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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by woolav on May 24, 2005, at 18:03:52
day 6? trileptal...now i am at 300mg...and it seems like since i started taking the 300mg i have been mean. My husband noticed it and so has my daughter. I have been really snappy and short tempered. It seems like a mood stabelizer would even out my moods, not make me angry feeling. I wonder if this is just a beginning side effect or am i just losing it again? who knows. Maybe its not mixing well with my other meds, but my pdoc said it wouldnt. It seems like now, i am not depressed (like i was)and i'm not hypo manic, so what, now i am going to be angry? whats up with that. Im sick of it all.....
S
Posted by HappyGirl on May 24, 2005, at 19:04:45
In reply to why is a MOOD stabelizer making me mean?????, posted by woolav on May 24, 2005, at 18:03:52
Hi:
Sounds like you've been experiencing 'dysphoria'/intense anger. However, I have no clue why this started after having on a mood-stabilizer. Normally, ... any of mood-stabilizer, Depakote, Trileptal, Lamical and lithium makes you to NOT get angry, because dysphoria is a part of 'hypomanic' symptoms.I can not recall what other meds. you're on, ... however one of meds., Lamictal that might have some 'interaction' due to 'anti-depressant' efficacy. In the beginning of Bp med. therapy, just one M.S. seems 'enough,' because you never know what adverse effects you can get.
In the past when I was in unstable state, I had a problem similar to yours. However, it went away with time, after med. combo. started to kick-in more and more. For me, a mood-stabilizer(Lithium 900 mg.) is NOT able to 'subdue' dysphoric urge. One of 'best' A.P.s, Zyprexa 5 mg. puts a good 'lid' on the dysphoric. In my knowledge, some of Bpers actually carrying around one of A.P.s, either Risperdal or Zyprexa for emergency situation/precautiousness whenever going to 'social' and work places.
If you have Dysphoric episode that is one of 'nasty'/worse form of hypomania, then probably you may need to call your pdoc. soon. Because, a mood-stabilizer alone won't alleviate this problem.
H.G.
Posted by woolav on May 24, 2005, at 21:05:20
In reply to Re: why is a MOOD stabelizer making me mean????? » woolav, posted by HappyGirl on May 24, 2005, at 19:04:45
Thanks, I will mention that to him. (i go back in a week and a half to see him) I dont know whats wrong...
seems always something..
S
Posted by Phillipa on May 24, 2005, at 21:48:12
In reply to Re: why is a MOOD stabelizer making me mean?????, posted by woolav on May 24, 2005, at 21:05:20
I know this sounds simplistic, but could you just be angry? Fondly, Phillipa
Posted by HappyGirl on May 24, 2005, at 21:51:31
In reply to Re: why is a MOOD stabelizer making me mean?????, posted by woolav on May 24, 2005, at 21:05:20
Hi:
I just forgot to mention in my previous post, ... a VERY important point.The mood-stablizer, Trileptal seems NOT working on you properly. But, of course, this is my 'personal' opinion, more likely 'hunch' through the experience.
For me, older form of Trileptal, Tegretol didn't do anything at all while Depakote did a 'wonder' on me at the beginning of med. therapy. Without any M.S. in your system, your Bp symptoms wouldn't improve to begin with. However, everyone reacts differently on various meds., then I can not be sure, ... but talk to your pdoc. soon.
H.G.
Posted by woolav on May 25, 2005, at 10:07:55
In reply to Re: why is a MOOD stabelizer making me mean????? » woolav, posted by HappyGirl on May 24, 2005, at 21:51:31
> Hi:
> I just forgot to mention in my previous post, ... a VERY important point.
>
> The mood-stablizer, Trileptal seems NOT working on you properly. But, of course, this is my 'personal' opinion, more likely 'hunch' through the experience.
>
> For me, older form of Trileptal, Tegretol didn't do anything at all while Depakote did a 'wonder' on me at the beginning of med. therapy. Without any M.S. in your system, your Bp symptoms wouldn't improve to begin with. However, everyone reacts differently on various meds., then I can not be sure, ... but talk to your pdoc. soon.
> H.G.
Hi, I tried depakote years back and had bad side effects. So i told my pdoc i didnt want it or zyprexa. I guess thats why he tried trileptal. Ive only been on it for like a week and a half, so maybe i should give it more time? Like today, I dont feel mean, I feel very depressed. Im on a roller coaster i guess...
