Posted by Cady on January 16, 2009, at 20:44:11
In reply to Re: Ideas on female hormonal dilemma?, posted by SLS on January 16, 2009, at 18:04:31
> > Here is my radical proposal. I would come off the hormones altogether and let the abilify and lamictal work to see if they control the PMDD.
> >
> > If this is simply not an option, then I would see if there is a women's psychiatric clinic in your area - they are usually at large medical centers. I just don't think an OB/GYN has the specialized training to manage bipolar disorder in the context of PMDD. Likewise, a psychiatrist might not either, but the two combined might give you a better shot.
> >
> > Seldom
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> Sounds good to me.
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> Cady, you didn't answer my questions.
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> Anyway, I was driving at the possibility that Trileptal would be a good drug to try.
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> Lamictal might be good for the bipolar, but has not shown efficacy in PMDD. In fact, I have seen some women with PMDD report that it made them feel worse - anxiety and agitation and aggression.
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> - ScottScott, I hope I have answered your question now (separate sub-thread, but basically the answer was irritability to rage). I started answering questions then got called away.
I like both ideas. Could try no hormones and current meds first. Then no hormones and Trileptal if that didn't work. Then back to hormones if needed. (Scott, do you happen to know how long Trileptal can take to work?)
No women's psych clinic here, unfortunately. Wish there were.
poster:Cady
thread:874289
URL: http://www.dr-bob.org/babble/20090104/msgs/874417.html