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hammilton
Regular Member


Date Joined Feb 2006
Total Posts : 152
   Posted 3/27/2006 11:49 PM (GMT -7)   
Well, i'm probably the only hypomanic to ask to be put on medication, with little prodding. I'm going back on topamax today. Thank God! I haven't slept really in days (due at least in part to a switching of my painkillers, and hurtin like heck!). Well, now I'm back on at least some medication. I had some topamax (15 25mg tabs) that 're about 1.5 years old, i got them Aug. 8th 2004. Thats about 1.5 years right? My doc said that i probably shouldn't take them, but for what they cost, it only makes sense. According to my research, Topiramate is realtively stable. Mebbe I won't forget everything then! Hah! I love this med. Its not a great stabilizer IMHO but, it really evens out my mind in the short term, and a little energy boost, albeit at the expense of my memory. My doctor didn't give me any dosing information though. I feel a little let down because of that. My psychiatrist would have given me good directions and chatted with me about politics and my college experiences vs. his (basically the same, 'cept he was more like Midas, and me well... I don't know anything that sad yeah )

So, I'm going to have to figger out how to titrate myself back up and not lose my memory. For those of you who've been on it recently or presently, how did you first titrate on it? What dose did you start with (in multiples of 25, please ;0 ) I was figgerin on startin with 50mg and work up, but i don't know how tired that'd make me.

My bottle says "take between 1 and 4 before bedtime" grr....

Was doin a little searching. There's people out there on 600mg of this stuff. When i was on 175 daily i could barely remember what day it was; 600 must have people forgetting to wake up. lol.

Thanks guys, night

Ellie 1
Veteran Member


Date Joined Apr 2005
Total Posts : 1291
   Posted 3/28/2006 7:41 AM (GMT -7)   
I've never been on this one Hammilton, but I'm sure someone will be on soon that can assist you. Be careful with old med's though. That said I understand the situation with these pricey drugs. Drug companies are obviously darn proud of some of these meds.
Didn't want you to think your post was being ignored.
Take care
Ellie
Good judgement comes from experience and alot of that comes from bad judgement.
 
Unknown
 
 

els
Veteran Member


Date Joined Oct 2005
Total Posts : 4031
   Posted 3/28/2006 9:22 AM (GMT -7)   
Hey hammilton,  I take Topamax for headaches associated with my Multiple Sclerosis.  I take 200 mg daily, 2 100mg tabs.  Your doctor really should be the one to give you instructions on how to increase your dosage of it.  Also, like Ellie said you do have to be careful of old medications.  Most prescriptions meds have an expiration date of one year due to the fact that after time the chemicals start to become less effective and break down.  Perhaps you should seek the guidance of your psychiatrist for a medication regime that would be appropriate for you.  Take care...

~elisha
Cats are like potato chips ~ you can't have just one
 


hammilton
Regular Member


Date Joined Feb 2006
Total Posts : 152
   Posted 3/28/2006 12:53 PM (GMT -7)   

Hey, I did some searching online and found a new FDA approved titration schedule, starting from 25 or 50 and going up 25 a week for 4 weeks then up 50 a week until effects are acheived, though that wasn't for mood stabilization.

I realize that this stuff isn't very good at mood stabilization, but for me its usually been *okay*.  Its not depakote to me, but it isn't as sedating either.  Actually, I took 50mg this morning and i'm not tired at all.  I might feel the methadone a little more than usual, a little bit dizzy, but I'm also working the fentanyl out of my system so its hard to say how much is due to the topamax.

I do a lot of writing, and am in some very hard courses, some very self-ran courses.  It'll be interesting to see how much the Dopamax hurts mah brain.  Mebbe I'll get back down to 170, though? hehe

It was really hard to ask for help when I felt so incredible.  I'm surprized I managed it.  I had never managed it so early before.  I've never gotten to the point that I needed to be hospitalized (by force), but I have put myself away so that I could get better help and not ruin my life.  I had to leave school once already though.  Caused a big scene, well, a bunch of them, all within a couple days.
 
Tried "buying" a girl at Subway...  told her I was rich and a *movie* maker...  I get so stupid some times
 
Tried buying a car that wasn't for sale because it looked like one my middle school science teacher drove
 
Swore at a math professor for telling me to be quiet, whipped teh desk on the floor and burst out the room.  I didn't make it 15 minutes before a cop came and persuaded me to go to the school counseler.  I'm so ULTRA thankful they handled it the way they did.  I went and talked to her, and then they had me go to the hospital.  They told me they were giving me a Valium IV or something like that, and the next thing I remember I was at home.  My mom came and picked me up and drove me back.  She had to drive 4 hours because of my idiot ---.
 
