![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 32. This is the beginning of the thread.
Posted by AWorriedMom on June 9, 2003, at 14:04:04
I am interested in what others have said about the manic side of BP. My 16 yr. old daughter has experience both the 'high'manias and the more irritable mania. Her manias were more often rage, anger, irritability and racing thoughts sometimes along with risky and dangerous behaviors.
In fact, it has been hard to tell the difference between normal, healthy energy and beginning of mania. Often she is depressed, and then I think that thankfully she is getting better and functioning better, then the manic symptoms start.
She is seeing new pdoc. First change was to gradually stop the zyprexa and replace with seroquel. Also to add 10mg lexapro due to the immediate problem of her depression. Next the doc will look at mood stabilizer change or adjustment. She presently takes 1200 mg lithobid (blood level of .5) and 2000 mg depakote (level was 30)
Obviously to me this mood stabilizer regimine doesn't seem to be working. It is like she is on some sort of ledge and that at any moment she could go either way to mania or depression.
Are there some intelligent questions I can pose to pdoc at Thursday's appt? BTW, one of her worst manic periods happened when she was on topomax.
Posted by maxime on June 9, 2003, at 17:46:51
In reply to Which meds for mania and depression ?, posted by AWorriedMom on June 9, 2003, at 14:04:04
Hello - First off, your daughter is very lucky to have a mom who cares so much about her mental health.
I don't think your daughter is taking her meds. Her blood levels are low considering the high amount of meds she is suppose to be taking.
First off, the lithium level is on the low side. I think .8 is what is usually aimed for but if someone wants to correct me on this I am ready to listen. Also, I thought the therapeutic level for Depakote was suppose to be between 70 to 150.And if your daughter is taking her meds, the levels are still low so maybe she needs a higher dosage of both.
One thing you can do before the appointment is gain knowledge on the meds that are out there as a mood stabiliser (if you haven't already).
I suffer the same sort of mania as your daughter. Tegretol is suppose to be good for the "rage". I had side effects from the med and had to stop taking it, but I know that so many people have success with it. Also, Trileptal, which is related to Tegretol is suppose to be good for the irritability and rage. But my guess is that the doctor will want to start your daughter on Lamictal because it's mood stabiliser AND has anti-depressant properties.
Another thing you need to take into account is the Lexapro or any other anti-depressant she might be prescribed. SSRIs often make people with bipolar disorder slip into manic mode.
I hope I have helped somewhat. I am sure others will have suggestions as well.
Good luck.
Maxime
> I am interested in what others have said about the manic side of BP. My 16 yr. old daughter has experience both the 'high'manias and the more irritable mania. Her manias were more often rage, anger, irritability and racing thoughts sometimes along with risky and dangerous behaviors.
>
> In fact, it has been hard to tell the difference between normal, healthy energy and beginning of mania. Often she is depressed, and then I think that thankfully she is getting better and functioning better, then the manic symptoms start.
>
> She is seeing new pdoc. First change was to gradually stop the zyprexa and replace with seroquel. Also to add 10mg lexapro due to the immediate problem of her depression. Next the doc will look at mood stabilizer change or adjustment. She presently takes 1200 mg lithobid (blood level of .5) and 2000 mg depakote (level was 30)
>
> Obviously to me this mood stabilizer regimine doesn't seem to be working. It is like she is on some sort of ledge and that at any moment she could go either way to mania or depression.
>
> Are there some intelligent questions I can pose to pdoc at Thursday's appt? BTW, one of her worst manic periods happened when she was on topomax.
Posted by AWorriedMom on June 9, 2003, at 20:22:17
In reply to Re: Which meds for mania and depression ?, posted by maxime on June 9, 2003, at 17:46:51
Thanks for your response.
A puzzlement with her blood levels is that she takes the meds. I give them to her myself with usually 8 oz of water. She takes other medications as well and doesn't seem to mind taking anything.
Could she have an abnormal metabolism of medication? The other terrible thing is that she has physical side effects from these medications with low benefits.
> Hello - First off, your daughter is very lucky to have a mom who cares so much about her mental health.
