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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 26 to 50 of 63. Go back in thread:
Posted by markwell on July 30, 2010, at 16:49:44
In reply to Re: Racing/Anxiety Thoughts, Need Opinion » SLS, posted by cycling on July 30, 2010, at 13:28:32
I found that 5mgs of abilify helped with my racing thoughts.. It took a couple of weeks. I gained weight on it.
Posted by morgan miller on July 30, 2010, at 17:00:16
In reply to Re: Racing/Anxiety Thoughts, Need Opinion, posted by Hombre on July 30, 2010, at 5:52:21
Hombre do you mind sharing what medications you are currently taking?
Do you think you fall somewhere under the bipolar umbrella?
Posted by morgan miller on July 30, 2010, at 17:07:14
In reply to Re: Racing/Anxiety Thoughts, Need Opinion » cycling, posted by violette on July 30, 2010, at 12:45:06
> Hi Cycling,
>
> I was just thinking your PDoc doesn't know you well because I think it's highly possible that you don't know you well.
>
> If your PDoc doesn't have alot of experience with D&A, You'd likely get the best treatment with a dual diagnosis specialist. Additionally, you'd probably find out the best meds/course of treatment from the NA or AA people. My friend used to go there, and the experienced people at her group had watched dozens of people become bipolar after quitting D&A. Those people really know how to deal with this stuff.
>
> Then again, alot of people don't like being in one of those programs-because if you were assigned a sponser you'd have to do the 12 steps. So if you don't want to do the program, you'd probably not have an experienced person to work with closely. Either way, you could still show up at a few meetings and get information from experienced people-you don't have to do the 12 steps to hang out there and talk to experienced people. That could be worth a try?
>
> That's great you're doing therapy. Just be wary if its CBT-that type of therapy could just strengthen other emotional defense mechanisms while the source of them goes unaddressed (and new or worse symptoms could pop up later). It's helpful to just have someone to talk to regardless, but psychodyanmic therapy gets to the source of the symptoms, which are often emotional crap from the past.
>
> Mood dysregulation can express as bipolar, ocd, anxiety, paranoia-whatever-can be addressed with therapy. Maybe someday you'll no longer need meds.
>
> Perhaps you have always been bipolar, and I think it's good you are restarting the Klonopin-which can be a mood stablizer itself. At least till you get a feel for your symptoms by quitting the heavy drugs. If that doesn't work-you could add an AD or Zyprexa later. Klonopin isn't usually addictive since there are no immediate affects, though I guess it could be for some. I hated it as it just made me tired and gave me headaches. The Klonopin could be a temporary thing you change later after spending time and therapy and weaning off the heavier drugs to see what your main symptoms are. If it is mostly OCD anxiety, that is the more difficult one to treat...but especially at your age, it would be good to narrow them down now that you are not doing the heavy drinking.
>
> Best of luck to you! :)Hey Violette, Maybe I'm not remembering Cycling's original post correctly, but I don't think they have a major problem with drug or alcohol abuse. You have to remember, they are 23 and it is not unusual to have experimented some at that age and younger. I have friends that did tons of drugs and drank copious amounts of alcohol for fairly long periods in college but they graduated and got great jobs and never needed treatment for their drug and alcohol abuse. I believe Cycling even mentioned not drinking much during the summer, this does not sound like someone with a real problem. I think the summer time is when people, especially young people often drink and party even more. I also think Cycling mentioned only experimenting with a few drugs here and there and never got in the habit of doing them regularly. This is perfectly normal behavior for someone in college, especially for a man.
Posted by morgan miller on July 30, 2010, at 17:09:55
In reply to Re: Racing/Anxiety Thoughts, Need Opinion » violette, posted by SLS on July 30, 2010, at 13:12:22
> > Just be wary if its CBT-that type of therapy could just strengthen other emotional defense mechanisms while the source of them goes unaddressed (and new or worse symptoms could pop up later)
>
> Is there something on the Internet you could refer me to regarding this?
>
> Thanks.
>
>
> - ScottThis actually makes sense to me Scott. It follows along the same line of medication treatment making someone feel so good that they no longer see or feel the need for some much needed therapy that could help in the long run, especially when it comes to forming and maintaining positive relationships.
