Posted by ed_uk2010 on August 29, 2010, at 15:08:50
In reply to Re: here's what my ex-pdoc told me... » ed_uk2010, posted by SLS on August 29, 2010, at 14:25:03
Hi Scott,
>I have seen Topamax cause a bipolar mixed-state to vanish within days of starting it. It was later discontinued, upon which the mixed state returned. Once it was restarted, the therapeutic effect was recaptured.
I don't doubt that individual patients might respond, but that could apply to any medication. I don't think it a clear role in bipolar disorder, so I wouldn't like to call it a mood stabiliser. I know it can cause severe depression and suicidal feelings.
>Keppra and Gabitril are strange ones. Both are unpredictable.
Definitely. I think they are best avoided. 20th line treatments at least!
poster:ed_uk2010
thread:960165
URL: http://www.dr-bob.org/babble/20100829/msgs/960476.html