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Re: Topamax, mood stabilizers? » SLS

Posted by floatingbridge on September 9, 2011, at 7:20:04

In reply to Re: Topamax, mood stabilizers? » floatingbridge, posted by SLS on September 9, 2011, at 6:28:57

>
> Start at 25mg and move up slowly to 100-200mg. The slower you increase the dose of Topamax, the less trouble you will have with cognitive side effects. It seems that if triggered by rapid titration, these side effects linger. With slower titration, you might not suffer any cognitive impairments at all.

Did you have cognitive impairments at all? I an already a space cadet by nature.

>
> > I experienced enough of that on Lyrica. I have also read
that Topamax has a nasty withdrawal.
>
> How so? I had none on two occasions?
>

Do you mean the withdrawal or the Lyrica? The withdrawal was explained as rebound anxiety and neuopathic pain, tingling in the extremities, even migraines.

>
> I have seen Topamax 100mg work well to treat a mixed-state mania with rage. She looked somewhat BPD, as her
mood and behavior was very labile during the courses of the day. I think she was more BD than BPD.
>

I'm really not rageful. A lot less than many drivers on the roads here it seems. Anxious and dysphoric, yes, more so.

> > Trileptal?
>
> If you have tried Tegretol to no avail, I doubt Trileptal would work. Trileptal is a good drug, though. It can help with mania, impulse control, and rage.

I haven't tried tegretol nor trileptal. Trileptal seems lighter (which sounds much better to me),

I am concerned that so many of these meds being proposed control rage. That is not my biggest concern. Maybe I misunderstand, but it's the dyshporia I want under control.


I dig a pony.

 

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