Posted by morgan miller on July 30, 2010, at 17:12:41
In reply to Re: Racing/Anxiety Thoughts, Need Opinion » SLS, posted by cycling on July 30, 2010, at 13:28:32
>Honestly I'm not afraid of having a little Bipolar, but I'm always told to follow my gut, and my gut feeling says this is isn't typical bipolar.
It's not typical bipolar. I'm not sure there really is a "typical" bipolar any longer and there probably never was one. When I experienced my mixed state mania I learned that this was actually more common than the "classic" euphoric mania followed by major depression that most people typically think of when bipolar is mentioned.
Posted by morgan miller on July 30, 2010, at 17:25:49
In reply to Re: Racing/Anxiety Thoughts, Need Opinion » SLS, posted by cycling on July 30, 2010, at 13:28:32
>The SSRI would possibly take care of the OCD, and the AP would treat the racing thoughts.
I actually had succes with treating racing thought, agitation, and OCD the first time I ever took medication when I started Prozac. It took 3 weeks but, man, all agitation, anxiety, OCD, depression, and racing thoughts were obliterated. I woke up, took Prozac, and within the hour I was a different person, someone I loved and felt comfortable with. I also had success with Zoloft alone for years and the only reason why I stopped was because I simply thought it was time, I was dead wrong. Things are different now and I unfortunately require other medications like lithium for some relief and management. I may even revisit a small dose of Zyprexa soon.
I'm not saying that an SSRI alone will eventually get you back on track and feeling great like it did for me, but I do believe it is a possibility.
Are you sleeping o.k. right now?
> I'm thinking maybe I can ween off of the meds I'm on now to take on a new regiment while taking klonopin to keep me stablized which I'm transitioning. Ideas?
What meds are you currently taking? This would help us give you some ideas.
Are you opposed to trying the natural or supplement remedies I suggested? I really think they could help. I also think you may be able to avoid getting hooked on Klonopin if you use some of those supplements.
Posted by cycling on July 30, 2010, at 18:42:34
In reply to Re: Racing/Anxiety Thoughts, Need Opinion, posted by morgan miller on July 30, 2010, at 17:12:41
In response to Morgan Miller: Yes I am 23 and yes I drank a lot I was in a fraternity if that makes any sense. Let me make this clear, I was not an alcoholic and I have proof. Right before I was taking my medications I was drinking 30-35 drinks /week. When my pdoc said I couldnt do that anymore, I said find, and went off cold turkey. If I was dependent on alcohol it wouldve been very difficult for me to go completely cold turkey. I do not have a problem with substance abuseI just like to have a casual drink every now and then with friends like any other normal person does.
In regards to my sleeping patterns, I do not have a problem sleeping once so ever. In fact, I sleep too much which Im trying not to do. Im setting a sleep schedule for myself now, exercising daily, I take 2.5 grams EPA, multivitamin, and I eat well (no fast food). My problem is dealing with an onset of an anxiety attack- I dont know how to handle those which makes it worse then leads to shortness of breath.I find myself always thinking about the situation Im in or the OCD thoughts which ruin my concentration. I need help catching those thoughts and not ruminating on them because this leads to my racing thoughts. I often catch myself asking what if questions and replaying scenarios of my past which causes me anxiety because I dont know why Im having these thoughts. Also, I feel like I have excessive worrying at times. Lastly, sometimes I get instrusive images in my head (typical of OCD)
All that being said, so what do you guys think?And I'm allllll down for natural treatments. I believe my brain should be my own pharmacy, but I also do understand special circumstances. We all have OCD, but some of us have bad habits. Bad habits can be reversed with discipline.
Posted by bleauberry on July 30, 2010, at 18:51:27
In reply to Racing/Anxiety Thoughts, Need Opinion, posted by cycling on July 29, 2010, at 14:49:07
Your symptoms are pretty much a deficient serotonin thing. So I don't understand the absence of serotonin enhancement in your meds. I've had that awful racing stuff before. And it is awful. It was stopped dead in its tracks with a low dose ssri in very short time, every time. Mood stabilizers and antipsychotics were basically not very helpful and sometimes even made it worse.
It's serotonin. The current meds are doing nothing for that.
Posted by morgan miller on July 30, 2010, at 18:55:10
In reply to Re: Racing/Anxiety Thoughts, Need Opinion » morgan miller, posted by cycling on July 30, 2010, at 18:42:34
>I often catch myself asking what if questions and replaying scenarios of my past which causes me anxiety because I dont know why Im having these thoughts. Also, I feel like I have excessive worrying at times. Lastly, sometimes I get instrusive images in my head (typical of OCD)
You sound a whole lot like me in my bad days of obtrusive obsessive regretful thoughts and OCD.
