Top
40
Doctor insights on: Bipolar Trileptal

Share
1

1
Why do psychiatrists start pts on lamictal & not on trileptal for bipolar? What are the main differences btw the two as they’re both anticonvulsants?

Why do psychiatrists start pts on lamictal & not on trileptal for bipolar? What are the main differences btw the two as they’re both anticonvulsants?

LTB better: Lamotrigene has been studied in bipolar 1, 2 depression and unlike Oxcarbamezapine-Trileptal, it has shown benefit. The drugs work differently, OXC blocks sodium channels and LTG additionally blocks glutamate which is an excitatory brain signal from the frontal cortex to the basal ganglia. This seems to impact mood and rumination. OXC has more use for anxiety and with juvenille bipolar clinicaly ...Read more

Dr. Donald Jacobson
779 Doctors shared insights

Manic Depressive Disorder (Definition)

Though depression is not required for diagnosis most people have both manic and depressive episodes and may have mixed episodes with features of both. Length of episodes vary, but are separated by "normal" periods of emotion and behavior. See my answers to similar ...Read more


2

2
Hostile, bitter, mood swings, rage, deep depression. On Trileptal for bipolar, tried everything else. Wondering about zonegran? Any recommendations for it?

Hostile, bitter, mood swings, rage, deep depression. On Trileptal for bipolar, tried everything else. Wondering about zonegran? Any recommendations for it?

Take a look at: Suzanne Somers's book "I'm too young for this." It's about perimenapause and may be a least part of the cause. It's not appropriate to blame everything on women's hormones but you age suggests this possibility. Peace and good health. ...Read more

3

3
5 hrs sleep= easy to wake but not refreshed. 7+= headaches, oversleeping, coma like. Worse with Trileptal (for bipolar). Blood sugar crashing @ night?

5 hrs sleep= easy to wake but not refreshed. 7+= headaches, oversleeping, coma like. Worse with Trileptal (for bipolar). Blood sugar crashing @ night?

Blood sugar: Possible. One quick way to tell - don't eat any refined carbs (bread, regular potatoes, etc.) for dinner. At bedtime, have a snack of some celery and peanut butter. The peanut butter "burns slowly" in your body. If you feel better in the A.M. - that was it! You should also have a fasting Insulin checked in the A.M. To see if you are "hyperinsulinemic." that could mimic what you describe. ...Read more

4

4
Is Effexor (venlafaxine) and Trileptal a good combination to treat bipolar disorder?

Is Effexor (venlafaxine) and Trileptal a good combination to treat bipolar disorder?

It can be.: Trileptal can function well as a mood stabilizer for many individuals with bipolar disorder. If the mood stabilizer alone does not control the condition and residual depression remains some doctors will add in an antidepressant such as effexor (venlafaxine). The real answer is in the experience. If your moods are stable and your side effects minimal, then the answer is yes! ...Read more

5

5
Is trileptal the most benign mood stabilizer for bipolar in that it causes the least side effects? What are some of the side effects of trileptal?

Is trileptal the most benign mood stabilizer for bipolar in that it causes the least side effects? What are some of the side effects of trileptal?

Dizziness: Most common side effect is dizziness for oxcarbamezpine the generic name for Trileptal.
Medication prescribed is up to the doctor. Least side effects may not be the most effacacious. Doctors experience, training and speciality will be most useful in picking a medication to help you. ...Read more

6

6
Used 2 take 4 300mg Trileptal daily 4 bipolar. Take 3 daily now. Bcuz of moodswings, insomnia, hostility need original dose but pdoc won't do ANYthing.??

Used 2 take 4 300mg Trileptal daily 4 bipolar. Take 3 daily now. Bcuz of moodswings, insomnia, hostility need original dose but pdoc won't do ANYthing.??

Maybe a reason: If there were side effects to the higher dose of trileptal, there would be a good reason to reduce the dose. Perhaps the plan is to make a change in your treatment. Your provider does not want to give you a hard time- it may be they are protecting you from some problems you had with the medicine. They may be able to explain this to you and it is alright to ask. ...Read more

7

7
Last PM my Dr. Upped my Trileptal from 300mg to 450mg and now I am extremely nauseated. Also Is it a good med for bipolar along with Abilify (aripiprazole) 30mg?

Last PM my Dr. Upped my Trileptal from 300mg to 450mg and now I am extremely nauseated. Also Is it a good med for bipolar along with Abilify (aripiprazole) 30mg?

