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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by smart.drug on September 29, 2008, at 17:26:18
Hey everybody.
I haven't been on for a while. In the interim I have been diagnosed with Bipolar II. I was started off on Lamictal, which I've titrated up to 100 mg. Afterwards, the doctor added Wellbutrin XL. I started off on 150 mg, and then doubled the dose a week later. I also take Seroquel (25-75 mg) as needed for sleep. And last, but not least, 1 tablet of Cerefolin NAC in the morning.
I'm having another episode. It's either a depressive, or a mixed one. Whatever the case, the mood stabilizer is not doing its job. I'm afraid to stop the Wellbutrin, because I might feel even worse than now. I'll call my p-doc in the morning. But...
I was just wondering. If the doctor decides to add another medication, should I bring up Nimotop? Out of all the Ca-antagonists tested for bipolar, it's the most efficacious. Since it's selective to the CNS, it is also less likely to cause hypotension than the others at the therapeutic dose.
Has anyone been prescribed Nimotop for bipolar disorder? At what dose, and what other medications were you taking? Did it help? What about abnormally low blood pressure and fainting?
Posted by Phillipa on September 30, 2008, at 0:40:23
In reply to Nimotop for Bipolar, posted by smart.drug on September 29, 2008, at 17:26:18
What is it an American drug? Love Phillipa
Posted by Phillipa on September 30, 2008, at 0:45:32
In reply to Re: Nimotop for Bipolar » smart.drug, posted by Phillipa on September 30, 2008, at 0:40:23
I just googled it and it said it's for subaracenoid hemorrages a calcium blocker. How would this help bipolar? I don't understand. Phillipa
Posted by SLS on September 30, 2008, at 8:05:31
In reply to Nimotop for Bipolar, posted by smart.drug on September 29, 2008, at 17:26:18
> Hey everybody.
>
> I haven't been on for a while. In the interim I have been diagnosed with Bipolar II. I was started off on Lamictal, which I've titrated up to 100 mg. Afterwards, the doctor added Wellbutrin XL. I started off on 150 mg, and then doubled the dose a week later. I also take Seroquel (25-75 mg) as needed for sleep. And last, but not least, 1 tablet of Cerefolin NAC in the morning.
>
> I'm having another episode. It's either a depressive, or a mixed one. Whatever the case, the mood stabilizer is not doing its job. I'm afraid to stop the Wellbutrin, because I might feel even worse than now. I'll call my p-doc in the morning. But...
>
> I was just wondering. If the doctor decides to add another medication, should I bring up Nimotop? Out of all the Ca-antagonists tested for bipolar, it's the most efficacious. Since it's selective to the CNS, it is also less likely to cause hypotension than the others at the therapeutic dose.
>
> Has anyone been prescribed Nimotop for bipolar disorder? At what dose, and what other medications were you taking? Did it help? What about abnormally low blood pressure and fainting?
The NIH performed trials of nimodipine for bipolar disorder while I was there as a research patient. They had limited, if any, success with it. They were quite stubborn.
- Scott
Posted by Polarbear206 on October 1, 2008, at 15:48:49
In reply to Nimotop for Bipolar, posted by smart.drug on September 29, 2008, at 17:26:18
> Hey everybody.
>
> I haven't been on for a while. In the interim I have been diagnosed with Bipolar II. I was started off on Lamictal, which I've titrated up to 100 mg. Afterwards, the doctor added Wellbutrin XL. I started off on 150 mg, and then doubled the dose a week later. I also take Seroquel (25-75 mg) as needed for sleep. And last, but not least, 1 tablet of Cerefolin NAC in the morning.
>
> I'm having another episode. It's either a depressive, or a mixed one. Whatever the case, the mood stabilizer is not doing its job. I'm afraid to stop the Wellbutrin, because I might feel even worse than now. I'll call my p-doc in the morning. But...
>
> I was just wondering. If the doctor decides to add another medication, should I bring up Nimotop? Out of all the Ca-antagonists tested for bipolar, it's the most efficacious. Since it's selective to the CNS, it is also less likely to cause hypotension than the others at the therapeutic dose.
>
> Has anyone been prescribed Nimotop for bipolar disorder? At what dose, and what other medications were you taking? Did it help? What about abnormally low blood pressure and fainting?Wellbutrin is not a strong antidepressant. It can exacerbate anxiety. Therapuetic response of Lamictal is usually 150mg to 200mg.
Posted by Phoenix1 on October 2, 2008, at 13:00:20
In reply to Nimotop for Bipolar, posted by smart.drug on September 29, 2008, at 17:26:18
FYI Nimotop is EXORBITANTLY expensive, and needs to be taken every 4 hours to maintain a steady drug level. I think a 21 day supply cost around $3,000. Thank God I have extended medical. It was prescribed to me to treat a form of brain swelling called PRES.
Phoenix
Posted by Phillipa on October 2, 2008, at 20:07:32
In reply to Re: Nimotop for Bipolar » smart.drug, posted by Phoenix1 on October 2, 2008, at 13:00:20
Phoenix I you've had such a horrible time. My heart goes out to you and hopefully you're doing better now? Love Phillipa
Posted by azalea on October 2, 2008, at 21:08:02
In reply to Nimotop for Bipolar, posted by smart.drug on September 29, 2008, at 17:26:18
Before adding another medication, you could consider increasing Lamictal and/or Wellbutrin. Recommended Lamictal dosage for bipolar is 200mg, although some people do better on higher dosages. There's also room to increase the Wellbutrin XL to 450mg, which is the max recommended dosage.
> Hey everybody.
>
> I haven't been on for a while. In the interim I have been diagnosed with Bipolar II. I was started off on Lamictal, which I've titrated up to 100 mg. Afterwards, the doctor added Wellbutrin XL. I started off on 150 mg, and then doubled the dose a week later. I also take Seroquel (25-75 mg) as needed for sleep. And last, but not least, 1 tablet of Cerefolin NAC in the morning.
>
> I'm having another episode. It's either a depressive, or a mixed one. Whatever the case, the mood stabilizer is not doing its job. I'm afraid to stop the Wellbutrin, because I might feel even worse than now. I'll call my p-doc in the morning. But...
>
> I was just wondering. If the doctor decides to add another medication, should I bring up Nimotop? Out of all the Ca-antagonists tested for bipolar, it's the most efficacious. Since it's selective to the CNS, it is also less likely to cause hypotension than the others at the therapeutic dose.
>
> Has anyone been prescribed Nimotop for bipolar disorder? At what dose, and what other medications were you taking? Did it help? What about abnormally low blood pressure and fainting?
This is the end of the thread.
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