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Re: Is depakote good for ultra ultra rapid cycling? » 4wd

Posted by SLS on October 15, 2005, at 10:23:03

In reply to Is depakote good for ultra ultra rapid cycling?, posted by 4wd on October 14, 2005, at 22:11:32

> It seems to work the fastest so that's what I'm leaning toward. I can't take this much longer.
>
> But I read that it isn't as effective for ultra ultra rapid cycling as lithium? Does lithium take a long time to work?


Hi Marsha.

Depakote can work very fast to treat acute mania. However, I'm not so sure how quickly it would stabilize one's chronic rapid cycling without the aid of a second mood stabilizer. I guess lithium, Lamictal, and Trileptal would be those I would choose. Just remember that when you combine Depakote and Lamictal, you must decrease the dosage of Lamictal by 50% and titrate more gradually.

The combination of Lamictal + lithium has recently become quite popular as a prophylaxis against recurrent episodes.


- Scott

 

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