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Dr. Bob is Robert Hsiung, MD,
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Posted by Sheilac on August 12, 2015, at 7:11:38
In reply to Re: Geodon add on? » Sheilac, posted by phidippus on August 11, 2015, at 18:21:59
When I got up to 600mg or even 300mg Trileptal I had severe joint paint, so bad that I could barely move.
I found Trileptal at 150mg to be a "better" Klonopin type med for me.
I definitely think the higher dose of Geodon was messing with my mood. I didn't have moodiness on 120mg of Geodon.
I'm going to stick with the 120mg and try Depakote again. If I feel irritable I've always got Klonopin.
Posted by SLS on August 12, 2015, at 7:26:16
In reply to Re: Geodon add on? » phidippus, posted by Sheilac on August 12, 2015, at 7:11:38
> When I got up to 600mg or even 300mg Trileptal I had severe joint paint, so bad that I could barely move.
>
> I found Trileptal at 150mg to be a "better" Klonopin type med for me.
>
> I definitely think the higher dose of Geodon was messing with my mood. I didn't have moodiness on 120mg of Geodon.
>
> I'm going to stick with the 120mg and try Depakote again. If I feel irritable I've always got Klonopin.Depakote can be a powerful anti-manic medication. My manias - although rare - completely disappear very quickly. Depakote also has some anti-anxiety properties. For me, I need 1000-1500 mg/day to treat mania. However, my manias are severe, and represent an atypical presentation of bipolar I disorder.
You should be aware that some people - not all - experience some residual depression with Depakote. Hopefully, this will be offset by Geodon.
It is a good idea to have multiple blood tests for the first 6 months to screen for elevated liver enzymes. Thereafter, you can go twice a year.
If for some reason Lamictal is chosen for its antidepressant properties, you MUST use only 1/2 the usual dosage when it is combined with Depakote.
Good luck.
- Scott
Posted by Sheilac on August 12, 2015, at 7:27:33
In reply to Sheilac - Geodon add on? » Sheilac, posted by SLS on August 12, 2015, at 5:29:45
Thanks Scott. Things got crazy on this thread, which is not what my intention were.
I clearly stated that I'm NOT taking Tramadol anymore.
The higher dose of Geofon (180mg) was too activating and made me irritable. So I'm back to 120mg.
I'm trying to find the right add-on. I can either do low doses 150mg at a time) 2-3 times a day of Trileptal or I can try to dose the Depakote Sprinkles a few times a day with Klonopin.
I tried 500mg Depakote ER and it made me hyper crazy. After a few days of that I couldn't take it. For some reason the sprinkles hit me better.
High doses of Trileptal cause incredibly painful joint pain and swelling, so much so it's hard to walk. So a high dose of Trileptal, which I love, is out of the question.
I was even thinking of trying Topamax. Years ago it was great for me, but caused cystitis, which was painful.
So, for now, I'm really trying the Depakote. I just hate the liver implications, as I enjoy a glass of wine occasionally.
I just don't understand why meds like Depakote and Lamictal make me manicky.
Posted by SLS on August 12, 2015, at 7:32:28
In reply to Re: Sheilac - Geodon add on? » SLS, posted by Sheilac on August 12, 2015, at 7:27:33
> I just don't understand why meds like Depakote and Lamictal make me manicky.
Neither do I.
Have you ever tried a stimulant? I know it sounds weird, but amphetamine can have a calming and anti-manic effect for some people. Perhaps you are prone to having paradoxical drug reactions.
- Scott
Posted by Sheilac on August 12, 2015, at 7:42:32
In reply to Re: Sheilac - Geodon add on? » Sheilac, posted by SLS on August 12, 2015, at 7:32:28
Yes, I take Adderall and I find it helps me stay alert, helps with depression and doesn't cause mania like caffeine does.
I'm still going to give Depakote one more try.
I think my doc said Trileptal can reduce Geodon in the blood, so she might not let me try Trileptal.
