I’m currently on trileptal for hypomania, but it has made me really depressed... so i’m looking for another med to control hypomania.
already tried lamotrigine and neurontin.
thinking next stop will be either depakote or lithium.
I’m really afraid of weight gain and of feeling too flat (zombie-like).
Which will you recommend? Any experiences you can share?
So I am in quite a nasty situation. Over 3 months ago I was able to kick my addiction to heroin with therapy and Suboxone. Also, I successfully got my bipolar II under control with Lithium ER 900mg and Seroquel XR 300mg.
For the last 6 weeks I am having fragmented sleep. I am able to fall asleep relatively easily only to wakeup after 2hrs. I then go back to sleep and from then on I wake up roughly 5 times a night.
I've eliminated all caffeine from diet, I don't smoke cigarettes within 2hrs of bed and I don't watch TV or use any other screen before retiring.
My addiction specialist has tried me on
trazadone 150mg--did nothing
Doxepin 75-150mg--only makes me sleeoy
Ambien CR (w/ doxepin)--barely any change. I think it slightly improves the quality of sleep in between waking up.
Does anyone have any recommendations for a sleep maintenance medication? I prone to rapid weight gain from AP's and dont want to double up as I am taking quetiapine already.
For what it's worth....my sleep hygiene is very good. I've started exercising in the morning before work. I work as a credit analyst and sit in front of a computer from 9 to 5. HOWEVER...my insomnia is causing me to nod off at my desk which is unacceptable.
Any tips/ideas/recommendatins are welcome. Mikl_pls I'm looking your way as you are the resident amateur psychopharmacologist. ;-)
I just started lithium recently for the first time (3 days ago, today will be the 4th day) at a rather small dose of 300 mg. My pdoc didn't want to give me too much since I'm on so many meds. But she said that such a dose in some of her patients works well with regimens like mine to stabilize them as I have been ultra-rapid cycling between hyperthymia and suicidal, psychotic depression.
I've noticed, however, in this short amount of time, that I've gained 7.5 lb since starting lithium. Is that a coincidence, or is 300 mg lithium still capable of causing weight gain?
Also, I'd like to understand the pharmacology behind lithium. Can someone who understands it explain it to me and/or share some links to some good sources that explain it well?