Posted by cycling on July 30, 2010, at 18:58:27
In reply to Re: Racing/Anxiety Thoughts, Need Opinion, posted by morgan miller on July 30, 2010, at 18:55:10
Morgan, so what was your treatment again?
Posted by morgan miller on July 30, 2010, at 19:09:41
In reply to Re: Racing/Anxiety Thoughts, Need Opinion, posted by bleauberry on July 30, 2010, at 18:51:27
> Your symptoms are pretty much a deficient serotonin thing. So I don't understand the absence of serotonin enhancement in your meds. I've had that awful racing stuff before. And it is awful. It was stopped dead in its tracks with a low dose ssri in very short time, every time. Mood stabilizers and antipsychotics were basically not very helpful and sometimes even made it worse.
>
> It's serotonin. The current meds are doing nothing for that.If this is the case, an SSRI like Prozac or Zoloft may be in order.
In the meantime, I would try to stay away from Klonopin, though there is evidence that it has some serotonergic properties, and I would look into taking a good form of Magnesium(along with calcium) and a little lithium aspartate or orotate. Both magnesium and lithium can increase serotonin levels and both are calming. I would order some lithium orotate or aspartate online and go to Vitamin Shoppe or other vitamin/healthfood store nearby and get some Magnesium Glycinat or Magnesium Taurinate.
If things are really bad and you don't have anything else right now, go ahead and take a little klonopin as needed. I would even split the pills you have and see if that is enough to give you some relief.
I don't know if I necessarily agree that this is just a serotonin issue, I'm not sure it is that simple. There are underlying components of your subconscious that are playing a role in triggering some of this. And of course you are genetically predisposed as well. Stick with therapy and exercise. You may find that intense exercise for a 20 minute period followed by a thorough meditative stretch, will give you a great amount of relief. The exercise will boost serotonin and dopamine levels and the meditative stretch with boost GABA levels.
Posted by morgan miller on July 30, 2010, at 20:29:16
In reply to Re: Racing/Anxiety Thoughts, Need Opinion » morgan miller, posted by cycling on July 30, 2010, at 18:58:27
> Morgan, so what was your treatment again?
Well it used to be that I could get away with just taking an SSRI and some fish oil and a 5 to 6 day a week intense exercise regimen, but nowadays I'm dealing with a different beast.
I was taking Symbyax(combination of Prozac and Zyprexa) for several months. I decided to split them and eventually weened myself off Zyprexa. I also added 300 mg Lithium Carbonate and continued on with the Prozac. I had taken St. John's Wort in the form of New Chapter's SC27 for 2 months along with the Prozac and Lithium, but recently decided to end that experiment. Currently I am just taking 20mg Prozac and 300mg Lithium Carbonate. I have been taking extra lithium in the form of Lithium aspartate to see if it would help, not sure if it has made much of a difference. I wish I could go back to the days of just taking Zoloft and fish oil and exercising religiously, unfortunately things have changed.
You may want to try the combination of Magnesium and Lithium orotate and aspartated and continue doing everything else you are doing and see how you feel. You probably will still need to add an SSRI to the mix. I think Zoloft is superior to Prozac, especially for long term use based on it's profile. But the doctor may be more inclined to try Prozac. Starting with Symbyax may not be a bad idea for a 6 to 8 weeks and then you could split them and ween off Zyprexa. I know there are many choices and it can seem hard to decide on what might be best. The only way to find out is to start trying something.
Posted by Hombre on July 31, 2010, at 6:16:36
In reply to Re: Racing/Anxiety Thoughts, Need Opinion » Hombre, posted by morgan miller on July 30, 2010, at 17:00:16
> Hombre do you mind sharing what medications you are currently taking?
>
> Do you think you fall somewhere under the bipolar umbrella?Morgan -
I take 30mg Remeron, 150mg Effexor, and 100mg Seroquel, all generics.
Remeron alone had a strong but short-lived effect. Adding the Effexor added a lot of energy, but sleep was still a problem. The Seroquel seems to help with sleep and any tendency toward AD-induced racing thoughts or anxiety. I've never been manic or hypomanic off meds or drugs, but sleep and anxiety became serious problems along with difficulty focusing.