I do such stupid things when I start going up.  Its just so easy to run with it.  And so enjoyable.  At first.  I've been dx schizoaffective by one doc and bipolar 1, rapid cycling by another.  Both tells me the other is terribly mistaken.  I do have a tendency to have psychotic features to my moods. When I was first dx I was psychotic a lot, I guess looking back.  I was also on a anti-d and no stabilizer for a while, and my moods moved a lot more than they do now.  I'm glad they evened out, it was something like 3 days of mania, two days normal, 7 days of depression, 2 days normal and then repeat!  Anyway, I"m sure no one caresa bout this.  I'm just rambling.  I'm still running quick, but that'll end soon.  Mania is more responsive to fixing my sleep cycle, and when we changed the pain meds the pain was terrible and I didn't sleep hardly at all.
 
Okay, see you guys in chat later.  ttyl
 
 
 
 

Ashley C
Regular Member


Date Joined Mar 2006
Total Posts : 95
   Posted 3/28/2006 2:49 PM (GMT -7)   
Wow, it seems like you have had some crazy manic experiences. Before I got put on meds I was beginning to get serious symptoms during mania. I was being overly hyper and crazu...threating to strip in front of people other than my husband....etc. For me, this is totally out of the picture and I am not like that at all. I did some other crazy things I would rather not mention. I, too was rapid cycling before I got on meds. The doctor didn't actually say that...but my moods were similar...one day depressed, the next manic....sometimes depressed in morning/manic at night at then it flip flopped. I have only been on lamictal for five days and it is really helping me! I hope that being back on meds helps you.

hammilton
Regular Member


Date Joined Feb 2006
Total Posts : 152
   Posted 3/29/2006 10:43 AM (GMT -7)   
yeah. its not always so good. i went through the whole stripping thing too, although I wasn't doing it for sex.. as I was just leveling out, my mom said that the birds were taking all the food. I don't know if I honestly believed this or if I was just incredibly stupid, but I screamed, "those b******s are stealing our winter food" and ran out and chased them away- in my underwear. My fiance pulled up to the house in time to drag my idiot self back in. they gave me some more valium. I didn't know this at the time, but the doctor had given my mom TONS of valium to keep me controllable until whatever they had me on worked, but he never told her that it could be addicting. I wonder if some of the stupid stuff I did wasn't the result of benzo intoxication and sleep deprivation. I looked at the bottle- 90 5mg pills with 3 refills within 3 months. I can't imagine how terrible it would have been if I would have actually taken those. wow. 15 a day. lol.

Anyway, i'm starting to wonder if the topamax might actually not work when it gets old. I don't feel tired at all. I can't taste carbonation though, so it must be working. Thats pretty depressing, but it'll definitely get me to make pro-health life changes. It'll be good for me just to be on this. My arm even feels a little better today. I saw that its occasionally prescribed for neuropathy, so maybe it'll help for that.

In the past, though, Topamax has always been the first medication that I would go on when I began to become manic or depressive, and its usually failed. But I've not typically ridden out the entire depression (as I did this time, to the detriment of my grades), so maybe topamax will have an easier time with pure mania not helped out with something like effexor.

I dunno. If it doesn't work, I'm gonna have to go on what I know will work- Depakote and/or Seroquel. Both of them are killers, but depakote alone is almost okay. How do you guys deal with the incredible sedation? Every medication, besides this dopamax, has put me into a stupor. I went through high school in a daze, and it didn't involve pot. I literally slept through every class my junior and senior year. There were kids in my class I didn't know about until I got my year book. Geodon and Abilify, both of which I was told would make it hard for me to sleep- because they were so gosh darn stimulating- darn near had me in a coma.

Well, that was great in High School, I actually think it helped me get into my college (out of pity, though sad ) But now that I've been been politely asked to leave once, I can't afford to sleep through everything again, even more so considering I now pay for all of my meds. Should topamax not work, is there anything I can do to keep alert? Does meditation help with that? Yoga? I hate to take ephedrine since its watched so carefully now since so many retarded people are making poison with it. That and it hurts my stomach to no end.

Thanks for all your support,

Hammilton

Ashley C
Regular Member


Date Joined Mar 2006
Total Posts : 95
   Posted 3/31/2006 7:31 AM (GMT -7)   
Wow! It sounds like you have been through alot with your meds! I have never taken that many meds and the only med I know about is Lamictal...and it has helped me. I wish you the best of luck and I also wish I could offer you more advice on meds. I hope everything works out and that your meds get adjusted correctly!
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