Trileptal: Nausea & other GI side-effects not uncommon & most times they subside with time. Trileptal at optimum dose is decent Anticonvulsant which can work as anxiolytic & mood stabilizing agent. ...Read more

8

8
What is the mechanism of action for Trileptal? How does an anticonvulsant help stabilize mood in someone with bipolar I disorder?

What is the mechanism of action for Trileptal? How does an anticonvulsant help stabilize mood in someone with bipolar I disorder?

Sodium channels: All of the anticonvulsants routinely used to treat bipolar disorder are blockers of voltage-gated sodium channels, affecting the brain's glutamate system. But the exact mechanism is not fully known yet. ...Read more

9

9
Am bipolar 1 and having mixed episode, just put on Abilify (aripiprazole) 30 mg and Trileptal 450 mg AM and PM, what is therapeutic dosage for trileptal?

Am bipolar 1 and having mixed episode, just put on Abilify (aripiprazole) 30 mg and Trileptal 450 mg AM and PM, what is therapeutic dosage for trileptal?

No defined dose.: Trileptal does not have a specific dosage for bipolar disorder. Trileptal can be used "off-label, " which means it is not approved by the FDA for bipolar disorder, but some physicians believe that it helps. ...Read more

10

10
I went to my doctor and told her how I have a lot of anxiety. She prescribed me trileptal. Sources say it's for bipolar. Will it also help anxiety?

Trileptal: Anxiety can certainly come with bipolar disorder, especially if you're on zoloft (sertraline) without a mood stabilizing medication. Trileptal can help stabilize your mood, and thus help with anxiety too. Hoping you're working with a psychiatrist on this, as it sounds like your situation may be more complex than most primary care physicians like to manage on their own. Best wishes. ...Read more

11

11
Is Trileptal anywhere as effective as lamictal for bipolar type 1? Any side effects like weight gain or the sjs?

Is Trileptal anywhere as effective as lamictal for bipolar type 1? Any side effects like weight gain or the sjs?

Hyponatremia risk: Trileptal is basically Tegretol with a hydroxyl side group that prevents conversion to "Tegretol 10-11 epoxide)". Lamictal is supposedly slightly better for preventing manic episodes. The problem with Lamictal is you have to titrate it slowly to minimize the risk of Stevens Johnson Syndrome. You can get to a therapeutic level of Trileptal in days rather than months for Lamictal (Less SJS risk) ...Read more

12

12
Can Trileptal cause, or aggravate, tics or muscle twitches? What should I look out for. I'm taking 75mg, at the moment, for Bipolar 1 Disorder.

Can Trileptal cause, or aggravate, tics or muscle twitches? What should I look out for. I'm taking 75mg, at the moment, for Bipolar 1 Disorder.

?: It may cause tremors as a side effect, you are on a low dose though, at any rate, not all listed side effects should be be experienced. Keep a diary of your symptoms for next appointment with your doctor and discuss with him/her, as you are on other medications too, which don't seem to interact, good luck ...Read more

13

13
Is it alright to get pregnant while on trileptol? I am taking trileptol for my manic bipolar and have already recognized I can't come off it without going back into my episodes. So my question is since I want to have children is if I can keep taking my me

Is it alright to get pregnant while on trileptol? I am taking trileptol for my manic bipolar and have already recognized I can't come off it without going back into my episodes. So my question is since I want to have children is if I can keep taking my me

Trileptal: Trileptal is a pregnancy category c medication which means that there hasn't been enough research to know for certain what the risks are of being on this medication while pregnant. Caution is advised, but if the benefits outweight the risks, then the medication is not contraindicated. Because of this, it is important to discuss your desire to become pregnant while on this medication with your psychiatrist and ob/gyne. ...Read more

14

14
I think I got Bipolar?

I think I got Bipolar?

