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Old 03-12-2009, 04:14 PM   #1
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Should I expect this with Bipolar?

I've been diagnosed with Bipolar II for about 3yrs now. I'm on Lithium and Tegretol as mainstays and Zoltoft for lows and Risperdal for highs. I still seem to get lows and small highs regardless of medication. Is this what I should expect? The swings aren't as bad but they still happen. I am pleased to say that all voilent rages and aggression have disappeared since taking medication
Also since I am emerging out of mild high, nipped in the bud, how long does Risperdal take to kick in? I've noticed about 2-3 days. I feel like running for cover now, my behaviour has probably left a colourful impresson on some that I know.
Thanks for your thoughts
Regards, Sam

 
Old 03-12-2009, 04:52 PM   #2
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Re: Should I expect this with Bipolar?

Risperdal takes 2-3 days to be fully absorbed in the bloodstream and acts as a mood stabilizer (by addressing agitation and aggression) as well as an antipsychotic.

From what my tdoc explained, bipolar meds are designed to reduce the severity of symptoms, but not eliminate them completely. This is true for bipolar I and bipolar II.

If you feel that your depression is such that it is negatively interfering with your life, you may want to ask your pdoc if they can increase your Zoloft as well as your Lithium or Tegretol.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN

Last edited by dreams in neon; 03-12-2009 at 04:53 PM.

 
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Old 03-12-2009, 04:54 PM   #3
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Re: Should I expect this with Bipolar?

I took those medications as well, and although they werent right for me and I am on a different combination now, I do understand what it feels like to still experience highs and lows while following your regimen. I was told by my doctor, who has been a psychiatrist for at least 40 years that it can happen, should be expected, even. I believe the quote was that sometimes it will "leak through" the medication. As long s it isnt out of control, I wouldnt worry too much about it, as I experience the same things, but if you feel nervous about it ask your doc to make sure.

 
Old 03-12-2009, 04:56 PM   #4
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Re: Should I expect this with Bipolar?

What razzle is describing is called "bleed through." Bleed through is a term used to describe bipolar symptoms (i.e. mania, depression) that occur despite being on meds.

In my case, I'm on 5 different meds for my bipolar which include 3 mood stabilizers and an anti-depressant yet I still have difficulty with rapid cycling into mania and depression. My pdoc recently added Clonazepam to help control my rapid cycling yet I was still depressed over the weekend. I'm back to feeling level again, but as my pdoc told me, rapid cycling is difficult to treat and therefore I should expect to cycle at least once/day.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN

Last edited by dreams in neon; 03-12-2009 at 05:00 PM.

 
Old 03-12-2009, 04:58 PM   #5
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Re: Should I expect this with Bipolar?

If you don't think your meds are acting to the level that you want then I'd talk to your pdoc about tweaking them some. Most people never accomplish a complete reduction in symptoms even while on meds. The goal is to get the largest part of the symptoms to go away so that we can live some type of relatively stable life.

kat

 
Old 03-12-2009, 05:02 PM   #6
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Re: Should I expect this with Bipolar?

Quote:
Originally Posted by katlin09 View Post
If you don't think your meds are acting to the level that you want then I'd talk to your pdoc about tweaking them some. Most people never accomplish a complete reduction in symptoms even while on meds. The goal is to get the largest part of the symptoms to go away so that we can live some type of relatively stable life.

kat
The way my pdoc likes to describe this is "getting you as close to feeling normal as possible."
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN

 
Old 03-12-2009, 07:17 PM   #7
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Re: Should I expect this with Bipolar?

Thanks guys. You must be still awake over there in the US. I wasn't expecting a reply for a while.
I feel a bit better knowing what to expect. I'm lucky that I tolerate meds fairly well and my levels are good. I see my psychiatrist regularly and I have his mobile contact if need be. I will talk to him and find out if any drugs need tweeking. The bonus is that I am learning how to nip episodes in the bud, but I could nip them earlier before I've endured symptoms for a week or so.
The risperdal I think has kicked in for me now, thankfully. I will be on it for a couple of weeks then stop and let the mood stabilisers take over.
There seems to be some overlap on complex PTSD and bipolar. Does anyone have both, like me? How does that affect you? There seems to be some talk of which one was the chicken and which was the egg. My psychologist thinks the events that caused PTSD also triggered the predisposition to Bipolar. What are your thoughts?
__________________
Bipolar Affective Disorder
Complex PTSD
Ride a Scott Contessa Speedster '09

 
Old 03-12-2009, 07:27 PM   #8
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Re: Should I expect this with Bipolar?

ridersam,

I have PTSD, SH/SI, OCD and BiPolar w/Severe BP suicidal depression. Lots of letters behind my name....could be a specialist. And yes most normal people are in bed, unfortunately I don't go to sleep until around 4 in the morning.

kat

 
Old 03-12-2009, 08:13 PM   #9
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Re: Should I expect this with Bipolar?

I have bipolar and PTSD as well. My bipolar was diagnosed 3 years ago at the age of 35 even though my pdoc and tdoc think I've had it since I was 20. I'm willing to guess though that I may have had it in my teens given my anger, hyperactivity and risk taking behaviors. My PTSD was diagnosed in January although my tdoc thinks I've suffered from it for 20 years given my symptoms and the 4 traumas I experienced from age 7-18. I also struggle with SH and have for as long as I can remember. I don't cut, but I have other behaviors -- one of which involves drawing blood. As for my sleep patterns, I haven't been getting alot of sleep lately. Like Kat, I fall asleep around 4:30 -- and sometimes 5 or 6am.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN

 
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