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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by robxblue on April 28, 2011, at 13:30:10
After a year of the search for the perfect medication, I had an excellent initial response to Trileptal...But after about 1 week on it, I started to have this throat closing sensation and anxiety attacks that came with it.
I even rechallenged it again later, it worked, but of course the throat closing sensation returned after about 1 week. This is so frustrating and I am losing hope.
My doctor and I are exploring other sodium channel blockers, but I found depakote made me EXTREMELY depressed after 1 week on it.. so that's out. Anyone else have suggestions for an anti-manic anticonvulsant out there?
Thanks,
Rob
Posted by Christ_empowered on April 28, 2011, at 14:08:49
In reply to Alternatives to Trileptal?, posted by robxblue on April 28, 2011, at 13:30:10
I've read that high dose lamictal has some anti-manic+anti-psychotic properties. I don't know if it'd be strong enough for you, but your doc would know more about that.
Posted by robxblue on April 29, 2011, at 8:37:40
In reply to Re: Alternatives to Trileptal?, posted by Christ_empowered on April 28, 2011, at 14:08:49
Yea, I've tried lamictal... even small doses (25 mg) worsen the manic symptoms. I need an antimanic probably... Thanks though!
Posted by SLS on April 29, 2011, at 8:46:34
In reply to Alternatives to Trileptal?, posted by robxblue on April 28, 2011, at 13:30:10
> After a year of the search for the perfect medication, I had an excellent initial response to Trileptal...But after about 1 week on it, I started to have this throat closing sensation and anxiety attacks that came with it.
>
> I even rechallenged it again later, it worked, but of course the throat closing sensation returned after about 1 week. This is so frustrating and I am losing hope.
>
> My doctor and I are exploring other sodium channel blockers, but I found depakote made me EXTREMELY depressed after 1 week on it.. so that's out. Anyone else have suggestions for an anti-manic anticonvulsant out there?
>
> Thanks,
> Rob
Topamax (topiramate)
I have seen this drug work very well in someone who suffered from mixed-states bipolar illness. If you start Topamax at 25 mg and move up very slowly to 100-200 mg, you will very likely avoid the cognitive impairments that this drug can produce.
- Scott
Posted by Phillipa on April 29, 2011, at 10:52:38
In reply to Re: Alternatives to Trileptal? » robxblue, posted by SLS on April 29, 2011, at 8:46:34
What about lithium? Phillipa
Posted by robxblue on April 29, 2011, at 11:46:53
In reply to Re: Alternatives to Trileptal?, posted by Phillipa on April 29, 2011, at 10:52:38
I'm taking 450 of lithium currently... Helps some with depression at low dose, but manic symptoms like crying easily and severe sleep problems don't seem to respond :(
This is the end of the thread.
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