See below: If you think you have any of the symptoms of a bipolar disorder, it would be good to be to get yourself evaluated by a mental health professional. ...Read more

15

15
How would I know if I'm bipolar?

Mania and depression: Mania is the most distinctive feature of bipolar. Most people also have depressive episodes. Mania is characterized by impulsivity and decreased need for sleep and often increased irritability. Depression leads to decreased interest, motivation, and energy along with feelings of worthlessness, hopelessness, and that life is not worth living or suicide. It is important to get treatment. ...Read more

16

16
How to determine if I'm bipolar?

See a psychiatrist: Mania is the most characteristic feature of bipolar disorder, but most people also have depressive episodes. Mania leads to impulsivity and decreased need for sleep sometimes accompanied by increased irritability. Depression leads to decreased interest, motivation and energy associated with feelings of worthlessness, hopelessness. And thoughts of death or suicide. ...Read more

17

17
How could I tell if I'm bipolar?

Talk to a doctor: Discuss your concerns with a physician. Bipolar disorder is characterized by extreme and persistent alterations in mood. The mood disorder questioner is in public domain and the results are a good conversation started between patient and doctor. ...Read more

18

18
What are the symptoms of bipolar?

What are the symptoms of bipolar?

Mania: A person may fulfill the diagnostic criteria for bipolar d/o and have never been depressed. That is why the term: manic-depression is confusing. It may be common for those with bipolar d/o to have up and down mood swings, but the depressive part is not what defines the bipolar d/o. Rather, it is what is known as the manic state and can also be what is known as a mixed state. ...Read more

19

19
What are typical signs of bipolar?

What are typical signs of bipolar?

Bipolar: Bipolar I and bipolar II, In the first, manic phases are more severe, and in the second, depressive phases are more severe. There is also cyclothymia which is a low grade version of bipolar disorder in general, where mood swings are not as severe in either direction, manic or depressive. ...Read more

20

20
How to tell if someone is bipolar?

How to tell if someone is bipolar?

Mania: A person may fulfill the diagnostic criteria for bipolar d/o and have never been depressed. That is why the term: manic-depression is confusing. It may be common for those with bipolar d/o to have up and down mood swings, but the depressive part is not what defines the bipolar d/o. Rather, it is what is known as the manic state and can also be what is known as a mixed state. ...Read more

21

21
How to know if I'm really bipolar?

A good psychiatrist: Bipolar disorder is diagnosed by a careful review of current and past moods, patterns of thought and behavior. Psychiatrists and clinical psychologists are well trained in its diagnosis. Effective treatment requires both medication and psychotherapy. ...Read more

22

22
What are the symptoms for bipolar?

What are the symptoms for bipolar?

Mania and depression: The symptoms are either an unusually energized mood (mania) associated with impulsive decision making, rapid thoughts, reduced need for sleep, hyperactivity... Or a lethargic mood (depression) associated with pessimism, low energy, obessional worries and an inability to make decisions, suicidal thoughts, hopelessness, etcetera. ...Read more

23

23
How do you kjow if you are bipolar?

See more answers: This question has been answered already. If you type in "bipolar" in your "ask a doctor" box, then scroll down to "see more results", a list of over 113 questions/answers on bipolar disorder will show up. These are great answers written by multiple docs. Hope this helps! Generally bipolar is a mood disorder fluctuating over periods of time between elation and sadness. ...Read more

24

24
How do I no if someone has bipolar?

How do I no if someone has bipolar?

Professional eval: It takes a professional evaluation to make a diagnosis of bipolar disorder. However, a classic case includes episodes of both mania (a 'hyper' state of excess energy, racing thoughts, & poor judgment) and depression, both lasting at least a few weeks at a time. There are other conditions that look very much like bipolar disorder, so it can be hard to tell. ...Read more

25

25
What are the symptoms of bipolar 2?

Hypomania: I agree with dr stuart. One thing I would add is bipolar 2 is characterized by hypomania as opposed to mania in bipolar 1. The depression may be just as severe. The difference between mania and hypomania is the degree of grandiosity and risk taking. By definition, mania includes psychosis (hallucinations, delusions) and/or hospitalization and/or legal problems. 1 lifetime manic episode = bipolar 1. ...Read more

26

26
How would you know if you'r bipolar?

See a psychiatrist: You should not try to diagnose your own psychiatric problems, please see a professional. The fact that you are worried is plenty of cause for you to seek medical attention. Good luck. ...Read more

27

27
How would I know if I'm truly bipolar?

How would I know if I'm truly bipolar?

Bipolar: Moods swing to extremes, between episodes of depression lasting around few weeks & phases of mania lasting few weeks each. Milder forms are called bipolar type 2 or cyclothymia, more severe forms are accompanied with psychotic symptoms such as hearing voices or seeing things that are not there. Your mental health counselor can assess & give more definite diagnosis. ...Read more

28

28
What causes someone to become bipolar?

What causes someone to become bipolar?