>
> I don't think your daughter is taking her meds. Her blood levels are low considering the high amount of meds she is suppose to be taking.
> First off, the lithium level is on the low side. I think .8 is what is usually aimed for but if someone wants to correct me on this I am ready to listen. Also, I thought the therapeutic level for Depakote was suppose to be between 70 to 150.
>
> And if your daughter is taking her meds, the levels are still low so maybe she needs a higher dosage of both.
>
> One thing you can do before the appointment is gain knowledge on the meds that are out there as a mood stabiliser (if you haven't already).
>
> I suffer the same sort of mania as your daughter. Tegretol is suppose to be good for the "rage". I had side effects from the med and had to stop taking it, but I know that so many people have success with it. Also, Trileptal, which is related to Tegretol is suppose to be good for the irritability and rage. But my guess is that the doctor will want to start your daughter on Lamictal because it's mood stabiliser AND has anti-depressant properties.
>
> Another thing you need to take into account is the Lexapro or any other anti-depressant she might be prescribed. SSRIs often make people with bipolar disorder slip into manic mode.
>
> I hope I have helped somewhat. I am sure others will have suggestions as well.
>
> Good luck.
>
> Maxime
>
>
>
Posted by maxime on June 9, 2003, at 21:27:27
In reply to Re: Which meds for mania and depression ?, posted by AWorriedMom on June 9, 2003, at 20:22:17
You are welcome. Well, she could be having low benefits because her levels are too low. Get yourself acquainted with what the therapeutic levels should be in case her doctor says they are fine. I just popped in the terms "lithium levels" in a search engine and there was a lot of information.
You know it has always puzzled me re. meds and metabolization. I would love some information as well! I am a petite female - just under 5 feet tall and barely 100 lbs. Yet with EVERY med I have taken I have been on the high end - usually higher than what is "recommended". I wish I could find an explanation for this. Obviously a person's size has nothing to do with it.
I hope that once your daughter's levels are up that she will obtain some relief from her highs and lows. Also, she would have to be at the right levels for several weeks before seeing an improvement (of course there are always exceptions).
I also hope your daughter is receiving therapy. I say this because I am now 34 years old. I was a depressed child and then became bipolar in my early teens. My parents did not believe that a "child" could be depressed and so they ignored the pediatrician. If I had received med therapy and psycho therapy at a younger age I believe I would be doing much better than I am now.
Please keep us posted. :-)
Max
> Thanks for your response.
>
> A puzzlement with her blood levels is that she takes the meds. I give them to her myself with usually 8 oz of water. She takes other medications as well and doesn't seem to mind taking anything.
>
> Could she have an abnormal metabolism of medication? The other terrible thing is that she has physical side effects from these medications with low benefits.
>
> > Hello - First off, your daughter is very lucky to have a mom who cares so much about her mental health.
> >
> > I don't think your daughter is taking her meds. Her blood levels are low considering the high amount of meds she is suppose to be taking.
> > First off, the lithium level is on the low side. I think .8 is what is usually aimed for but if someone wants to correct me on this I am ready to listen. Also, I thought the therapeutic level for Depakote was suppose to be between 70 to 150.
> >
> > And if your daughter is taking her meds, the levels are still low so maybe she needs a higher dosage of both.
> >
> > One thing you can do before the appointment is gain knowledge on the meds that are out there as a mood stabiliser (if you haven't already).
> >
> > I suffer the same sort of mania as your daughter. Tegretol is suppose to be good for the "rage". I had side effects from the med and had to stop taking it, but I know that so many people have success with it. Also, Trileptal, which is related to Tegretol is suppose to be good for the irritability and rage. But my guess is that the doctor will want to start your daughter on Lamictal because it's mood stabiliser AND has anti-depressant properties.
> >
> > Another thing you need to take into account is the Lexapro or any other anti-depressant she might be prescribed. SSRIs often make people with bipolar disorder slip into manic mode.
> >
> > I hope I have helped somewhat. I am sure others will have suggestions as well.
> >
> > Good luck.
