Posted by med_empowered on August 6, 2005, at 3:30:37
In reply to For my Doc, posted by willyee on August 5, 2005, at 19:50:40
hi! What exactly are you trying to accomplish by augmenting? Topomax might be a good call, but keep in mind that its not all that well studied and b/c of the side effects (especially the cognitive ill-effects many experience), its usually reserved for more hard-to-treat cases of bipolar disorder...its best used as a second- or third-line treatment option. Neurontin, by the way, **sucks** as a mood-stabilizer...a number of studies have shown it to have no better efficacy than a placebo. Trileptal would be a good option, but you might have to adjust your Parnate dose (Trileptal makes your body metabolize meds very efficiently, so you need higher doses to achieve the same effects). Lamictal might work...its got nice anti-depressant effects and *might* have some anti-anxiety properties. Keppra might be a good idea, too....its a "novel" anti-convulsant; it works like nothing else on the market. Anyway, so far it appears that Keppra might be useful for mood-disorders AND it seems that it doesn't have the negative effects on cognition that some other meds do (this suggests that it won't cause the drug-induced apathy and depression so many other meds can). Good luck!
poster:med_empowered
thread:538042
URL: http://www.dr-bob.org/babble/20050803/msgs/538199.html