Bipolar: It is a chemical imbalance in the brain and sometimes it is hereditary. ...Read more

29

29
What are the symptoms of being bipolar?

Intense up and down: Bipolar disorder is characterized by episodes of abnormal fluctuations in one's biological rhythms resulting in manic highs characterized by decreased need for sleep, creativity and irritability or euphoric mood, followed by episodes of depression and apathy. Both states can be associated with increases in suicidality and psychosis and episodes can last anywhere from weeks to months. ...Read more

30

30
How could I tell if someone is bipolar?

Need an evaluation: Bipolar affective disorder is characterized by extreme changes in mood, either depressed or manic, which persist over time and cause impairment in living day to day life. ...Read more

31

31
What is bipolar and what are the symptoms?

What is bipolar and what are the symptoms?

Ups and downs: Bipolar disorder means you have mood dysregulation. Atleast once in your life you will experience a manic episode which is atleast one week of symptoms which include but are not limited to:rapid speech, impulsive behavior, flight of ideas, no sleep without feeling tired, in addition, you may have symptoms of major depression which includes depressed mood, lack of energy, hopelessness. ...Read more

32

32
I feel like I'm bipolar, what should I do?

Seek a comprehensive: Evaluation from a psychiatrist or a clinical psychologist. A treatment plan will be developed based on diagnosis/ assessment. ...Read more

33

33
What triggers an episode in a bipolar person?

There are many: Potential triggers for bipolar disorder. Prescription medications are one (antidepressants, stimulants, steroids, decongestants, asthma inhalers ; antabuse) as well as caffeine ; illicit drugs. Lack of sleep, menses, head injury, ms ; infectious diseases are other causes. Psychosocial stressors may include death of loved one, divorce, loss of work, trauma ; financial problems. ...Read more

34

34
Am I bipolar or going through something else?

You will: Need to see your dr for further evaluation and testing. If you are then there are medications to help you. ...Read more

35

35
Please describe the symptoms of being bipolar?

Symptoms: When a person is manic or hypomanic they may exhibit aggression, agitation, lack of judgment ; impulse control, distractability, rapid thoughts ; speech, ^ libido, v sleep, spending sprees, high risk behaviors, elation, ^ physical activity ; even psychosis.
When depressed one may experience low mood, v energy level, v concentration, amotivation, ^ or v sleeping, change in appetite, poor self >>. ...Read more

36

36
Please tell me what are signs of being bipolar?

A mood disorder: The person has periods of severe depression and periods of mania (extreme, abnormal energy or agitation/irritability-- for example, needing little sleep, racing thoughts, talking so fast that others can't follow). There may be only manic episodes (without depression). More info here: http://www. Mayoclinic. Org/diseases-conditions/bipolar-disorder/basics/definition/con-20027544. ...Read more

37

37
What would you do to decide if you have bipolar?

What would you do to decide if you have bipolar?

Bipolar: Manic depression is a mood disorder that presents with extreme highs & lows, with at least few weeks of manic phases (abnormally elevated mood & energy level) alternating with few or more weeks of depressed phases (sad, guilty, hopeless/helpless, changes in sleep/appetite/energy level). Any phase can be severe enough to experience delusions or hallucinations. ...Read more

38

38
Hi I was wondering what the symptoms of bipolar are?

Cyclic mood: I agee this is a long answer but look at bipolar as having either just mania, hypomania and depression or a mixture of irritability, depressed mood, poor response to antidepressants, short episodes of depression. However, to be really diagnosed, see your psychiatrist. ...Read more

39

39
What are the signs of bein bipolar or borderline bipolar?

What are the signs of bein bipolar or borderline bipolar?

Bipolar: Manic depression is a mood disorder that presents with extreme highs & lows, with at least few weeks of manic phases (abnormally elevated mood & energy level) alternating with few or more weeks of depressed phases (sad, guilty, hopeless/helpless, changes in sleep/appetite/energy level). Any phase can be severe enough to experience delusions or hallucinations. ...Read more

40

40
I was just wondering how are bipolar disorders classified?

Bipolar I and II: There are 2 types of bipolar disorder. Type I includes at least one manic episode and severe depression. Bipolar ii is typified by rapid fluctuations of moods. ...Read more

Dr. Alan Ali
1,770 Doctors shared insights

Bipolar Disorder (Definition)

Also known as manic-depressive illness, bipolar disorder is a brain disorder that in its most severe form causes dramatic shifts in mood, ...Read more