> >
> > Maxime
> >
> >
> >
>
Posted by Barbara Cat on June 11, 2003, at 20:09:23
In reply to Which meds for mania and depression ?, posted by AWorriedMom on June 9, 2003, at 14:04:04
Hi Mom,
Do you think your daughter has mixed-states bipolar? It's a very agitated and despairing form, a mixture of mania (NOT the happy productive kind, but the raging, irritable, disordered mania) and black depression in collision at the same time. There still are swings between the two poles, but mixed states is it's own thing and very awful. I happen to have this nasty variant on the disease but can hopefully offer some suggestions on BP treatment in general.I'm on 600mg lithium. That amount seems to be enough, but lithium is crucial. I'm also taking lamictal which has helped with the depression and is also another mood stabilizer. Bipolars need all the mood-stabilizers they can get. SSRIs are NOT recommended for bipolars. This could be the key to your daughter's erratic response. I have been helped tremendously by a tricyclic, nortriptyline, after trying every SSRI, SNRI, etc. on the block. Fish oil is also helping me. I notice when I don't take it. I take a high quality liquid fish oil, 2 tablespoons a day. I'm also taking alot of vitamins and nutritional support, which is VERY IMPORTANT. Coenzyme Q and Alpha Lipoic Acid are helping. Good luck with your baby girl. All this is treatable with patience, a good pdoc, and prayer. -- BarbaraCat
Posted by AWorriedMom on June 13, 2003, at 19:33:51
In reply to Re: Which meds for mania and depression ? » AWorriedMom, posted by Barbara Cat on June 11, 2003, at 20:09:23
Your description of mixed states sounds exactly like my kid. I am interested in what you said about lithium with the lamictal.
One time, her pdoc tried a combo of lithium and topomax. At first she seemed better, then she became very erratic and uncharacteristic in her behaviors and interactions with peers, teachers, etc. Don't know if lithium level wasn't right or if topomax had the bad effect. Pdoc put her back on combo of lithium and depakote. That doesn't seem to be working either, but not as bad as topomax.
Is lamictal related in any way to topomax?
Posted by Barbara Cat on June 13, 2003, at 21:55:59
In reply to Re: Which meds for mania and depression ?, posted by AWorriedMom on June 13, 2003, at 19:33:51
Topomax - ugh, ugh ugh!!!! I was on it for a month hoping to lose some of the Remeron pudge. This was before I was on lamictal. I felt antsy, irritable, erratic. I hated it. Plus I didn't lose a pound. I can't say for sure if lamictal is the magic bullet. I had tremendous response to it at a low dose for about 2 months and then it started pooping out. I had some extreme stressors even after it pooped so my pdoc added nortriptyline for the black hole I was falling into. This combo, lithium, lamictal, nortriptyline seems to be working for me. I also notice a very definitely response from high quality fish oil at about 13-14 grams a day. I can tell when I don't take it for awhile. I hope her diet is pristine (yeah, like a schoolage kid is going to have a pristine diet). She needs good nutrition, especially at her age.
One other thing to consider is comorbid ADD along with her bipolar. I'm reading more and more about how these two states are looking like similar dysfunctions. In fact, fibromyalgia/bipolar/ADD are looking like similar dysfunctions. I'll be seeing my pdoc in 2 weeks and we're going to try a trial of a stimulant. I have a very disabling recurring case of fibro and we're hoping it relieves it, along with remnants of classic ADD symptoms.
> Your description of mixed states sounds exactly like my kid. I am interested in what you said about lithium with the lamictal.
>
> One time, her pdoc tried a combo of lithium and topomax. At first she seemed better, then she became very erratic and uncharacteristic in her behaviors and interactions with peers, teachers, etc. Don't know if lithium level wasn't right or if topomax had the bad effect. Pdoc put her back on combo of lithium and depakote. That doesn't seem to be working either, but not as bad as topomax.
>
> Is lamictal related in any way to topomax?
>
Posted by AWorriedMom on June 14, 2003, at 21:52:54
In reply to Re: Which meds for mania and depression ? » AWorriedMom, posted by Barbara Cat on June 13, 2003, at 21:55:59
I am going to ask doc about the lamictal, possibly in combo with the lithium she takes.
