RE: Bi-polar Mania on Mood Stablizers? (Full Version)

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zindyslave -> RE: Bi-polar Mania on Mood Stablizers? (5/11/2007 7:28:51 PM)

Yes I know just didn't know why I was manic because I hate feeling that way because I know that sooner or later I will crash and I have and since I was manic for so long I feel so tired. This is crazy I will do my best to get something worked out so I will not have to worry about it anymore.



minnetar -> RE: Bi-polar Mania on Mood Stablizers? (5/11/2007 9:02:00 PM)

zindy,
You say you feel manic.  You aren't talking about grandiose things here or in any thread i have seen you respond to lately.  So maybe you are concerned about feeling more on an even keel?  Zindy i equate mania to grandiose thoughts and talks.  You aren't sounding like that at all.

minnetar



zindyslave -> RE: Bi-polar Mania on Mood Stablizers? (5/11/2007 9:15:17 PM)

I am not now I was for about 2 weeks I was very excited, and extremely happy and needing almost no sleep and hardly eating. I have come down from the mania now I have been getting angry and things kinda how I was before I started taking meds. The thing is I never really get manic unless I am on a med that isn't stablizing me, not saying it won't, just saying it isn't yet. I have been manic on anti-depressants and mood stablizers, even lithium even tho it started working not long after wards so maybe that is what is going on here I just had a longer period of mania than I did before. As I said I will talk to my doc Monday and see what he thinks I just needed to see if anyone has had this happen before to them.



zindyslave -> RE: Bi-polar Mania on Mood Stablizers? (5/14/2007 7:35:07 PM)

Well for those that care, I went to the doctor today and he added Lithium to the Lamictal, basically as he put it the Lamictal was taking care of the depression and he added Lithium to that to control the Mania that Lamictal was causing. I feel weird that I am on two mood stablizers but hopefully it will help.



texancutie -> RE: Bi-polar Mania on Mood Stablizers? (5/14/2007 7:43:20 PM)

I know someone who is bi-polar.  I am also a former social worker.  People react to meds differently, and with varying degrees of success.  When you have questions please talk them over with your doctor, and not people online that don't know you, or your medical history.   It seems like you found out the information you needed from your doctor, which is great!

If you are in need of support, and need to talk to someone there are always support groups.   Your doctor should be able to put you in touch with some local ones.  Though you can also find them yourself if you search.  Support  can  be found online from time to time.  But in my opinion, it is best to get it real time.  Take care and good luck to you! 



zindyslave -> RE: Bi-polar Mania on Mood Stablizers? (5/14/2007 7:54:39 PM)

Well, texancutie the only reason I ask is because I have noticed that a number of people on here have bi-polar and that maybe they have had the same problems a sort of support thing, I guess. And asking questions for me anyways helps me think about these things more from what others have said. I am sorry if it seems wrong to you but it helps me.



lovewithoutfear -> RE: Bi-polar Mania on Mood Stablizers? (5/14/2007 9:11:07 PM)

"Zindy i equate mania to grandiose thoughts and talks.  You aren't sounding like that at all. "

Actually I just learned something new about bipolar, because my wife has recently been diagnosed with bipolar II (previously diag. with unipolar depression).  Her mania manifests as irritability and meanness, with anxiety and hypersensitivity at the beginning and end of the episode.  So the classic mania is not the only manifestation.  Apparently there are all kinds of directions mania can go and all kinds of levels of it.  I have several other friends who have bipolar I, and theirs manifests in the way I think you are thinking of, with the not sleeping and the frenetic activity, overspending money, grandiosity, starting a million projects etc.  I don't know what meds my friends are on, but my wife says she is going on Lamictal as soon as she weans the baby. 

To anyone who has or lives with this disorder, I wish you well, it is not easy, but we can learn to deal with it.

Peace
JoyfulYes
lovewithoutfear



RipeWickedPlum -> RE: Bi-polar Mania on Mood Stablizers? (5/14/2007 9:42:01 PM)

Ok. Ready for what you need to know? I am not going to tell you I am an expert on Bi Polarism, but I suffer from it and am on Lamictal as a mood stabalizer.

Just because you are on meds does NOT mean that all your symptoms will magically disappear. That is why you need to have regular visits with your psychiatrist so that he/she can monitor your reactions and work out a drug combo that will help you. Talking to a therapist is wonderful, but only a doctor can tell you what is up with your meds.

