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Re: Can Trileptal induce rapid cycling? » qbsbrown

Posted by Ron Hill on March 1, 2009, at 14:23:35

In reply to Can Trileptal induce rapid cycling?, posted by qbsbrown on February 27, 2009, at 8:14:41

Brian,

> Since I've started the med, I go from hypomanic in the morning, depressed from noon to 6pm, then feel normal the rest of the night.

For me, Trileptal always has an anti-manic effect. I usually take 300 mg on a daily basis, but if I become hypomanic, I take 900 mg/day or 1200 mg/day and my hypomania subsides.

> My doc says trileptal can be taken once daily, but all the literature I read says twice daily.

Perhaps it "can" be taken once a day, but the Prescribing Information document says to take it twice a day (BID). See bottom of page 28, continuing on the top of page 29:

http://www.pharma.us.novartis.com/product/pi/pdf/trileptal.pdf

You might find it worthwhile to scan the entire document.

-- Ron

dx: Bipolar II, with ultra rapid cycling (15 days for one complete cycle), and mild OCPD

300 mg/day Trileptal
200 mg/day Lamictal
250 mg/day Keppra
60 mg/day Nardil


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