I don't know about the ADD. As a child, she never had any type of attention problem. In fact, her personality was the opposite. Can this start during teen years? She does have lots of panics and anxieties, though. They manifest themselves through physical complaints like the time she couldn't feel her legs or walk; another time she was convinced she couldn't see. Has IBS. But as bad as all that it is it all pales compared to her mixed state bipolar. That is why I'm seeking info on meds that might help her be on a stable path.
It looks like you have found a medicine combination that works for you. That is great.I hope we will find one soon.
Thanks
> Topomax - ugh, ugh ugh!!!! I was on it for a month hoping to lose some of the Remeron pudge. This was before I was on lamictal. I felt antsy, irritable, erratic. I hated it. Plus I didn't lose a pound. I can't say for sure if lamictal is the magic bullet. I had tremendous response to it at a low dose for about 2 months and then it started pooping out. I had some extreme stressors even after it pooped so my pdoc added nortriptyline for the black hole I was falling into. This combo, lithium, lamictal, nortriptyline seems to be working for me. I also notice a very definitely response from high quality fish oil at about 13-14 grams a day. I can tell when I don't take it for awhile. I hope her diet is pristine (yeah, like a schoolage kid is going to have a pristine diet). She needs good nutrition, especially at her age.
>
> One other thing to consider is comorbid ADD along with her bipolar. I'm reading more and more about how these two states are looking like similar dysfunctions. In fact, fibromyalgia/bipolar/ADD are looking like similar dysfunctions. I'll be seeing my pdoc in 2 weeks and we're going to try a trial of a stimulant. I have a very disabling recurring case of fibro and we're hoping it relieves it, along with remnants of classic ADD symptoms.
>
> > Your description of mixed states sounds exactly like my kid. I am interested in what you said about lithium with the lamictal.
> >
> > One time, her pdoc tried a combo of lithium and topomax. At first she seemed better, then she became very erratic and uncharacteristic in her behaviors and interactions with peers, teachers, etc. Don't know if lithium level wasn't right or if topomax had the bad effect. Pdoc put her back on combo of lithium and depakote. That doesn't seem to be working either, but not as bad as topomax.
> >
> > Is lamictal related in any way to topomax?
> >
>
>
Posted by Barbara Cat on June 15, 2003, at 13:05:11
In reply to Re: Which meds for mania and depression ?, posted by AWorriedMom on June 14, 2003, at 21:52:54
Dear Mom,
I don't know enough about ADD, as it's only recently I've started the research, but here's what I know so far. ADD is usually noticed in childhood but can resolve on it's own as the child reaches adulthood. ADHD on the other hand, is primarily a later onset condition. I may have the ADD/ADHD labels switched around, but the point is that yes, an ADD type condition (there are 6 different subtypes postulated) can manifest later in life. But usually the symptoms were allways there, only very mildly. It doesn't sound like your daughter's problem is ADD, however, new research is saying that there usually is some overlap with the two conditions, however mild.It truly sounds like your daughter is having some psychosis during her mixed episodes. This is not uncommon, especially with panic disorder. Overwhelming Fear and terror is the hallmark of this condition. During the worst of my episodes a few years back (I was taking high doses of Zoloft at the time for 'depression' that was not resolving and no mood stabilizers) I was hallucinating terrible things, voices, visions of dread and doom (not so off the mark considering our current events).
It's interesting about your daughter's blindness and loss of leg function. That was a huge obsession for me, not that I had gone blind or crippled, but that I was sure going to. The thought of being blind, in a wheelchair and in desolation would trigger a panic attack. For instance, I'd be reaching for the pasta in Thriftway when this voice in my head would say "Heh, better enjoy this while you can. When you're blind and crippled, no more buying or cooking pasta." I can't tell you how many times I'd be sobbing uncontrollably in public, or collapsed in the aisles of supermarkets in a truly desperate state. I lived in uncontrollable desperation and despair, day in, day out, for 2 years. And that was only one (but a bad one) of many episodes throughout my life. What a ride.