Now that I know what I know, I wonder if I could have addressed the sleep and anxiety with herbs, but I'm not going to rock the boat until I've had a job for a while and am comfortable facing a few potentially sleepless nights.
I should add that I exercise quite regularly, and it really helps with energy and calmness. I jog, swim, do tai chi/qi gong/kung fu and lift weights. I also do a type of meditation as part of my kung fu training - Google "zhan zhuang" for more details. It's more about developing sensitivity to seldom-used muscles and to develop relaxed, whole-body power, good for any physical activity.
I also think taking magnesium citrate at night with zinc helps me to sleep well. I try to take my meds by 9-9:30 and I'm out like a light about an hour later. I am able to wake up at around 6:30-7:00 depending on when I conked out. The nightly meds never fail to knock me out. I rarely deviate from the schedule and I always turn the lights down by 9pm or so and try to avoid too much computer-time too close to bed.
And lastly, as you know, I think the herbs have really helped to smooth out the jagged edges of the meds and to make me feel less medicated in general. I actually don't feel medicated at all, but for some constipation (addressed by the mag citrate) and some sexual SEs (addressed by the herbs).
As you can see it's a pretty comprehensive routine, but I stick to it because I've wasted too much time suffering and hating myself for not being who I thought I could be.
Posted by morgan miller on August 1, 2010, at 1:04:10
In reply to Re: Racing/Anxiety Thoughts, Need Opinion » morgan miller, posted by Hombre on July 31, 2010, at 6:16:36
I hear ya Hombre.
Hey I just started taking Schizandra today. I think I've noticed something already. I will probably start a thread about it over on the Alternative board.
Posted by morgan miller on August 1, 2010, at 1:05:45
In reply to Re: Racing/Anxiety Thoughts, Need Opinion » Hombre, posted by morgan miller on August 1, 2010, at 1:04:10
How are you doing? Have you taken any steps to start treating your symptoms?
Posted by cycling on August 1, 2010, at 2:02:53
In reply to Cycling, How are things?, posted by morgan miller on August 1, 2010, at 1:05:45
hey morgan,
well, I got a psychologist and an appointment with my pdoc on monday. I was always kind of against psychologists, for some dumb reason, but come to find out, it works! haha. I've been studying the tools to get rid of my ocd thoughts and hte bad thoughts that have been plaguing my mind. Within two days of studying, I would say I've seen a significant change in my mood, for the better. I still have anxious thoughts, so what I'm hoping is that I decrease or get rid of all the drugs that are treating me for "bipolar" which includes the lamictal, lithium, and seroquel. I want to ween off carefully off of those drugs while hopefully adding an SSRI to see how that works. I honestly feel that with the right drug to calm down my mind, and with these tools at hand, give me one month and i'll be good as new. the ocd thoughts still come, but thats because that thinking pattern has been habituated into by subconscious. The hardest part about changing your thought pattern is dissolving them from your subconscious. My psychdoc is helping me learn the tools to change my focus and dissolve the thoughts that have plagued my subconscious for a while now. the more you think a certain way, the stronger it gets. my advice to anyone suffering from anxiety or ocd, start by starting your day looking for things that you find your grateful for. consistantly do this throughout your day, and i guarantee at hte end of the day you'll feel better. make sure your focussed on this task. yes, thoughts will come through and that will always disturb your train of htought, but remain strong. that's the starting point...i'll add more as i learn.
thanks for checkin up morgan. what is your diagnosis btw? have you seen a psych doc?
Posted by morgan miller on August 1, 2010, at 10:28:01
In reply to Re: Cycling, How are things? » morgan miller, posted by cycling on August 1, 2010, at 2:02:53
I fall somewhere in the bipolar spectrum. I realize this genetic predisposition has been exacerbated by not getting what I needed in childhood. This is the reason why I do see a great therapist.
Starting a few years ago for the first time in my life, I have been seeing a psychiatrist on a regular basis. In the past I just had a psychiatrist prescribe me the medication(prozac then zoloft) and I would figure out what dose worked and just have a doctor keep prescribing the medication to me. Things are more complicated and more difficult to treat nowadays, for reasons I think I have a pretty good understanding of.
