Psycho-Babble Medication Thread 68764

Shown: posts 1 to 4 of 4. This is the beginning of the thread.

Has carbamazepine gone out of fashion?

Posted by SalArmy4me on July 2, 2001, at 21:12:28

It used to be standard for refractory bipolar, but now I believe it has been replaced by gabapentin, lamotrigine, and topiramate.

Re: Has carbamazepine gone out of fashion?

Posted by Elizabeth on July 3, 2001, at 16:13:22

In reply to Has carbamazepine gone out of fashion?, posted by SalArmy4me on July 2, 2001, at 21:12:28

> It used to be standard for refractory bipolar, but now I believe it has been replaced by gabapentin, lamotrigine, and topiramate.

Largely, yes. It still is a good choice for treatment-resistant bipolar disorder (particularly with mixed states or rapid cycling) and, in some cases, depression.

-elizabeth

Re: Has carbamazepine gone out of fashion?

Posted by fiona on March 28, 2002, at 7:57:24

In reply to Re: Has carbamazepine gone out of fashion?, posted by Elizabeth on July 3, 2001, at 16:13:22

i have only recently been diagnosed with cyclothymia and have been prescribed carbamazepine 400mg. do you think something else would be more effective, if this seems to be out of fashion?

Re: Has carbamazepine gone out of fashion? » fiona

Posted by Ritch on March 28, 2002, at 9:37:55

In reply to Re: Has carbamazepine gone out of fashion?, posted by fiona on March 28, 2002, at 7:57:24

> i have only recently been diagnosed with cyclothymia and have been prescribed carbamazepine 400mg. do you think something else would be more effective, if this seems to be out of fashion?

Depakote *might* be more effective, or even Neurontin. Carbamazepine (Tegretol) was used with generally good results for rapid-cyclers before Depakote, so it might work for you better than the newer, meds. Everybody responds a little differently. I tried Tegretol once during bp depression and it didn't seem to help much, so I stopped it. If it would have been at a time of year where hypomania tends to dominate I might have responded well to it.

good luck,
Mitch

This is the end of the thread.

Show another thread

Psycho-Babble Medication | Extras | FAQ

Dr. Bob is Robert Hsiung, MD, bob@dr-bob.org

Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.