I'm also having problems sleeping so I take a high dose (10mg) of Melatonin and 50mg of Atarax an antihistamine. I think the Atarax is causing morning grogginess. But I'm desperate for sleep and Depakote keeps me awake and Geodon does nothing for my sleep.
Posted by phidippus on August 12, 2015, at 13:12:35
In reply to Re: Sheilac - Geodon add on? » SLS, posted by Sheilac on August 12, 2015, at 7:27:33
Have you tried Tegretol?
How do you react to 1000 mg of Depakote?
describe the mania you get on lamictal and depakote.
Eric
Posted by Sheilac on August 12, 2015, at 13:54:49
In reply to Re: Sheilac - Geodon add on? » Sheilac, posted by phidippus on August 12, 2015, at 13:12:35
Tegretol caused too many side effects and interactions with other meds. I love Trileptal, except for the severe joint pain and painful swelling.
Last year I started using a low dose of 250mg Depakote Sprinkles for depression. It added a boost to my mood. Then, after 2 surgeries this year I stopped taking it.
I am under a great deal of stress (mother dying of cancer), we've moved once this year and will probably move again (which means I am doing all the packing & moving) and I've had 2 surgeries, etc. the list of major stressors goes on.
It's very important for me to get good sleep, and the only way to achieve that is through taking melatonin & Atarax is a must to knock me out.
I've never gone beyond 500mg of Depakote. At 500mg it makes me hyper and full of energy. I actually got so revved up on Depakote I removed all the wallpaper in 3 bathrooms of my house and I couldn't stop. I was sweating with energy.
Because I sometimes like a martini or a glass of wine, I've been afraid to go beyond the 500mg of Depakote.
For some reason I reacted poorly on the Depakote ER, but I do very well on the Sprinkles. Doesn't make sense, but they seem like 2 different meds.
I hate the thought of blood tests and possibly frying my liver.
But I feel like I've run out if options.
Right now, I'm taking 375mg Depakote Sprinkles in the morning with either a Xanax or Klonopin and I'm trying to take Depakote in the afternoon as well, but I'm afraid. I think at the very least I need another 375mg in the afternoon.
My doc wanted to push the Geodon, but it made me too irritable. My sweet spot with Geodon is 120mg and works fantastic. But my life is spinning out if control and I need sleep and more stabilization.
I guess I shouldn't be afraid to up the Depakote to at least 750mg a day. I might lose some hair, but maybe the higher dose won't make me hyper. Or maybe I just take it with a Klonopin. Maybe after a week of a constant dose my blood with have a steady stream of Depakote and all will be better.
I wish Trileptal worked. I loved that med.
Thanks for your concern and listening to me. I know I shouldn't be afraid of Depakote, but it's nice to get some opinions & encouragement here on the board.
Posted by SLS on August 12, 2015, at 15:16:11
In reply to Re: Sheilac - Geodon add on? » phidippus, posted by Sheilac on August 12, 2015, at 13:54:49
Maybe Aptiom (eslicarbazine) would be better for you than Trileptal. It is a sister drug, but might be different enough to avoid the side effects that caused you to discontinue Trileptal.
Let Phidippus (Eric) go through all of the mood-stabilizing drugs with you. He likes Keppra, but I don't know if your specific symptoms indicate its use.
Don't take caffeine.
- Scott
Posted by Sheilac on August 12, 2015, at 17:00:10
In reply to Re: Sheilac - Geodon add on? » Sheilac, posted by SLS on August 12, 2015, at 15:16:11
Pdoc just called and said Depakote should make me sleepy, which would be awesome. She said to stay on Geodon 120mg and as of tonight to take 1000mg Depakote ER with dinner, at least 3 hours before bed and it should help me sleep. In a week I'll get my blood work done.
Let's hope it helps the hypomania and I actually start getting some sleep.
Posted by Lou Pilder on August 12, 2015, at 19:35:42
In reply to Re: Sheilac - Geodon add on? » SLS, posted by Sheilac on August 12, 2015, at 17:00:10
> Pdoc just called and said Depakote should make me sleepy, which would be awesome. She said to stay on Geodon 120mg and as of tonight to take 1000mg Depakote ER with dinner, at least 3 hours before bed and it should help me sleep. In a week I'll get my blood work done.
