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140mg Latuda and still crazy


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Hi. I have Bipolar 1 and I am currently taking 140 mg Latuda and still in the last two months have been both hypomanic (went up to 160 to curb mania then back down) and suicidaly depressed. I can't take antidepressants because I go manic. I also take 400 mg Trileptal. I am extremely sensitive to side effects and also went psychotic on 900mg Lithium in the past so that doesn't work. Neither does Lamictal. Does anyone have any suggestions?

Edited by Mellym
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Have you tried any other antipsychotics?  Typical or atypical? I was up to at least 120 mg latuda and it didn't work for mania or psychosis for me. I now take 3 antipsychotics (Seroquel xr 800 mg and abilify 35 mg and invega 12 mg). I have schizoaffective bipolar disorder. I can't take antidepressants either. 

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I've tried Risperdal which lead to 30lb weight gain and reactivated my bulimia. It worked well for mania but did nothing for depression. I also tried Abilify but went psychotic shortly after starting it so the pdoc discontinued it. I am terrified of weight gain which is why I haven't tried seroquel

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The new one- Vraylar isn't supposed to be bad for weight and it's a quick titration...also if your really in a pinch and need to to be knocked down short term while other meds can be adjusted you could use a heavy duty typical like haldol or Thorazine 

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