Posted by JohnX2 on January 31, 2002, at 16:59:49
Well, I'm pretty close to finishing tapering off
my Klonopin after replacing it with Topamax. I
had some wild rebound mania which could be either
the Topamax or the Klonopin tapering. Leaning towards
the Klonopin tapering inducing this.Anyways, I'm feeling as though the Topamax may be
what I was thinking it would initially be for me;
a Klonopin replacement. i.e. a med with stabilizer
properties and really good fixes for my myofacial pain.
Also, it seems to open doors for me to try other meds
that triggered weird emotional states or myofacial pain.So, if I finish this Klonopin tapering, and I settle
down into a bit of a dysphoric state (aren't I positive),
I need to decide what to do next
(and discuss this at my next pdoc meeting).Here is my current med regimen:
Lamictal 150 mg
Klonopin 1 mg
Topamax 400 mg
Zyprexa 10 mgIn the past I got robust and tolerable AD responses
from Wellbutrin and Zoloft, but they were fleeting
(this was pre Topamax) and triggered myofacial
pain. I did find the meds good for my psychomotor agitation.
I tried Zoloft twice. Before Klonopin it gave severe
myofacial pain and emotional flattening, with Klonopin
it seemed to work Ok, but I aborted the experiment
(don't remember why). Klonopin did not releive Wellbutrin
myofacial pain, but Topamax did in a quick trial.I also tried bumping my Lamictal dose to 300 mg and
this gave me myofacial pain and bizarre emotional numbing.
This was also pre Topamax.So it seems Topamax is alleviating quite nicely some
sort of strange neurological quirk. I would hope this
may also alleviate the emotional numbing and
any potential for triggering of additional myofacial
pain if I do add on an AD.So what to do next? I was thinking the 1st thing may
be to retest the 300 mg Lamictal dose and see if I
can get a response in light of the addition of Topamax?
Seems the most sense not to add new meds first.
I still wonder what was so secret about 300 mg of
Lamictal??? I do OK on 150-225 mg. Its just at 300 mg
in the past that I would get a weird myofacial pain
and emotional blunting.If this stinks, maybe revisit Wellbutrin or Zoloft?
My primary complaints (if they return after this
mania binge) are psychomotor agitation, lack of interest,
hypersomnia. I think these are typical bipolar ii
downer symptoms.Any thoughts? I hate to try new meds at this point and
would rather try old meds that I could stand quickly
1st to see what would happen given that Topamax is
fixing a neurological tick.Thanks for any feedback.
-John
poster:JohnX2
thread:92412
URL: http://www.dr-bob.org/babble/20020131/msgs/92412.html