Now that I'm stable I look back on these nightmarish times. All my psychoses took on the same general theme. There's a message in there, something that needs deep healing and is not just 'Oh yeah, ho hum, that's mixed states for ya'. I've been studying many spiritual teachings since then, practicing self-inquiry, and slowly learning to live in the now and not to fear. Of course, my meds had to get me to a stable place first where I could think clearly, but everything has a mixed blessing in it. Once your girl gets medically stabilized, I'll bet she will be so ahead of her time because of the amazing transformations such experiences put one through. The real trick is learning to trust the process, minute by minute, and finding peace in the face of fear. A good lesson we all could learn. -- BarbaraCat
Posted by McPac on June 16, 2003, at 23:22:16
In reply to Re: Which meds for mania and depression ? » AWorriedMom, posted by Barbara Cat on June 13, 2003, at 21:55:59
Are you taking Carlson's liquid fish oil by any chance?
What can you tell it doing for you---mostly mood stabilization?
Also, the CoQ10 and Alpha Lipoic Acid ---I know about these --- but what can you tell them doing for you?
Have you tried selenium by any chance?
Take care!
Posted by Barbara Cat on June 17, 2003, at 10:40:17
In reply to Barb, Re: Which meds for mania and depression ?, posted by McPac on June 16, 2003, at 23:22:16
Carlson's fish oil is very good. I take the lemon flavored which actually tastes pretty good. It's purified and a very good price (I order it from www.iherb.com which is more than half price of what you'd pay in stores). I also take Dr. Barry Sears Omega Rx which is supposedly the cadillac, but the price reflects it. I think the Carlson's is probably fine, at 1-2 tbl a day. Yes, mood stabilization is the best way to put it, better sleep also. It helps the permeability and flexibility of cell membranes and therefore cellular ionic transport and exchange, and aids in prevents cell atrophy and death. Plus I've noticed it doing good things for my hair and skin.
I have fibromyalgia on top of all my other woes and CoEnzyme Q helps with providing a good steady source of energy. It's a great antioxidant and assists in detoxifying cells, including neurons. It helps transport oxygen into tissues. Alpha Lipoic Acid is a very potent antioxidant and helps the conversion of other nutrients. I don't feel anything definite on it alone but believe that other vitamins are working better with it. Also it has a nice effect on skin tone and elasticity.
I take SAM-e as well, but not everyday. It can spin me into a hypomanic episode if I take too much, but do feel a positive lift when taking it. Selenium is a good one as well. It's very good for the thyroid, helps to convert amino acids into helpful neurotransmitters. More than 200mcg isn't good though. Also, folic acid is coming up more and more as effective against mood disorders. Sigh. So many nutrients, so little time (and money!). - BarbaraCat
> Are you taking Carlson's liquid fish oil by any chance?
> What can you tell it doing for you---mostly mood stabilization?
> Also, the CoQ10 and Alpha Lipoic Acid ---I know about these --- but what can you tell them doing for you?
> Have you tried selenium by any chance?
> Take care!
Posted by McPac on June 18, 2003, at 17:23:37
In reply to Re: Barb, Re: Which meds for mania and depression ? » McPac, posted by Barbara Cat on June 17, 2003, at 10:40:17
Barb,
have you ever tried Depakote or Tegretol for a mood stabilizer?
Have you ever tried a mood stabilizer other than lithium that you liked and that was effective?
Thanks!
Posted by Barbara Cat on June 18, 2003, at 18:15:20
In reply to Barb, Re: Which meds for mania and depression ?, posted by McPac on June 18, 2003, at 17:23:37
Never tried Depakote or Tegretol. Depakote sounds interesting but I fear adding an additional porkogenic med. The only other ones I've tried were gabapentin, mainly for fibro pain, which it didn't help. The first few days I had a very nice mellow response but it pooped out quickly. I've been taking it again because I've had a flare up of fibro symptoms recently, but it sure isn't helping.
The other is Topomax which I took briefly, mainly to counteract the weight I gained on Remeron. I absolutely hated the way it made me feel, very irritable and anxious.
