Posted by JohnX2 on February 5, 2002, at 20:27:39
In reply to Re: what to do next? add on AD or more stabilizers?, posted by petters on February 5, 2002, at 0:51:40
Petters,My cocktail is:
Lamictal 150 mg
Topamax 400 mg
Zyprexa 15 mg
Klonopin 1 mgI've maxed out Topamax and am pushing the
envelope on Zyprexa. The Zyprexa increase is
helping.I would be interested to see what a Lamictal
increase would do, but in the past increasing
the dose beyond 225 mg has done weird things
to me.My pdoc has tried to push Lithium on me but
I have always wanted to stay away from it except
as a last resort. I feel that I can take medicines
without side effects or the posibilities of messing
up my organs. Am I being too stubborn about this?Regards,
John
> >
> > Well, I seem to get into different types of
> > hypomanic episodes. Most do not accompany
> > euphoria, grandiose thinking, etc. These are
> > mixed states where I feel kinda empty, but have trouble
> > falling asleep, have substantial psychomotor
> > agitation, have pressured speech, have a lack
> > of interest in things, trouble multitasking.
> > This is very common, but is not what has been
> > happening lately. Lately I had been full blown
> > manic which has settled somewhat into hypmanic.
> >
> > What has been going on lately is as follows.
> > I labeled the ones that I considered
> > part of my full blown manic episodes and
> > not part of my hypomanic epsisodes.
> >
> > - wild euphoria (Manic)
> > - mild euphoria (Hypomanic)
> > - pressured speech
> > - substantial increase in goal directed activities
> > - increased socializing (walking up to random
> > strangers and intiating conversations).
> > - trouble sleeping
> > - gobs of energy
> > - megalomania thought patterns (grandiouse thoughts)
> > - racing thoughts (tangential thoughts)
> > - confrontational attitude
> > - increased self esteem
> > - bizzare affinity to omnipotent forces (Manic)
> > - paranoia/feelings of conspiracies (Manic)
> >
> > Regards,
> > John
> >
> > > John,
> > >
> > > Can you describe for me a bit what hypomania feels like, and how you know you had/have it?
> > >
> > > Thanks,
> > >
> > > Scott
> > >
> > >
> > > > Scott,
> > > >
> > > > The hypomania has petered out over the
> > > > past few days. I'm actually ping ponging between
> > > > euthymia and hypomania with my latest Zyprexa
> > > > dosing bump and klonopin tapering. I actually feel
> > > > pretty good after a bit of an initial crash which prompted
> > > > the 1st post.
> > > >
> > > > My pdoc is having me to up the Zyprexa
> > > > dose again to 15 mg. I didn't really think of this option.
> > > > He told me at my appointment that he felt I was in
> > > > the best shape he had ever seen me (It just happened
> > > > to be the 1st day I felt euthymic).
> > > >
> > > > Regards,
> > > > John
> > > >
> > > > > Are you currently hypomanic?
> > > > >
> > > > > After you're totally stabilized I'd go Wellbutrin route if you need an AD and it worked in the past.
> > > > > However, I would exhaust completely ALL stabilizer options and combo's first.
> > > > >
> > > > > Scott
>
>
> Hi...
>
> Probably the Zyprexa is not enough for you. You need adding Lamictal or Topamax or Litium, to you current regime.
>
> Best Wishes...//Petters
poster:JohnX2
thread:92412
URL: http://www.dr-bob.org/babble/20020131/msgs/93005.html