Posted by SLS on February 19, 2012, at 23:55:41
In reply to Re: Desperate - another question, Scott » SLS, posted by Solstice on February 19, 2012, at 23:22:53
> I read some patient dialogue about Topamax, and they discussed whether slow titration serves to minimize cognitive side effects.
This has been the observation of my doctor. This was my experience as well.
> Some thought that slow titration did not minimize cognitive impairment, but rather masked it because it was less noticeable when the decline built more slowly.
In the end, how do you mask stupefaction?
> I cannot judge the validity of their statements, but I am very interested in what you think about the merits.
I can't guarantee anything. If I were a doctor, and observed this in many of my patients and in those of my colleagues, I could be more confident in saying such things.
> Also - one of them said they switched to Zonegran, which supposedly did not have the cognitive impairment side effect.
I found Zonegran to be pretty "clean" cognitively. Weight gain was not a problem. It just didn't work at all to improve my depression. I have no idea what track record it has for mania or mixed-states.
I did see Topamax 100 mg totally wipe out a raging mixed-hypomania within a week.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1010739
URL: http://www.dr-bob.org/babble/20120212/msgs/1010913.html