Right now I am taking 200 mgs of Lamictal 2x a day. I also take a Wellbutrin in the morning and a .5 dose of Klonopin to control my anxiety. At night I take 1mg of Klonopin and 100-150 of Seroquel.

Seroquel is the only reason I sleep. Ask your doc about it. It is a mood stabalizer too, and if I need it I can also take 25mg during the day to calm me down.

After all this, I need to tell you that I am a Type II Bi-polar chick, so I dont have many moments of high mania except for horrid racing thoughts that immobalize me at times. I suffer less than Type I's with cycling, but I DO needs major help from my meds.

DO take your antidepressant as you need it too.

THE MOST IMPORTANT THING A BI-POLAR SUFFERER SHOULD KNOW IS IT NEVER REALLY GOES AWAY. YOU MUST ALWAYS TAKE YOUR MEDS AND LEARN COPING MECHANISMS.

The coping part your therapist should be helping you with. I have been meditating and doing breathing exercizes to help me with panic and racing thoughts. You need to talk to your psychologist and try to see what can help you.

If worse comes to worse, do what I did. I was an out patient at a Mental Hospital and took classes on coping and for the first time felt that I was not alone in the world with what I suffered. If you cant do that seek out support groups in your area. It is amazing what just talking to fellow sufferers does for your self esteem.

So, get off your tooky and call your "crazy doc" and talk to them about your meds. Yes, as someone else said they will want to change them quite a bit to help. Let them. And remember--nothing will ever "cure" us. It is a pissy thing to realize, but you have to come to terms with it.

Good luck!



zindyslave -> RE: Bi-polar Mania on Mood Stablizers? (5/15/2007 7:17:14 AM)

lovewithoutfear, thank you for explaining that the way you did, I wanted to add to what you said tho that my Doctor agreed with me that it was Mania I was experiencing. Maybe not extreme mania but mania all the same. Good luck to you are your wife on her bi-polar.
RipeWickedPlum, I know just because I am on a meds doesn't mean my symptoms will magically go away. But I have been on meds where I have no bi-polar symptoms as long as I take my meds. I know nothing will cure us I have known that. As I said before tho I went to my doctor yesterday and he just added a medicine to my Lamictal.



Aswad -> RE: Bi-polar Mania on Mood Stablizers? (5/26/2007 7:53:37 PM)

quote:

ORIGINAL: RipeWickedPlum

Seroquel is the only reason I sleep. Ask your doc about it. It is a mood stabalizer too, and if I need it I can also take 25mg during the day to calm me down.


Seroquel (Quetiapine) is not a mood stabilizer, it is an "atypical" antipsychotic.

It is most potent at the 5HT1A and 5HT2C receptors, which could conceivably account for any effects it might have on mania and sleep, and it has a lesser affinity for the D1 and D2 dopamine receptors, with little or no affinity for the D3 and D4 receptors.

Like any antipsychotic, it can have serious adverse affects, particularly with long-term use, and if one is looking for something to achieve sleep, I would consider it a last resort, especially when one isn't particularly concerned with addiction (as evidenced by Klonopin being in the mix).

My preferences in sleep aids might not be in line with that of most pdocs, though; many do prescribe antipsychotics as a first-line med for this use, although the ones I have met who do so seem to very rarely be aware of the long-term adverse effects.

quote:

THE MOST IMPORTANT THING A BI-POLAR SUFFERER SHOULD KNOW IS IT NEVER REALLY GOES AWAY. YOU MUST ALWAYS TAKE YOUR MEDS AND LEARN COPING MECHANISMS.


Good advice for any mental illness, really. Although some, like unipolar depression, actually do go away most of the time, if properly treated for the right amount of time.



minnetar -> RE: Bi-polar Mania on Mood Stablizers? (5/26/2007 8:03:06 PM)

zindy i hope you do not mind me asking Aswad a question.
Greetings Sir Aswad,
What do You think of the use of wellbutrin and zoloft in treating depression?

minnetar

zindy sorry again



zindyslave -> RE: Bi-polar Mania on Mood Stablizers? (5/26/2007 8:23:37 PM)