I currently take 20 mg Prozac(brand) and 300 mg Lithium carbonate(switching to Lithobid). I may be switching back to Zoloft soon and possibly adding a small dose of Nortriptyline-I will stay on Lithium. I also may throw a 2.5 mg dose of Zyprexa back into the mix. I really wish they made a 1 mg dose of Zyprexa for people like me that just need a little maintenance. I don't know why they don't or at least make scored 2.5 mg tablets. It's an oddly made pill, they are very hard to split up. I really don't know why all medications are not made in a scored tablet form. I know it is possible.
I didn't know you were on those three medications. Did you mention that in your original post? You should always list the medications you are taking so people here can make more informed suggestions. How much of each medication are you taking? You may to want to very slowly ween off those meds, one at a time. Then again you are young and you may be able to handle a faster weening a transition. You may want to consider continuing a low dose of lithium carbonate or just buy some lithium orotate or aspartate online to keep on hand and take regularly.
Posted by ed_uk2010 on August 1, 2010, at 11:51:11
In reply to Re: Cycling, How are things? » cycling, posted by morgan miller on August 1, 2010, at 10:28:01
>I don't know why they don't or at least make scored 2.5 mg tablets. It's an oddly made pill, they are very hard to split up. I really don't know why all medications are not made in a scored tablet form.
Also, isn't it helpful how they tell you to reduce gradually when you need to come off a med, but the tablets are neither scored nor available in low strengths?! This applies to the majority of psych meds. The common practice of using 'alternate day dosing' as an alternative to cutting tablets really isn't appropriate for the majority of psych meds due to their short duration of action. Sure, you can do it with fluoxetine (Prozac), but not with most of the others. All manufacturers produce a suitable range of tablet strengths for getting onto the med, but not for getting off it! This part doesn't seem to receive much consideration.
About cutting Zyprexa.... It's OK to cut the tablets in half provided that the other half is used within the next few days (preferably the next day). The reason for this is that olanzapine begins to oxidise once the tablet coating is damaged. It's definitely best not to cut up several tablets in advance.
Posted by cycling on August 1, 2010, at 14:01:09
In reply to Re: Cycling, How are things? » cycling, posted by morgan miller on August 1, 2010, at 10:28:01
Haha yah I've listed them twice already, but no worries, this is like the longest thread in the world.
900 mg lithium carb
200 mg lamictal (weaning off)
150 mg seroquelI like your treatment. 300 mg lithium and 20 mg prozac i think could hit the nail on the head for me. The prozac would taper the anxiety a bit. I'll mention this to my pdoc. btw I'm 23 today :)
Posted by morgan miller on August 1, 2010, at 14:07:48
In reply to Re: Cycling, How are things? » morgan miller, posted by ed_uk2010 on August 1, 2010, at 11:51:11
>All manufacturers produce a suitable range of tablet strengths for getting onto the med, but not for getting off it! This part doesn't seem to receive much consideration.
Or just tablets that are scored and easy to split or smaller doses in the case of drugs like Zyprexa for people that do well on a very low dose and want to use it for maintenance like me-VERY FRUSTRATING!
Posted by cycling on August 2, 2010, at 22:41:33
In reply to Re: Cycling, How are things?, posted by morgan miller on August 1, 2010, at 14:07:48
I've been a little busy for the past two days or so with my birthday then two doctor appointments today. Today i saw a psych doc and my pdoc. New regiment as follows:
900mg lithium carb (same)
100mg lamictal (tapering)
300mg seroquel xr
5mg lexaproDoes anyone have any thoughts with the addition of lexapro to my regiment? My pdoc insists that I fit in the bipolar spectrum because I have mania. He's going with mania as my diagnosis. There's a part of me that can't disagree with him. I start the lexapro tomorrow so we'll see how i feel. usually ADs aren't given to people with mania for its been known to increase anxiousness.
thoughts?
Posted by morgan miller on August 3, 2010, at 0:16:15
In reply to Re: Cycling, How are things? » morgan miller, posted by cycling on August 2, 2010, at 22:41:33
> I've been a little busy for the past two days or so with my birthday then two doctor appointments today. Today i saw a psych doc and my pdoc. New regiment as follows:
>
> 900mg lithium carb (same)
> 100mg lamictal (tapering)
> 300mg seroquel xr
> 5mg lexapro
>
> Does anyone have any thoughts with the addition of lexapro to my regiment? My pdoc insists that I fit in the bipolar spectrum because I have mania. He's going with mania as my diagnosis. There's a part of me that can't disagree with him. I start the lexapro tomorrow so we'll see how i feel. usually ADs aren't given to people with mania for its been known to increase anxiousness.
