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Re: Trileptal? fast increment dose to me!!!!!!!!!!

Posted by med_empowered on May 21, 2005, at 14:49:43

In reply to Re: Trileptal? fast increment dose to me!!!!!!!!!!!!!!, posted by woolav on May 21, 2005, at 7:26:13

hey! Yeah, if you're having **issues** shrinks tend to titrate at mad speed, which kinda sucks...I mean, the last thing you need when your mood sucks is to have drug side-effects, right? Plus, trileptal doesn't seem to have any effect on **acute** mania, hypomania, mixed-episodes, or depression; basically, it works well as maintenance treatment. Acute episodes are best treated with lithium, depakote, or an atypical antipsychotic...or Ascendin (weird, old-school tricyclic anti-depressant with anti-psychotic properties). Anyway, that said, your titration isn't too bad...I started at 300, went up to 450 a couple days later, then up to 600, and then to 900 in split doses (300AM/600PM). That said, only move as fast as **YOU** want too...think about it: all the doc does, really, is write prescriptions and set plans based on what they **think** will work well. They have MDs, which is nice, but they don't live in your body; you do. When push comes to shove, the patient should do what feels best and the doc should deal with it. Good luck!


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