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Doctor insights on: Keppra Suicide

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Lexapro, celexa, keppra (levetiracetam) xr, Depakote ER for racing thoughts, which is best?

Lexapro, celexa, keppra (levetiracetam) xr, Depakote ER for racing thoughts, which is best?

Racing thoughts: If the racing thoughts are from bipolar disorder, Depakote is probably the best. Keppra (levetiracetam) has been studied in bipolar depression, but the results have not been so good. http://www.ncbi.nlm.nih.gov/pubmed/21034692 Lexapro and Celexa are both antidepressants which could worsen bipolar disorder if given by themselves without a mood stabilizer like depakote. ...Read more

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Dr. Byron Law-Yone
696 doctors shared insights
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Can luvox (fluvoxamine) stop suicide thoughts?

Can luvox (fluvoxamine) stop suicide thoughts?

Yes it can: Luvox (fluvoxamine) is a typical ssri antidepressant and like any antidepressant , it treats all symptoms related to depression including negative , suicidal thoughts ...Read more

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Bipolar(controlled -lamictal, carbamazepine), anxiety-semi-under control (lorazepam, temazepam, cymbalta) and ADD problematic- considering Vyvanse (lisdexamfetamine) ?

Bipolar(controlled -lamictal, carbamazepine), anxiety-semi-under control (lorazepam, temazepam, cymbalta)  and ADD problematic- considering Vyvanse (lisdexamfetamine) ?

So much medication: It might be necessary to take some drugs but I question the risks already and adding the new one is especially bad w/ cymbalta (duloxetine). It can cause severe anxiety! Also serotonin syndrome. Almost all of your meds combine to cause a host of symptoms like dizziness, confusion and general impairment. Please consider a good psych eval and adding good psychotherapy to lower need for Rx and help them work! ...Read more

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Will phenytoin (dilantin) 100 mg control grand mal seizures?

Will phenytoin (dilantin) 100 mg control grand mal seizures?

It is possible: It is possible 100 mg dilantin could control grand mal seizures. For an adult, this dose is rather small, a more typical dose is 200 or 300 mg each day. However, the best dose is the lowest dose that prevents seizures. ...Read more

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TOPAMaX (topiramate) 25 Q.O.D. RE-TRIGGER EPISODE SEVERE CLINICAL DEPRESSION IN COMBO W/ PAXIL60,CYMBALTA60, DEPAKOTE 1000, PTSD, &OTHERSTRESS&PCOS% PAINFL OVULTN?

Meds : With severe depression you must see a Psychologist. Along with that you must check with your primary doctor if you really are using the meds you listed. Please let me know how things are going. ...Read more

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Anyone get pregnant on lamotrigine or levetiracetam (keppra) anticonvulsants?

Anyone get pregnant on lamotrigine or levetiracetam (keppra) anticonvulsants?

Yes: Antiseizure meds are not a problems to get pregnant. Nevertheless some anti seizure meds cause severe fetal anomalies. It is very important that you try to have your seizures under control and with only 1 medication. Make sure your neurologists is involved. ...Read more

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Daughter has major depress., suicide thoughts.Had ED @16, age now 19.On 225 mgs Effexor ER for long time, not working anymore. Add Abilify (aripiprazole) or Remeron?

Daughter has major depress., suicide thoughts.Had ED @16, age now 19.On 225 mgs Effexor ER for long time, not working anymore. Add Abilify (aripiprazole) or Remeron?

Talk with MD: It sounds like ur involved ur dtrs care; w/ her consent, you cld schedule a meeting with her & her doc or encourage her to c her doc ASAP. Doc needs to be made aware of ongoing sxs, particularly suicidal thoughts, so that the most effective tx can be selected. A back up plan for active suicidal plan/intent should be discussed. The best med is the 1 that works best 4 ur dtr. Work closely w her md. ...Read more

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Can tegretol or klonopin (clonazepam) cause suicidal ideation /just strange thoughts even at low doses?

Can tegretol or klonopin (clonazepam) cause suicidal ideation /just strange thoughts even at low doses?

Klonopin (clonazepam): especially can cause changes in mentation (it is a sedative). Tegretol, a non-habit-forming anti-epileptic is less likely to do this, but it does change brain function. There is not a lot of difference between tegretol doses that are effective and those that cause side effects (sluggish thinking, and many other side effects). ...Read more

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Taking 225mg Effexor&Clonazepam 4 Major Dep Dis&anxiety¶noid thoughts. Had Olanzapine&Respiridone before but is Abilify (aripiprazole) ok2take with Effexor?

Taking 225mg Effexor&Clonazepam 4 Major Dep Dis&anxiety&paranoid thoughts. Had Olanzapine&Respiridone before but is Abilify (aripiprazole) ok2take with Effexor?

Abilify (aripiprazole): It appears that you are also experiencing paranoid thoughts, and have been treated for depression. At the same time, if your doctor prescribes the Abilify (aripiprazole), (aripiprazole) with or without the Clonazepam, there is no contraindication. The Abilify (aripiprazole) might also augment the Effexor as an antidepressant, which is another advantage for this recommendation. ...Read more

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23f, bipolar ii, added lithium 1200mg to lamictal 300mg last year. Miserable, apathetic, depressed, considerable weight gain. Is topamax (topiramate) an option?

23f, bipolar ii, added lithium 1200mg to lamictal 300mg last year. Miserable, apathetic, depressed, considerable weight gain. Is topamax (topiramate) an option?

Bipolar: You describe a very troubling situation. You are not doing well. You may want to ask your doctor if you should have a second opinion concerning your treatment or to change the treatment in order to get better. ...Read more

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Suicidal thoughts to overdose on my 100mg Zoloft (sertraline)?

Suicidal thoughts to overdose on my 100mg Zoloft (sertraline)?

See psychiatrist now: Please call your psychiatrist or psychologist right away or go to emergency room or urgent care right now before you take any steps on your thoughts. ...Read more

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Bipolar 2 disorder. Extreme anxiety bad sleep cycles. On wellbutrin, topamax, abilify, (aripiprazole) clozazepam , temazepam , zopliclone ? What now?

Bipolar 2 disorder. Extreme anxiety bad sleep cycles. On wellbutrin, topamax, abilify, (aripiprazole) clozazepam , temazepam , zopliclone ? What now?

Options: There are other options for your bipolar 2 condition. Wellbutrin won't help anxiety, and may stimulate it in some. Topomax is not a particularly robust mood stabilizer, but does work for some (apparently not you?). Seroquel may help this, anxiety, and your sleep issues. Latuda (lurasidone) is another option. Hoping you're working with a psychiatrist as you try these various medications -- psychotherapy too! ...Read more

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Worried about wellbutrin (bupropion) overdose?

Worried about wellbutrin (bupropion) overdose?

Talk to Doctor: Wellbutrin, (bupropion) like any other medication, can be overdosed. You need to counsel with the prescribing physician. He/she will give the information you need to understand your dosage. ...Read more

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Been seeing docs since childhood. ADHd, bipolar, anxiety. On lamictal, lithium, klonopin, vyvanse, opana and symbyax (fluoxetine and olanzapine). Chief complaint anhedonia.advice?

Been seeing docs since childhood. ADHd, bipolar, anxiety. On lamictal, lithium, klonopin, vyvanse, opana and symbyax (fluoxetine and olanzapine). Chief complaint anhedonia.advice?

Drug interactions: Your symptoms are possibly related to the number and types of medications that you are taking. Please consult your psychiatrist or personal physician for a complete medication review. ...Read more

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