I think you know I'm also taking lamictal. I really don't know if it's working or not. The initial wonderful sparkly effect wore off quickly so I don't notice anything in particular. I've never tried going off it, and hesitate in doing so. It's probably supporting things in the background.
I have an appt with pdoc next week and I'm going to discuss some interesting research I've come across linking bipolar with ADD and fibromyalgia with ADD and even linking all three. Supposedly, the same areas of the frontal lobes are 'lights out' on SPECT images. So, we're going to talk about ADD/ADHD therapy in addition to the lithium/lamictal/nortrip.
My disability hearing before a judge is this Monday, and I'm worried and having to dredge up all kinds of triggering memories. It's fascinating to watch myself become totally disorganized, obsessive compulsive, PTST'd. It's worth a pstim trial if it helps. How about you? You ever been on a pstim or other mood stabilisers?
> Barb,
> have you ever tried Depakote or Tegretol for a mood stabilizer?
> Have you ever tried a mood stabilizer other than lithium that you liked and that was effective?
> Thanks!
Posted by McPac on June 18, 2003, at 19:38:22
In reply to Re: Barb, Re: Which meds for mania and depression ? » McPac, posted by Barbara Cat on June 18, 2003, at 18:15:20
Barb, I justed posted this a little earlier...it tells my dilemma:
Posted by McPac on June 18, 2003, at 18:25:21In reply to Mcpacster- how are you bro?! (nm) » McPac, posted by ace on June 18, 2003, at 0:26:27
Major dilemma for me dudes.......
Zoloft WORKS for my ocd BUT I get terrible anger FROM ZOLOFT (ssri's in general, it seems).....(I don't know for sure if I'm bipolar...but the Zoloft DOES definitely cause me terrible anger/irritability problems...I take lithium to counter the Zoloft anger effect....I would LOVE to find an anti-dep. that worked well for BOTH depression AND OCD......now, Zoloft DOES work well for both my depression and OCD BUT I get that terrible anger/irritability problem....right now I'm probably going to increase the Zoloft (feeling 'down' and obsessive somewhat) and therefore I am FORCED to increase the lithium as well (to counter the Zoloft-induced anger/irrit)...if I could just find a good anti-dep. that also worked for ocd (the ssri's give me the bad reaction that I mentioned, I don't want an anti-psychotic, the old tca's were okay for depression but not much for ocd.....I have NO choice but to increase my Zoloft and then increase the lithium to counter the Zoloft side effects! It's a terrible 'catch-22'/can't win situation....Ace, I could try the Nardil....but I'm always out and about, eating out, eating at friend's houses, at work, get-togethers, etc., and when I took Nardil I was always afraid of eating something wrong...I wouldn't eat much...I never like to even tell anybody about my problems at all...if I were on Nardil I would constantly have to watch what I ate and everywhere I went I'd be having to explain to everybody why I couldn't eat 'this or that' when they offered me something....it would be easier if I were always home but I'm always eating with somebody, somewhere and having to worry over everything I put in my mouth would drive me nuts....but I do remember Nardil very fondly though, worked well for my depression and I think it worked well for my ocd too(wasn't on it too long though, can't remember the ocd part as well)......anyway, that's my dilemma......take care!!!!
Posted by McPac on June 18, 2003, at 19:42:53
In reply to Re: Barb, Re: Which meds for mania and depression ? » McPac, posted by Barbara Cat on June 18, 2003, at 18:15:20
"You ever been on a pstim or other mood stabilisers?"
Barb, I've never been on a pstim (I'd be afraid with my ocd)...don't really want to be sped up, I'd rather be mellowed out.....lithium (for 20 years, low-dose) has been my mood stabilizer so I really don't know too much about the other ones out there.
Posted by Barbara Cat on June 18, 2003, at 20:17:19
In reply to Barb, Re: Which meds for mania and depression ?, posted by McPac on June 18, 2003, at 19:38:22
You mention having fond memories about Nardil. I don't have the names of the meds at my fingertips, but I know there are reversible MAOIs out there. Think they're referred to as RIMAs. They allegedly have very similar effects, less side-effects including the food thing. There was one mentioned on this board a few times but not available in the States. I'll find my notes and get back to you.
