Posted by Ritch on April 16, 2002, at 9:18:39
In reply to Re: Help,Li vs. Zyprexa vs Lamictal for manic symptoms, posted by JohnX2 on April 16, 2002, at 0:44:14
> Lately I'm getting pins and needles in my hands.
> I think it is the topamax. I'm getting nervous about being on too many meds.
>
>
> Last time I took Serzone at a stronger dose it had a substantial anxiolytic response with absolutely no hypomania (very stable response), I was on no mood stabilizer at the time. Good AD response, and it completly alleviated my myofacial pain. No other AD pre mood-stabilizer did this (they all were non responders, or hypomanic response followed by poop-out). This time Serzone is not making feel the least bit drugged out (no cognitive impairment). Last time I felt drugged out and got into a fender-bender, so i quit the med.
>
> I'm just wondering if I can get my meds down to:
>
> Lamictal + Serzone
>
> before trying:
>
> Lamictal + Serzone + Topamax + Lithium.
>
> *Before* I added Serzone I had some wild hypomanic swings, this was shortly after topamax augmentation and during klonopin taper.
>
> I wish I could take Depakote, but it is a placebo for me. Trileptal gives me crushing myofacial pain, but a nice AD response.
>
> John
Hmmm. Well, Topamax gave me quite a bit of tingles-needles-pins (paresthesia) at just 50mg/day. You mentioned that TOP seemed to trigger hypomania at the higher doses, and Serzone seems to have some sustainable positive efect. Of course you have already found your Lamictal dose of 150mg/day. I think you are right about delaying the lithium trial for a while. It sounds like the next step would be to do just one thing: Start tapering the Topamax. The Serzone is helping your myofacial pain. It would be nice if it could do it on its own??good luck,
Tell us what happens either way.Mitch
poster:Ritch
thread:103174
URL: http://www.dr-bob.org/babble/20020416/msgs/103214.html