Posted by Cam W. on July 25, 2000, at 19:00:20
In reply to Update on meds and thank yous, posted by Greg on July 25, 2000, at 12:40:34
Greg
> First of all, thanks to everyone for their input, advise and support. As usual you were there for me.
As you are there for us.
> I was unable to get the Despiramine Rx filled as the pharmacy was out of the dosage I needed, I get that today.
What was the dose? (just curious)
>I did start the Tegretol yesterday and WOW!!! About 45 minutes after taking it (the prescribed dose is 200mgs am, 200mgspm) I got really loaded.
This may be an indication that the dose may be too high and you may need to increase the dose slowly, at a lower dosage (eg. 100mg twice daily for 4-7 days, then increase) to avoid this feeling. Your body should adjust to the Tegretol within a month.
>I have to meet with the big boss at 1pm to try to convince him to purchase a quarter million dollar software package.
I hope it went okay.
> I've read the info you all have given me and quite frankly am a little concerned. Looks like some real potential for problems.
Yes, there are potential problems, but they can be minimized by you and your doc working together on a game plan to find an effective balance of dosages.. Once the Prozac clears your system enough to not inhibit the cytochrome system, a dosage balance will be reached between the desipramine and Tegretol. It should be fairly stable, with maybe the occational minor tweaking of dose.
>I'm going to print your inputs on the meds and fax them to my doc today. I need some more reassurance that we are taking the right course of action here. Better safe than sorry, right?
Absolutely, always err on the side of caution. Become as informed as you can on this.
>Why do they give an anti-seizure med for mood stabilization?
Because it works.
I don't know if an exact antimanic/antidepressive mechanism has been proven, but I think both epilepsy and bipolar disorder involve temporal lobe structures (I could be wrong).Greg, call your doc about the side effects you experienced. He may lower the dose or have you ride it out for a day or two.
Good luck - Cam
poster:Cam W.
thread:41333
URL: http://www.dr-bob.org/babble/20000717/msgs/41412.html