud with Vicodin (bupe still too sick-making to contemplate.)
>
> I'm beginning to wonder if bupe didn't *set* off a manic upswing. . that eventually went near to psychotic, started out painting well but then it got scary and I got lost in it. If it was mania, it was the Not Fun kind.
>
> I went off Neurontin over about 2 or 3 months time, but probably too fast at end. How comforting to know you had a wretched time too!
>
> Shrink tomorrow, pdoc Friday. . .too many riddles, too few answers. If there are any. *If* this is cycling or Mixed States, it surely sucks.
>
> Thanks so much,
> Zo
Hi Zo.You've got quite a bag full of questions to go in to your doctor with. I wouldn't be surprised if you turn out to be right about buprenorphine and mania. I am very interested to know what your doctor comes up with.
I don't know the particulars of your situation, but if you are experiencing true rapid-cyclicity, you will almost certainly need at least two mood stabilizers. It seems that Tegretol is often chosen at some point, although I would probably lean towards its sister drug, Trileptal. It is supposed to have milder side effects. Lamictal is reported to be very effective in some cases. I have seen Lamictal used in combination with Neurontin. I get the feeling that Neurontin is most effective when used to augment another mood stabilizer as opposed to being used by itself.
You sound strong. I'll be routing for you.
:-)
- Scott
poster:SLS
thread:79309
URL: http://www.dr-bob.org/babble/20010917/msgs/79406.html