Oh no problem minnetar, keeps these things in one place, instead of many posts in different areas when they are all related. Well, I know bi-polar won't go away and as far as my mania it is gone now and I am finally stablized but I don't know how long that will last since I am losing my health insurance....but I will find away somehow to keep getting my meds. And I know you where asking for Aswad's opinion on the wellbutrin and zoloft but I thought I could share my 2 cents worth also. They are both made for depression, whether it works for you or not is a different story. I have not been on wellbutrin before but I have been on zoloft it worked for awhile but quit, so it depends on your body and the way it reacts to the meds. If I may, why do you ask?



minnetar -> RE: Bi-polar Mania on Mood Stablizers? (5/26/2007 8:29:20 PM)

zindy i think that is why they put me on both.  it didn't deal with the depression since my heart surgery.  thanks again for being so sweet!!

minnetar



zindyslave -> RE: Bi-polar Mania on Mood Stablizers? (5/26/2007 8:31:09 PM)

aww thanks for saying I am sweet, I know some would beg to differ...lol...well, I don't understand why they put you on two. They should have took you off the one that wasn't working.... I don't know all of the situation and I am not a doc but I have never been on two different antidepressants before either.



minnetar -> RE: Bi-polar Mania on Mood Stablizers? (5/26/2007 8:33:16 PM)

lol zindy and they have to weigh it against the heart meds i take -  she is a good doc and since my dad and brother are ones they know my meds.

minnetar



zindyslave -> RE: Bi-polar Mania on Mood Stablizers? (5/26/2007 8:35:35 PM)

Well, yeah I forgot you had docs in the family. Just didn't understand at first...my brain is telling me it is too dang late and I need to sleep. But anyways, I hope Aswad comes on and tells you what he thinks. I like to read what he knows about things.



minnetar -> RE: Bi-polar Mania on Mood Stablizers? (5/26/2007 8:39:17 PM)

zindy i continually ask them about things i read or posts.  They get mad as they don't have all the info and often times tell me i can't give you an answer.  too dang inquisitive on my part and thanks so much !!

minnetar





maybemaybenot -> RE: Bi-polar Mania on Mood Stablizers? (5/26/2007 8:47:39 PM)

I know minnetar has blocked me, but for anyone else:
It is not uncommon to use a combination of SSRI's in the treatment of depression. 
< ie: Zoloft and Wellbutrin >

                                mbmbn



Aswad -> RE: Bi-polar Mania on Mood Stablizers? (5/27/2007 12:43:47 AM)

quote:

ORIGINAL: minnetar

What do You think of the use of wellbutrin and zoloft in treating depression?


Hi, minnetar.

That would depend entirely on the patient in question.

Personally, I'm not overjoyed at the idea, since other combinations give more opportunity to fine-tune the balance of the primary monoamines, but I have seen good results from unselective monoamine reuptake inhibition (triple reuptake inhibitor; whatever, they've got a million names for the smaller categories), so it's not out per se.

The question is really what you're hoping to do with it, and for whom.

If it's for a patient with a seizure disorder (e.g. tonic-clonic epilepsy), I would be hesitant to go for such a combination, as both lower the seizure threshold, and there are triple reuptake inhibitors who will give the same effect with less effect on the seizure threshold.

If it's for someone trying to fix the sexual side-effects of the Zoloft, I'd say get bloodworks done first. If the testosterone is low, I'd supplement that (in women, Intrinsa might actually be a good idea even with normal testosterone, although you'd have to ask a GP or an endocrinologist about potential side-effects of that). If the prolactin is high, I'd use cabergoline instead of Wellbutrin; if not, I'd consider one of the other dopamine agonists, or possibly a DRI or stim, depending on the patient and the severity of the problem.

If it's because the patient responds inadequately to either one by itself, I'd say there are probably significantly better choices out there, but it's hard to comment without knowing anything else.

In short, if you want a useful answer, I will need more information.

I'm fine with taking it via private messages if it's not a hypothetical question.

Either way, you'd have to run this by the doc or pdoc treating the patient. I'm not a licenced mental health provider, I just try to help out all the other nutjobs like myself; even if I were, I wouldn't have the person's charts, etc., so please don't go out and override your doc based on what I've said here. [:D]

Kind regards,
Aswad.



minnetar -> RE: Bi-polar Mania on Mood Stablizers? (5/27/2007 12:55:39 AM)

Sir i appreciate Your response. i have not been diagnosed as bi-polar but have been treated for depression  i know based on my heart disease that the use of those two anti depressants have a concern about seizure.  Sir what is funny is that i have found a lack of feeling or being argumentative.  Sir You know dealing with depression is an inexact science.
]
minnetar



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