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Managing Bipolar I without an AP is it possible?

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15 hours ago, elby said:

I'm interested. ECT has been on the table for me, but I'm avoiding it. Ketamine is working for me, so I will keep on it. How do you compare ketamine to ECT?

 

Ketamine took quicker effect with few side effects but was super expensive 

Ketamine was quicker with less side effects but is really expensive if you do IV and ECT can last longer 

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16 hours ago, elby said:

I'm interested. ECT has been on the table for me, but I'm avoiding it. Ketamine is working for me, so I will keep on it. How do you compare ketamine to ECT?

 

I had much better luck and less side effects with ketamine but it's way more expensive 

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18 hours ago, ln009 said:

Hi, sorry to jump in but it was mentioned that Rexulti can help with rumination--is this referring to the ruminating that goes along with depression? Or is there a different type of rumination that accompanies bipolar? (Sorry, it's a newbie question.)

I would expect the rumination would be the same. It's just with bipolar disorder it can be rapid and disjointed. Only AAPs have helped me with rumination, but they're also used quite commonly in anxious unipolar depression for the same purpose.

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5 hours ago, browri said:

I would expect the rumination would be the same. It's just with bipolar disorder it can be rapid and disjointed. Only AAPs have helped me with rumination, but they're also used quite commonly in anxious unipolar depression for the same purpose.

Thank you, this is helpful to know.

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On 1/12/2019 at 3:23 PM, Iceberg said:

I had much better luck and less side effects with ketamine but it's way more expensive 

Oh thanks. Due to the crazy world of insurance, ketamine is cheaper for me than ECT. I get a compounded nasal spray that insurance doesn't cover, but it's cheaper than ECT (which my insurance will cover, but I'd still have to pay a lot). IV ketamine is not an option for me financially.

Cash price on my ketamine is less than some of the co-pays on AAPs I was on. I remember not being about to afford Latuda when my pdoc suggested it some years back....

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11 hours ago, browri said:

I would expect the rumination would be the same. It's just with bipolar disorder it can be rapid and disjointed. Only AAPs have helped me with rumination, but they're also used quite commonly in anxious unipolar depression for the same purpose.

This goes to show that YMMV will crazy meds. AAPs don't help with rumination (I have co-morbid OCD), but anticonvulsants (not Lamictal -- which made them worse) did. Depakote, in particular quieted my brain in a most amazing way. (Then it gave me pancreatitis...)

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13 hours ago, elby said:

This goes to show that YMMV will crazy meds. AAPs don't help with rumination (I have co-morbid OCD), but anticonvulsants (not Lamictal -- which made them worse) did. Depakote, in particular quieted my brain in a most amazing way. (Then it gave me pancreatitis...)

Indeed Depakote turned down the "volume" for me as well. Only other thing that did it for me was oxcarbazepine/Trileptal. I took the Oxtellar XR extended release of that which worked quite beautifully. I never tried carbamazepine/Tegretol though.

But still, only AAPs ever stopped the Broken Record Syndrome (my own name for it). Definitely do agree and this goes to show you that your mileage will DEFINITELY vary. 

Edited by browri

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