>
> Let's hope it helps the hypomania and I actually start getting some sleep.Friends, mothers etal,
The poster here lists a combination of at least 4 drugs that she takes. The combination of the drugs could cause death. And if that does not happen, tardive dyskinesia could happen. And the thinking could be distorted so much that irrational behavior could result.
You may think that the advise that comes from here is all supportive for the owner states that support takes precedence. But is death supportive? Is tardive dyskinesia supportive? And be advised that these drugs change the body so that stopping them could put the drugee in a mind-altered state to be compelled to kill themselves as they can go into a horrific withdrawal where death is preferred.
The people here that advocate taking these drugs and advise others to do so, leave that part out. That could seriously mislead readers here to their deaths or getting of a life-ruining condition. And you mothers trying to make a more informed decision as to drug your child or not in collaboration with a psychiatrist. Ask your psychiatrist before you drug your child to read me here. The psychiatrist will get a whole lot more of info, and a lot less crock of (expletive).
Lou
Posted by SLS on August 13, 2015, at 0:05:45
In reply to Re: Sheilac - Geodon add on? » SLS, posted by Sheilac on August 12, 2015, at 17:00:10
One can start Depakote right at 1000 mg/day. In fact, one can even take more at first in the form of a loading dose, so 1000 mg/day is nothing to be afraid of. For me, 1000 mg/day is the minimum dosage that extinguishes my mania.
Good luck.
- Scott
Posted by Sheilac on August 13, 2015, at 6:50:45
In reply to Lou's warning-ehylotless » Sheilac, posted by Lou Pilder on August 12, 2015, at 19:35:42
Lou, give it a break!
I clearly said I DO NOT TAKE TRAMADOL ANYMORE!
I am taking Geodon & Depakote. Geez.
Stop hijacking my post!
Posted by Lou Pilder on August 13, 2015, at 7:14:50
In reply to Re: Lou's warning-ehylotless » Lou Pilder, posted by Sheilac on August 13, 2015, at 6:50:45
> Lou, give it a break!
>
> I clearly said I DO NOT TAKE TRAMADOL ANYMORE!
>
> I am taking Geodon & Depakote. Geez.
>
> Stop hijacking my post!S,
You wrote,[...I do not take Tramadol...].
But you do list Atarax with Geodon which could cause sudden death. And the rest of the drugs that you take together could reduce your thinking to that of a helpless robot with impaired thinking which could induce you to kill yourself.
Be not deceived that I am hijacking your thread. For I am posting a response to what you wrote. And I am trying to save lives and prevent life-ruining conditions and addictions. This forum is for medication issues like that and for education and support. So don't tell me what to do and don't tell me what to say.
Lou
Posted by Sheilac on August 13, 2015, at 7:34:38
In reply to Lou's reply-a warning -sudden death » Sheilac, posted by Lou Pilder on August 13, 2015, at 7:14:50
My doc knows I take a low dose of Atarax and is fine with it.
It doesn't effect my judgement. I'm not going to kill myself. I'm perfectly fine. In fact, since upping the Depakote last night, I slept great and haven't had to take the Atarax.
Everything I discuss on this forum, I discuss with my doc. My doc knows all the meds I take, as does my pharmacist.
I promise I will not accidentally or purposely kill myself on Geodon or Depakote.
You've made your point.
Posted by Lou Pilder on August 13, 2015, at 7:58:56
In reply to Re: Lou's reply-a warning -sudden death » Lou Pilder, posted by Sheilac on August 13, 2015, at 7:34:38
> My doc knows I take a low dose of Atarax and is fine with it.
>
> It doesn't effect my judgement. I'm not going to kill myself. I'm perfectly fine. In fact, since upping the Depakote last night, I slept great and haven't had to take the Atarax.
>
> Everything I discuss on this forum, I discuss with my doc. My doc knows all the meds I take, as does my pharmacist.
