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Re: Keppra - causes mania? » theo

Posted by Ritch on May 7, 2005, at 10:26:13

In reply to Re: Keppra - causes mania? » Ritch, posted by theo on May 7, 2005, at 6:45:20

> > > My doc just prescribed 500mg of Depakote ER once at bedtime. Isn't that a bit high or is that an okay starting dose?
> >
> > The first time I tried it I started with 250mg and then went to 500mg in a week or so. Usually, people start out at 750mg a day. If you aren't real med sensitive that startup sounds good to me.
>
> I just didn't know if starting at 250mg would be theraputic at all, but I guess from what I've seen, 500mg is a pretty low dose of Depakote ER. I think my anxiety/OCD is kicking in on taking a new med for the first time!
>
> So at 500mg, do you have many side effects, cognitively, gastrointestinal, baldness, etc? If you do have any initial tiredness, does it go away pretty quick?
>
>

The best advice I would give is to go ahead and start off straight away at 500mg and see what happens. I was on a 500mg dose for a year or so and now take 500mg/day every few days (for a day or two). My "ideal" dose is probably around 375mg/day. Just 250mg/day consistently isn't enough, 500mg/day consistently tends to make me too fatigued, hungry, and "twitchy". I wished they made a 375mg ER tablet. One thing that I'm starting to find out though.. is that clonazepam together with it makes the fatigue alot worse. What else would you be taking with it?


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