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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by woolav on June 16, 2005, at 19:32:56
Is the norm 600mg daily?
S
Posted by Phillipa on June 16, 2005, at 21:32:55
In reply to What is a normal dose of Trilpetal ??, posted by woolav on June 16, 2005, at 19:32:56
I think it varies from person to person. But I think a lot of posters are taking 600mg. Fondly, Phillipa
Posted by woolav on June 17, 2005, at 6:19:33
In reply to Re: What is a normal dose of Trilpetal ?? » woolav, posted by Phillipa on June 16, 2005, at 21:32:55
Then perhaps i was wrong in thinking that my pdoc said he was doubleing my dose. I doubt he would put me on 1200mg. I think he may have thought i was taking 300mg.....
S
Posted by yesac on June 17, 2005, at 10:42:30
In reply to Re: What is a normal dose -phillipa, posted by woolav on June 17, 2005, at 6:19:33
I think 1200 mgs is actually a fairly "normal" dose. It seems like a lot of people on this board take less than that, but when I was on it last summer I took 1200 mgs. I think some people even go higher.
Posted by woolav on June 17, 2005, at 12:04:49
In reply to Re: What is a normal dose -phillipa, posted by yesac on June 17, 2005, at 10:42:30
Hi, I was doing some research on it myself and did find this info:
Easy to initiate and titrate in adults*
Monotherapy or Adjunctive Therapy
Start 600 mg/day given 300 mg BID
Add
(as clinically indicated) 600 mg/day maximum in approximately
1-week intervals
Monotherapy daily dose Maximum of 2400 mg/day
Adjunctive therapy daily dose† 1200 mg/ day is recommendedSo....I have put a call in to my pdoc to see if he wants me on 1200mg or not...
Thanks
S
Posted by yesac on June 17, 2005, at 17:09:14
In reply to Re: What is a normal dose -yesac, posted by woolav on June 17, 2005, at 12:04:49
> So....I have put a call in to my pdoc to see if he wants me on 1200mg or not...
Sounds like a good idea. Just my opinion though-- I think it would make more sense to go up to 900 first, if you have the 300mg pills. Going from 600 to 1200 all at once seems like a big jump to me.
Posted by SLS on June 17, 2005, at 17:59:55
In reply to Re: What is a normal dose -yesac » woolav, posted by yesac on June 17, 2005, at 17:09:14
> > So....I have put a call in to my pdoc to see if he wants me on 1200mg or not...
>
>
> Sounds like a good idea. Just my opinion though-- I think it would make more sense to go up to 900 first, if you have the 300mg pills. Going from 600 to 1200 all at once seems like a big jump to me.
>
My doctor suggested to me that I move up at 150mg increments every few days. This will definitely help avoid cognitive side effects. His main concern was hyponatremia (low sodium).
- Scott
Posted by woolav on June 18, 2005, at 10:15:17
In reply to Re: What is a normal dose -yesac » woolav, posted by yesac on June 17, 2005, at 17:09:14
Posted by 4WD on June 19, 2005, at 23:25:36
In reply to Re: What is a normal dose -yesac, posted by SLS on June 17, 2005, at 17:59:55
> > > So....I have put a call in to my pdoc to see if he wants me on 1200mg or not...
> >
> >
> > Sounds like a good idea. Just my opinion though-- I think it would make more sense to go up to 900 first, if you have the 300mg pills. Going from 600 to 1200 all at once seems like a big jump to me.
> >
>
>
> My doctor suggested to me that I move up at 150mg increments every few days. This will definitely help avoid cognitive side effects. His main concern was hyponatremia (low sodium).
>
>
> - Scott
Scott, I'm curious. Since the trileptal seems to be helping with depression for you, why did you think Lamictal would be a better adjunct to Celexa for me than Trileptal? Maybe because you are already taking Lamictal and it had more of a positive effect for you than the Trileptal has?marsha
Posted by SLS on June 20, 2005, at 5:53:50
In reply to Re: What is a normal dose -yesac, posted by 4WD on June 19, 2005, at 23:25:36
Hi Marsha.
At present, I think there is more data demonstrating the antidepressant potential of Lamictal for unipolor depression as well as bipoler depression than there is for Trileptal. I think the improvement I experienced with Trileptal may have been due to the bipolar nature of my illness. In addition, Lamictal is supposed to have fewer cognitive side effects. However, I found Trileptal at a dosage of 600mg to be clean after the startup effects disappeared.
Trileptal seems to be pooping-out on me. I'm not sure a dosage increase will do the trick. Gotta try it though, right?
- Scott
This is the end of the thread.
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