>
> thoughts?I think your pdoc made a pretty decent move here. I prefer Zoloft just because I am biased and love it's profile, but Lexapro may be best for you right now.
Actually, ADs can take someone straight out of a mixed state agitated mania(which I believe you experience a kind of). I had my first mixed state(I didn't know it at the time) when I was 22 and a pdoc gave me 20 mg of Prozac. For 3 weeks I noticed nothing a I was still suffering thinking it may never work. I was encouraged to keep taking it by my mom and I knew that these drugs could take a while to work. At almost exactly 3 weeks, I woke up, took my strange little pill, and withing the hour I felt f*ck*ng amazing. All of my anxiety, racing thoughts, obsessive thoughts, and depression were completely obliterated. It really was a magical experience that I probably will never have again. Prozac worked! I will admit though, I was on the hypomanic side for sure, especially when I drank. But, much of the time, I was pretty chill. After 9 months I decided I didn't want to be medicated and I stopped taking Prozac. I wish I had had an inkling of an idea that I was bipolar, it may have impacted the way I went about many things in my 20s and early 30s.
I think you should stay on 5mg Lexapro for at least a month before even thinking twice about raising the dose. Lexapro is VERY powerful and doctors often prescribe way too much. My friend does great on just 10 mg. I've even considered adding 2.5 mg to the mix just for sh*ts and giggles(well really for my hurting brain and mental health!). Lexapro may be extremely effective at easing your anxiety and obsessive thinking.
Maybe in a month, if you start feeling much better, you can lower your Lithium dose to 600 mg and start weaning off the seroquel. You are already getting off Lamictal, so eventually and ideally you could just be on Lexapro and lithium.
Why the Seroquel again? I'm sure your pdoc is trying to treat what he believes is a form of mania(and he may very well be right). So the Seroquel doesn't sedate you? Or does it? And you are NOT taking it for sleep, is that correct?
Posted by cycling on August 4, 2010, at 1:43:16
In reply to Re: Cycling, How are things?, posted by morgan miller on August 3, 2010, at 0:16:15
> Maybe in a month, if you start feeling much better, you can lower your Lithium dose to 600 mg and start weaning off the seroquel. You are already getting off Lamictal, so eventually and ideally you could just be on Lexapro and lithium.
What he wants to do is wean me off the Lithium and keep me on Seroquel and lexapro. But, we just found out my insurance doesn't accept seroquel and seroquel is reallll expensive. Right now he gave me about 1-2 months supply of seroquel at 300mg daily at night.
>
> Why the Seroquel again? I'm sure your pdoc is trying to treat what he believes is a form of mania(and he may very well be right). So the Seroquel doesn't sedate you? Or does it? And you are NOT taking it for sleep, is that correct?Correct. I'm given seroquel to hopefully calm down the racing thought. He believes I have mania, and honestly, I believe I have it too. Initially, my symptoms were: pressured speech, racing thoughts, irritability, impulsiveness, extreme intensity, and high confidence. I wanted to deny I had mania but after taking a step back, I think I agree with him on the diagnosis.
So the deal now is, there's no way he can provide me samples of seroquel for the next how long this is going to take, and currently my thoughts are still racing. If the Lexapro does not calm down the thoughts and I can't use seroquel (150mg hasn't helped thaat much), what do I use? What are some common treatment combinations for the long term treatment of mania?
I'm hoping I can get over this episode and not have to be on my meds for the rest of my life. I'd also like to have people's thoughts on this as well. Do people with diagnosed mania usually stay on a regiment of meds or can they move on with their merry lives and never look back?
Posted by SLS on August 4, 2010, at 3:58:30
In reply to Effective Treatments for Mania » morgan miller, posted by cycling on August 4, 2010, at 1:43:16
You might have bipolar II. Depakote (valproate) can be a very effective treatment for the manic component of this disorder. The other drug that comes to mind is Zyprexa (olanzapine).
- Scott
Posted by cycling on August 4, 2010, at 4:05:01
In reply to Re: Effective Treatments for Mania » cycling, posted by SLS on August 4, 2010, at 3:58:30
what makes you think I have bp2 over bp1? and what is the difference? bear in mind i don't have swings
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