>
> I promise I will not accidentally or purposely kill myself on Geodon or Depakote.
>
> You've made your point.S,
You wrote,[...My doc knows all the (drugs) I take...]
The doc knew all the drugs Micheal Jackson was taking. The doc knew all the drugs Anna Nicole Smith was taking. The doc knew all the drugs that Robin Williams was taking. The doc knew all the drugs that Elvis Pressley was taking. In fact, the docs know that these drugs kill thousands of people each and every month. In fact, you can read it in the morning papers, hear it on the radio, these drugs are killing our people, and the FDA does know.
Lou
Posted by rockerchick46 on August 13, 2015, at 9:59:39
In reply to Lou's reply-a warning - » Sheilac, posted by Lou Pilder on August 13, 2015, at 7:58:56
Hi Sheliac,
I support you -Lou is just an a^^ hole.
Tammy
Posted by Lou Pilder on August 13, 2015, at 16:20:11
In reply to Shame, shame on you , Lou » Lou Pilder, posted by 10derheart on August 11, 2015, at 14:16:10
> You know damn well that was sarcasm in Scott's 2013 post and you know damn well the context of that thread.
>
> I only feel badly for the posters engaging you now in an attempt to reason with the chronically unreasonable. They are wasting their time and energy.
>
> Do you ever do anything constructive IRL to fight for the rights of humans? Or does it all take place here in your mind?10,
It really doesn't matter to me if Scott wants to claim being sarcastic or not. You see, sarcasm is ridicule and mockery and taunting me. The overriding issue is that Scott and Mr. Hsiung show a type of partnership, being in concert with each other on this allowing of anti-Semitic propaganda to be posted with imputy and further being allowed to be seen as supportive by Mr. Hsiung which could lead impressionable readers to think that Mr. Hsiung is validating the anti-Semitic hate being allowed to stand. In fact, by Scott invoking that he used sarcasm against me here by defaming Jews as inferior to Christians showing the historical anti-Semitic hate that fostered the Crusades, the Inquisition and the Holocaust, this to me shows a contempt for all Jews and worse, Mr. Hsiung is allowing it to be seen as being supportive. The tragedy here is that there is a powerful wind of persuasion pushing hatred against the Jews that coms from here because the psychiatrist that could stop it won't. There is shame here, but it is not coming from me, for I am trying to stop Mr. Hsiung and those in concert with him from posing defamatory messages here about my character and to purge out the old hatred of the Jews that is allowed to spread from here like a forest fire as the anti-Semitism is allowed by Mr. Hsiung to be seen as in his thinking to be good for his community as a whole. Where on this earth is anti-Semitism being allowed to be fostered because the leader allows it to be seen as being supportive and why would you want to be in the orchestra of hate with those that are allowed to defame the Jews here?
Lou
Posted by Phillipa on August 13, 2015, at 18:07:33
In reply to Lou's request-orchestra of hate » 10derheart, posted by Lou Pilder on August 13, 2015, at 16:20:11
Posted by phidippus on August 13, 2015, at 19:57:39
In reply to Lou's reply-a warning -sudden death » Sheilac, posted by Lou Pilder on August 13, 2015, at 7:14:50
Lou,
You're an idiot.
Eric
Posted by Lou Pilder on August 13, 2015, at 20:01:10
In reply to Re: A Pest On This Thread, posted by rockerchick46 on August 13, 2015, at 9:59:39
> Hi Sheliac,
> I support you -Lou is just an a^^ hole.
> TammyTammy,
You wrote the subject line characterizing me as a pest.
Please do not post anything about my character that could arouse anti-Semitic feelings and elude to the Holocaust and genocide. This could decrease the respect, regard and confidence in which I am held and induce anti-Semitic hatred toward me, and then all Jews. This is all because your "Dr. Bob" is allowing anti-Semitic propaganda to be posted without sanction so that the hatred toward the Jews then could be thought by other readers as that it is supportive b him and worse, that in his vision, the community will be improved in some way so that leaving anti-Semitic propaganda to be seen as not against his rules, that will then be good for his community as a whole as he thinks. That is a powerful influence to children reading here to accept anti-Semitic propaganda as being good as they could think that the psychiatrist is validating the hate.