S
Posted by Bill LL on May 25, 2005, at 11:07:41
In reply to why is a MOOD stabelizer making me mean?????, posted by woolav on May 24, 2005, at 18:03:52
I had the same experience as you, but with duloxetine. That drug got rid of my depression and also got rid of most of my anxiety. But although I felt relatively calm, I had a temper which is not normal for me. That's why I stopped taking it. I think it may have had something to do with it's effect on norepinephrine.
> day 6? trileptal...now i am at 300mg...and it seems like since i started taking the 300mg i have been mean. My husband noticed it and so has my daughter. I have been really snappy and short tempered. It seems like a mood stabelizer would even out my moods, not make me angry feeling. I wonder if this is just a beginning side effect or am i just losing it again? who knows. Maybe its not mixing well with my other meds, but my pdoc said it wouldnt. It seems like now, i am not depressed (like i was)and i'm not hypo manic, so what, now i am going to be angry? whats up with that. Im sick of it all.....
> S
Posted by HappyGirl on May 25, 2005, at 12:22:19
In reply to Re: why is a MOOD stabelizer making me mean?????, posted by woolav on May 25, 2005, at 10:07:55
Hi:
I agree with you, ... you've been 'cycling' quite often. I had similar 'experience' due to my dx with 'ultra' rapid cycler that means hypomania and depression cycles back and forth several times within one/singe day. It was a VERY annyoing to go through this.I, too feel that the reason why your pdoc. put Trileptal is because of your negative experience on the Depakote. In my case, ... I've been on the Lithium, 900 mg. along with other meds. and works VERY well. However, Lithium alone does NOT alleviate all of Bp symptoms I have. Thus, my pdoc. added the Zyprexa, starting out on 2.5 mg./miniscule and moved up to the 5 mg. I gained about 10-15 lbs. during the past five years after the Zyprexa about which I have NO 'good reason'to complain, as seeing the same on SSRIs.
In my knowledge from my 'own' personal experience along with reading others,. ... if you were dx'ed with moderate to severe form of Bp, there needs one or two A.P.s, ... one for 'booster' and other for nasty side of hypomania. Then, I just wonder why your pdoc. did NOT prescribe one of A.P.s, ... not the Zyprexa, but weight-neutral A.P.s, like Abilify or Geodon.
It's good to know that you're feeling 'good' today. Without worrying about other issues, try to 'cherish'/enjoy as much as you can when you're in positive state.
Try to keep us posted your progress.
H.G.
Posted by woolav on May 25, 2005, at 17:43:36
In reply to Re: why is a MOOD stabelizer making me mean????? » woolav, posted by HappyGirl on May 25, 2005, at 12:22:19
Hey, yeah I dont know why he didnt rx me an AP. unless i scared him by saying i didnt like depokote or zyprexa. I wonder if geodon or ablify work for bp2??? I am going to ask him about it.
Cant wait until my next appt now.
S
Posted by HappyGirl on May 26, 2005, at 0:18:21
In reply to Re: why is a MOOD stabelizer...happy girl, posted by woolav on May 25, 2005, at 17:43:36
Hi:
Both Abilify and Geodon is said 'activating' efficacy that causes insomnia and anxiety. However, all of psycho meds. have both positive and negative sides, then it's tough to say whether you can get a beneficial effect from either of them. Your pdoc., at first looks at your 'med.' history along with your 'up-to-date' Bp symptoms. Afterwards, your pdoc. is able to decide what/which med. is best for you.Along with med. therapy, ... have you ever tried 'sunlight' therapy? Most of cases, the 'bright' Sunlight gives you Vitamin D which in turn eases your depressive symptoms to some extent. Walking or Biking under the day-time sunlight is good for both mental and physical wellness. If you never did, try to get 'Sunlight' as much as possible. If you live in the US ...., since now heading for the summer-season, walk along the river, park and any places where there is a plenty of 'bright' sunlight is DEFINITELY beneficial to the mental well-being. Also, Vitamin B, C, Calcium and Magnesium(sp ?) are all needed for depression along with psycho. meds. Eating fish is a good nutrient to the brain. I love 'fish-sandwitch' at Burger-King along with cooking on my own.
Try those, above until you see the pdoc.
H.G.
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