What antidepressants are good--my son has epilepsy and low blood pressure and on trileptal

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cured4real?
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Date Joined Dec 2005
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   Posted 12/16/2007 8:37 PM (GMT -7)   
Hi--
My son has finally got set up at the free mental health and the doc happens to be one that he has seen before, before he was dx with epilepsy.  I am trying to get a list of antidepressants we could talk about when he goes in.  My son is 19 and is on trileptal and cannot take depakote and has naturally low blood pressure, so he has to be careful about anything that could lower it more.  So far trileptal has been a little bit of a struggle but doable.  I know some people take cymbalta and like it, any ideas from anyone would be good.  Trileptal is oxcarbamazapine (spelling?).  Thanks so much for any help you can give would help.  He has gotten so depressed he has just given up on school and withdrawn a lot, suffering with feelings of hopelessness and a general lack of energy. 
Love, Marji
--Sometimes I think the surest sign that intelligent life exists elsewhere in the universe is that none of it has tried to contact us. Bill Watterson (1958-) cartoonist "Calvin and Hobbes"
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy, GI nightmare
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Detrol, Klonopin, Ultram, Vicodin, Restasis, Albuterol, steroid injections and pred prn


djdaz_1985
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Date Joined Jan 2006
Total Posts : 2408
   Posted 12/18/2007 6:35 AM (GMT -7)   
This is a tough one since most SSRI's (The usual type of AD) interact with AED's. The best thing would be to discuss this with your doctor. I can tell you that I take 50mg Sertraline/Zoloft (SSRI) with 600mg BD Carbamazipine/Tegretol (AED). This seems to work for me but your doctor is best placed to advise you here
 
Darren
Everyone has a guardian angel. They help pick you up when you fall, comfort you through your times of need and help you appreciate the times when things are going well.
 
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cured4real?
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Date Joined Dec 2005
Total Posts : 1944
   Posted 12/18/2007 4:36 PM (GMT -7)   
Thanks Darren, I really appreciate it

Yes we plan to discuss with the doctor, just trying to get an idea of which ones people normally take with what so that if he comes at us with something off the wall, we know. The mental health care free around here isn't very good and you never know what they will try to do to you, unfortunately. I will have to check with my son on SSRIs, but he had a bad reaction to prozac, pretty bad, it did the opposite, made him more depressed and angry, but we wondered about welbutrin, though we've heard that's a no no with seizure disorders. We are curous about cymbalta and have heard good things about that. Just trying to find out what other people take so we have some kind of idea. I'm sure there are some new ones out there, just don't know. And I don't know if adding another AED like topamax or lamictal would help with the depression.
Love, Marji
--Sometimes I think the surest sign that intelligent life exists elsewhere in the universe is that none of it has tried to contact us. Bill Watterson (1958-) cartoonist "Calvin and Hobbes"
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy, GI nightmare
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Detrol, Klonopin, Ultram, Vicodin, Restasis, Albuterol, steroid injections and pred prn


djdaz_1985
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Date Joined Jan 2006
Total Posts : 2408
   Posted 12/19/2007 3:01 AM (GMT -7)   

I have done a little research for you and the only AD I can find which has a major interaction problem is selegiline. (Here is a thread for more info on Selegiline - http://www.healingwell.com/community/default.aspx?f=19&m=995378) The vast majority are moderate interactions. Moderate can be ok (thats what mine are) but they need to be monitored. Try popping over to Depression and asking if there are any epileptics there... its a much bigger forum.

Darren


Everyone has a guardian angel. They help pick you up when you fall, comfort you through your times of need and help you appreciate the times when things are going well.
 
Moderator - Epilepsy Forum
Co-Moderator - Depression Forum
 
Help support the forums so we can support you:  http://www.healingwell.com/donate
 


cured4real?
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Date Joined Dec 2005
Total Posts : 1944
   Posted 12/19/2007 6:22 PM (GMT -7)   
Thanks Darren, I know they all seem to have problems and so I guess he has to just try to see if something will bother him or not and work as it should. The doc is good but sometimes you have to plant a seed with him or my son will end up going back again and again with no meds and he has a few months wait anyway, but he is suffering so we want to make the most of the visit.
Love, Marji
--Sometimes I think the surest sign that intelligent life exists elsewhere in the universe is that none of it has tried to contact us. Bill Watterson (1958-) cartoonist "Calvin and Hobbes"
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy, GI nightmare
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Detrol, Klonopin, Ultram, Vicodin, Restasis, Albuterol, steroid injections and pred prn


okie
Veteran Member


Date Joined Dec 2006
Total Posts : 2818
   Posted 12/21/2007 8:51 PM (GMT -7)   

Marji, Hi hun, hey listen I was in the hospital when you left the Lupus group. I have messed you terribly. Please email me. I miss ya gal!

love

carol


God Bless
Lupus like symptoms, with pbc symptoms, stage 4 COPD w/CHF,  Cancer survivor.  Osteoporosis,osteoarthritis
Prednisone,Plaquanil800mg,vicodin 4x5mg,Evista60mg, Effexor 150mg, HCTZ25/Triamterene37.5mg,Xanax x3 
Only two defining forces have ever offered to die for you: 1. Jesus Christ 2. The American G. I
 
 
 


cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1944
   Posted 12/22/2007 5:57 PM (GMT -7)   
Carol, I'm so sorry to hear that, I am really sick now and my back is out and I can't stand or walk or sit or even lay without a lot of pain. I will figure out how to email you. I miss you and have been wondering about you, I've been on a really good liver support group and they have a lot of people with ai disease there and pbc and other stuff and it has been helpful for me. I'm on another pred taper and not handling it well at all. I will be praying for you, love marji
Love, Marji
--Sometimes I think the surest sign that intelligent life exists elsewhere in the universe is that none of it has tried to contact us. Bill Watterson (1958-) cartoonist "Calvin and Hobbes"
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy, GI nightmare
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Detrol, Klonopin, Ultram, Vicodin, Restasis, Albuterol, steroid injections and pred prn


okie
Veteran Member


Date Joined Dec 2006
Total Posts : 2818
   Posted 12/23/2007 11:46 AM (GMT -7)   
Marji just click on my name and it will show you my info with the email addy. but you take care of yourself first. I'd like to hear more what's going on with ya
love and prayers
carol
God Bless
Lupus like symptoms, with pbc symptoms, stage 4 COPD w/CHF,  Cancer survivor.  Osteoporosis,osteoarthritis
Prednisone,Plaquanil800mg,vicodin 4x5mg,Evista60mg, Effexor 150mg, HCTZ25/Triamterene37.5mg,Xanax x3 
Only two defining forces have ever offered to die for you: 1. Jesus Christ 2. The American G. I
 
 
 

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