I am not a pest to be eradicated. But worse, you are allowed by Mr. Hsiung to post this that could create a collective pathology and more anti-Semitic propaganda could spread from here like a forest fire.
Lou
Posted by Phillipa on August 13, 2015, at 20:05:40
In reply to Re: Lou's reply-a warning -sudden death » Lou Pilder, posted by phidippus on August 13, 2015, at 19:57:39
Hi Eric it's hard to believe some people don't get it isn't it?
Posted by phidippus on August 15, 2015, at 11:14:45
In reply to Re: Lou's reply-a warning -sudden death » phidippus, posted by Phillipa on August 13, 2015, at 20:05:40
Is Lou Pilder a joke?
Eric
Posted by Phillipa on August 15, 2015, at 20:10:25
In reply to Re: Lou's reply-a warning -sudden death » Phillipa, posted by phidippus on August 15, 2015, at 11:14:45
Eric I think quite a few would love to know this. At one time I thought he was an alter of Dr Bob?
Posted by Lou Pilder on August 18, 2015, at 4:41:02
In reply to Re: Lou's reply-a warning -sudden death » phidippus, posted by Phillipa on August 13, 2015, at 20:05:40
> Hi Eric it's hard to believe some people don't get it isn't it?
Phillipa,
Could you define who the {some people}are and what it is that they do not get? If you could, it could go a long way for readers to see the direction against who those people are and what they don't get in order for them to see what is allowed here by Mr. Hsiung to post with impunity which could arouse anti-Semitic feelings in some readers as what you posted does not identify who the people are and what they don't get. This is because of what you linked to that could arouse ill-will toward me here.
Lou
Posted by Lou Pilder on August 18, 2015, at 5:10:06
In reply to Re: Lou's reply-a warning -sudden death » Lou Pilder, posted by phidippus on August 13, 2015, at 19:57:39
> Lou,
>
> You're an idiot.
>
> EricFriends,
Antisemitism means spreading enmity toward the Jews. This is done in one way by defaming a Jewish person that is in a community that is attempting to stop the leader from allowing the advancing of anti-Semitic lies against the Jews by the defamation against me posted here with impunity.
By the defamation being seen here as being supportive, this could incite the members here against me and the Jews that could be seen as organized against me as hatred is being allowed to be fomented toward me and the Jews as seeing that a psychiatrist is allowing lies against the Jews and defamation against me to be seen as in his thinking will be good for this community as a whole for years, and the fruits of this hate being allowed to grow is seen here. But be not deceived, for what is allowed to be posted here against my character could keep you from seeing the truth if you actually accept that the defamation against me here and the lies against the Jews is supportive because Mr. Hsiung says that what is not acted on him is not against his rules, and worse, if it is against his rules and he allows it anyway, he is allowing it because he thinks that by doing so, it will be good for his community as a whole. That is what could deceive you and be a powerful influence to impressionable people to be led to hate Jews and sow the seeds of hatred toward the Jews that could produce bad fruit.
The real enemy is the lies about me and the Jews being allowed to be promoted here as being supportive. This could create and develop real-world hate toward not only me and the Jews, but others that could advance racial hatred as the thinking in a subset of readers here that Jews could be defamed here, then minority races could also be defamed with impunity and lead to hate crimes by those that think that anti-Semitism here is supportive, for ignorant people believe the lies that a psychiatrist is allowing to be seen as "civil" here.
I am trying to open your eyes to the shame on those here that are using me as an outlet for hate which could prevent me from saving lives. Those that decrease the respect, regard and confidence in which I am held and induce hostile and disagreeable opinions and feelings toward me here by posting defamation toward me and the Jews with impunity, could IMHO lead vulnerable people here to their deaths. I am trying to stop those that defame me here with impunity and those that die here from believing that the defamation is supportive, their blood will not be upon me.
Lou
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Dr. Bob is Robert Hsiung, MD,
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