Posted by McPac on June 18, 2003, at 20:27:40
In reply to Re: Barb, Re: Which meds for mania and depression ? » McPac, posted by Barbara Cat on June 18, 2003, at 20:17:19
"but I know there are reversible MAOIs out there. Think they're referred to as RIMAs. They allegedly have very similar effects, less side-effects including the food thing. There was one mentioned on this board a few times but not available in the States. I'll find my notes and get back to you".
>>>>THANKS Barb!!! I'd never heard about these reverse MAOI's...wonder if they would work for ocd? I'm going to try to find some info now about them too! Thanks!!
Posted by Ponder on June 18, 2003, at 22:51:36
In reply to Re: Barb, Re: Which meds for mania and depression ? » McPac, posted by Barbara Cat on June 18, 2003, at 18:15:20
Barbara, is this a hearing to establish eligibility for benefits?
Posted by Barbara Cat on June 18, 2003, at 22:58:37
In reply to Barb, Re: Which meds for mania and depression ?, posted by McPac on June 18, 2003, at 20:27:40
The med I was trying to remember is Moclobemide. It's not approved here, but you'll get alot of hits on where to get it, how to use it, etc if you do a search. Also try searching on *reversible inhibitor of monoamine Oxidase-A* to get a broader picture of what's in the pipeline.
> "but I know there are reversible MAOIs out there. Think they're referred to as RIMAs. They allegedly have very similar effects, less side-effects including the food thing. There was one mentioned on this board a few times but not available in the States. I'll find my notes and get back to you".
>
> >>>>THANKS Barb!!! I'd never heard about these reverse MAOI's...wonder if they would work for ocd? I'm going to try to find some info now about them too! Thanks!!
Posted by McPac on June 19, 2003, at 2:37:23
In reply to Re: Barb, Re: Which meds for mania and depression ? » McPac, posted by Barbara Cat on June 18, 2003, at 22:58:37
Thanks Barb...check out my post way below on Reboxetine.
Take care!
Posted by Barbara Cat on June 19, 2003, at 11:11:03
In reply to Monday hearing » Barbara Cat, posted by Ponder on June 18, 2003, at 22:51:36
> Barbara, is this a hearing to establish eligibility for benefits?
I applied for SSA disability benefits 1-1/2 years ago, primarily for fibromyalgia, with concomittant bipolar disorder. I was denied twice by the SSA examining board, which is the norm, got a lawyer (which I wish I'd done from the beginning) and am now on my second appeal, or the third hearing, which is before a SSA judge. A vocational rehab person will also be there as a consultant and based on my medical records, affadavits from friends and family, the judge will decide if I am disabled, which will enable me to receive Social Security disability benefits.
I'm concerned about it since this judge is infamous for being biased against fibromyalgia and to a lesser degree, mood disorders. He is very harsh on 'subjective disorders' and I am stuck with him. Luck of the draw. But I will appeal it all the way to Federal Superior Court because there's no way I can sustain any job on a full-time consistent basis with the severe fibro flares I get.
Posted by Barbara Cat on June 19, 2003, at 11:12:32
In reply to Barb, Re: Which meds for mania and depression ?, posted by McPac on June 19, 2003, at 2:37:23
Can you give me a link to your post? I can't find it. - Barbara
> Thanks Barb...check out my post way below on Reboxetine.
> Take care!
Posted by McPac on June 19, 2003, at 11:14:56
In reply to Re: Barb, Re: Which meds for mania and depression ? » McPac, posted by Barbara Cat on June 19, 2003, at 11:12:32
Barb (try this?)
Posted by judy1 on June 19, 2003, at 11:47:52
In reply to Re: Barb, Re: Which meds for mania and depression ? » McPac, posted by Barbara Cat on June 18, 2003, at 18:15:20
What happened? Were you denied social security? I was granted disability 3 months after applying (the first time). If I can help, please post on Psycho Social- take care, judy
Posted by judy1 on June 19, 2003, at 11:49:28
In reply to Re: Monday hearing » Ponder, posted by Barbara Cat on June 19, 2003, at 11:11:03
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