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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by crazychickuk on January 11, 2004, at 15:17:37
Hi all, me again !!!!
I think you guys are right i may have bioplar, as all ad's sent me manic and raised my bp!! i am still on remeron 30mg and want to come of it as it aint helping me and the weight gain is just to much, i am overrweight as it is!! I went to my doc on tursday he told me to wait a few more mnths for the phsyc to see me? sheeeesh he wasnt up for given me anything, i guess he is just afraid that they may make me worse or something, which i understand cus he is a good doc, strange but good..
My rages are comeing on more, and i am so afraid of hurting someone, i am obsessing over the littlest things, and i panick constantly, i can not leave my house again, although i have to tommorrow to take my daughter to school, i dont think i will be as bad dropping her of as i would picking her up, as i am worse aroand 11am-9pm then i am ok again after that!!My question is simple really i think, i am just writing what is coming into my head for now, so i am catching it quickly lol.. Like i said beofre i tryed all ad's and trylics no affect just made me to manic and raised my bp... rem isnt helping no more... i need a med asap.. i cant stand these up and down days, i am a nervous wreck, and have to wait a further few mnths to get to see a phsyciatrist or even a counciller, even after ME writing them a letter that i was gonna kill myself!! rediculous... init!!
I so want to try lithium BUT i dont think it will help with my down days, and i must be honest i am down more than i am up and when i am up i am down anyways if you get me?
So any suggestions plse plse plse my dear freinds :)Thankyou
Donna
Posted by linkadge on January 11, 2004, at 17:04:40
In reply to I think i might have bioplar what med shall i get?, posted by crazychickuk on January 11, 2004, at 15:17:37
It is true that you may have bipolar, however sometimes, because of the rollercoaster of medications that a person has been on, (in addition to the activating effects of some medications) they may believe they have bipolar disorder.
For instance, I don't really have bipolar disorder but, I find that lithium is one of the only antidepressants (mood stabalizer) that I can tolerate.
For instance, both remeron and effexor made me very angry and irritable. Celexa works well however I can't get to therapudic doses because of the effect on my sleep.
Anyhow, if you do want to try lithium, it is a bit of a downer, but it also has some significant antidepressant properties. Antianxiety, antiagitation, antiagression. It does have the ability to raise serotonin.
I presume you have tried the SSRI's (for some people the norepinephrine medications can be very activating.
But, you know yourself better than anyone else. Lithium is worth a shot. By preventing the highs, one doesn't crash very easily.
Linkadge
Posted by sac on January 11, 2004, at 19:35:37
In reply to Re: I think i might have bioplar what med shall i get?, posted by linkadge on January 11, 2004, at 17:04:40
I think I have corresponded with you previously, I recognize the name. You seem to be very knowledgable about Lithium. I am thinking about giving it another go. Cannot stand Depakote or Lamictal, they tend to stabilize me but in a very dysthymic state. I am Bipolar II and mostly have problems with recurrent, major depressive (agitated/psychotic) episodes interspersed with some hypomanias. I tried Lithium a few months ago and thought that it felt rough on my system and I felt a bit emotionally blunted. Perhaps this is because I started off at 300 mgs.? I know this is a low dose but is it possible that one would need to taper up on Lithium very slowly to be more comfortable? Perhaps cutting the tablet into small pieces and starting this way, a small amount each day? Any advice?
> It is true that you may have bipolar, however sometimes, because of the rollercoaster of medications that a person has been on, (in addition to the activating effects of some medications) they may believe they have bipolar disorder.
>
> For instance, I don't really have bipolar disorder but, I find that lithium is one of the only antidepressants (mood stabalizer) that I can tolerate.
>
> For instance, both remeron and effexor made me very angry and irritable. Celexa works well however I can't get to therapudic doses because of the effect on my sleep.
>
> Anyhow, if you do want to try lithium, it is a bit of a downer, but it also has some significant antidepressant properties. Antianxiety, antiagitation, antiagression. It does have the ability to raise serotonin.
>
> I presume you have tried the SSRI's (for some people the norepinephrine medications can be very activating.
>
> But, you know yourself better than anyone else. Lithium is worth a shot. By preventing the highs, one doesn't crash very easily.
>
>
> Linkadge
>
>
>
>
Posted by linkadge on January 11, 2004, at 20:53:31
In reply to Re: I think i might have bioplar what med shall i get? » linkadge, posted by sac on January 11, 2004, at 19:35:37
Yes it is possible that slowly tapering up would help the situation. As well, many people notice that the antidepressant effect somewhat later than the antimanic effect.
It takes long term (around 1 month) treatment with lithium untill it increases BDNF expression (a neurotrophin that has antidepressant properties)
Of course not anybody does well on lithium. But it certainly does things that other mood stabalizers don't do.
Another thing, is that exercise and lithium go well together. Vigious exercise plus lithium raised BDNF well above baseline.
Best of Luck
Linkadge
Posted by Maxime on January 12, 2004, at 16:45:18
In reply to Re: I think i might have bioplar what med shall i get?, posted by linkadge on January 11, 2004, at 17:04:40
Linkdage, you bring up SUCH an important point about tons of meds and the misdiagnosis of bipolar. I think this happens more often than not. I am always surprised to read on this board how quickly people jump from med to med without getting the first one out of their system.
CrazyChic, maybe it is a good thing that you have to wait before trying another med. Also, I would suggest starting a mood chart for both you and your doctor. There are a few ready made mood charts available. Just type in "mood chart" in google and you will come up with several. It sounds like you are rapid cycling right now so a mood would be really beneficial.
This site: http://www.psycheducation.org/depression/frameset.html
has a great explanation of the different types of bipolar.
http://home.comcast.net/~pmbrig/BP_pharm.html
This site is an excellent article on the "The Psychopharmacology of Bipolar Disorder" and it classifies several meds and explains the success rate and how they work.I hope this helps.
Maxime
> It is true that you may have bipolar, however sometimes, because of the rollercoaster of medications that a person has been on, (in addition to the activating effects of some medications) they may believe they have bipolar disorder.
>
> For instance, I don't really have bipolar disorder but, I find that lithium is one of the only antidepressants (mood stabalizer) that I can tolerate.
>
> For instance, both remeron and effexor made me very angry and irritable. Celexa works well however I can't get to therapudic doses because of the effect on my sleep.
>
> Anyhow, if you do want to try lithium, it is a bit of a downer, but it also has some significant antidepressant properties. Antianxiety, antiagitation, antiagression. It does have the ability to raise serotonin.
>
> I presume you have tried the SSRI's (for some people the norepinephrine medications can be very activating.
>
> But, you know yourself better than anyone else. Lithium is worth a shot. By preventing the highs, one doesn't crash very easily.
>
>
> Linkadge
>
>
>
>
This is the end of the thread.
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