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	<title>Comments on: Managing Bipolar Medication Side Effects</title>
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		<title>By: Marylou Ewen</title>
		<link>http://www.finkshrink.com/blog/medications/managing-bipolar-medication-side-effects.html/comment-page-1#comment-1468</link>
		<dc:creator>Marylou Ewen</dc:creator>
		<pubDate>Thu, 13 Nov 2008 12:21:46 +0000</pubDate>
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		<description>I was on lithium for 37 years and was stable. taught school effectively for 30 years. However, it turns out that the lithium ate up my kidneys, so I had to change meds. Depakote and aabailify have caused severe gastro problems.  I wonder which meds do not cause gastro problems.
My shrink is getting upset with me. I have a high tolerance for pain, but simply cannot take either depakote or abilify.Marylou EWen</description>
		<content:encoded><![CDATA[<p>I was on lithium for 37 years and was stable. taught school effectively for 30 years. However, it turns out that the lithium ate up my kidneys, so I had to change meds. Depakote and aabailify have caused severe gastro problems.  I wonder which meds do not cause gastro problems.<br />
My shrink is getting upset with me. I have a high tolerance for pain, but simply cannot take either depakote or abilify.Marylou EWen</p>
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		<title>By: Dr. Fink</title>
		<link>http://www.finkshrink.com/blog/medications/managing-bipolar-medication-side-effects.html/comment-page-1#comment-1432</link>
		<dc:creator>Dr. Fink</dc:creator>
		<pubDate>Tue, 21 Oct 2008 17:31:55 +0000</pubDate>
		<guid isPermaLink="false">http://finkshrink.com/blog/?p=27#comment-1432</guid>
		<description>dustin  -

You are absolutely right to contact your psychiatrist to discuss the panix attacks - those can be treated.
Are you seeing the psychiatrist for therapy too or do you have someone else that you see for therapy?  If not, i would encourage you to seek out a counselor or therapist who can help you manage the panic attacks - there are some specific techniques that can be used in therapy - cognitive behavioral therapy in particular - to help reduce panic attacks. 

You may want to think about talking to your boss or human resources department.  Panic is a medical illness -and they cannot fire you for having the disorder.  But if you don&#039;t tell them you don&#039;t have those rights.</description>
		<content:encoded><![CDATA[<p>dustin  -</p>
<p>You are absolutely right to contact your psychiatrist to discuss the panix attacks &#8211; those can be treated.<br />
Are you seeing the psychiatrist for therapy too or do you have someone else that you see for therapy?  If not, i would encourage you to seek out a counselor or therapist who can help you manage the panic attacks &#8211; there are some specific techniques that can be used in therapy &#8211; cognitive behavioral therapy in particular &#8211; to help reduce panic attacks. </p>
<p>You may want to think about talking to your boss or human resources department.  Panic is a medical illness -and they cannot fire you for having the disorder.  But if you don&#8217;t tell them you don&#8217;t have those rights.</p>
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		<title>By: dustin</title>
		<link>http://www.finkshrink.com/blog/medications/managing-bipolar-medication-side-effects.html/comment-page-1#comment-1417</link>
		<dc:creator>dustin</dc:creator>
		<pubDate>Tue, 14 Oct 2008 02:54:52 +0000</pubDate>
		<guid isPermaLink="false">http://finkshrink.com/blog/?p=27#comment-1417</guid>
		<description>i take limotrigine, lithium, buspar for my mental state n trazadone for insomnia.... i get horrinble panic attacks to where i breathe heavy n fast, my mind goes all over n i shake and sweat. its effecting my job, they even sent me home today. one more time n i get terminated. what should i do
? call my psychiatrist?</description>
		<content:encoded><![CDATA[<p>i take limotrigine, lithium, buspar for my mental state n trazadone for insomnia&#8230;. i get horrinble panic attacks to where i breathe heavy n fast, my mind goes all over n i shake and sweat. its effecting my job, they even sent me home today. one more time n i get terminated. what should i do<br />
? call my psychiatrist?</p>
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		<title>By: Joe</title>
		<link>http://www.finkshrink.com/blog/medications/managing-bipolar-medication-side-effects.html/comment-page-1#comment-1357</link>
		<dc:creator>Joe</dc:creator>
		<pubDate>Sat, 13 Sep 2008 12:52:00 +0000</pubDate>
		<guid isPermaLink="false">http://finkshrink.com/blog/?p=27#comment-1357</guid>
		<description>Hi, Jon-

Feeling aggressive and angry on Depakote seems a little out of the ordinary to me... does your doctor think it&#039;s working? As Dr. Fink says in her post &quot;&lt;a href=&quot;http://finkshrink.com/blog/medications/can-my-bipolar-medications-be-increasing-my-anxiety.html&quot; rel=&quot;nofollow&quot;&gt;Can My Bipolar Medication Be Increasing My Anxiety?&lt;/a&gt;&quot; it&#039;s not likely that Depakote or Lithium will cause anxiety. The &quot;melancholy feeling of depression&quot; you describe would be a more common side effect.

At 750 mg a day, you&#039;re still on the low end of the range for Depakote.

We&#039;re doing a biweekly series on medications used to treat bipolar mania, depression, and other conditions on &lt;a href=&quot;http://blogs.psychcentral.com/bipolar&quot; rel=&quot;nofollow&quot;&gt;Bipolar Beat&lt;/a&gt;. We started with lithium and Depakote and are currently working through common anti-seizure medications used to treat bipolar mania and reduce mood cycling.

In &lt;em&gt;Bipolar Disorder For Dummies&lt;/em&gt; we cover the anti-anxiety medications. We&#039;ll be addressing those in our biweekly series (called Bipolar Medication Spotlight), but probably not until later in the year. 

Once we&#039;ve covered several meds and I have some time, I&#039;ll be posting our Bipolar Medication Spotlight entries here as a quick reference to bipolar meds.</description>
		<content:encoded><![CDATA[<p>Hi, Jon-</p>
<p>Feeling aggressive and angry on Depakote seems a little out of the ordinary to me&#8230; does your doctor think it&#8217;s working? As Dr. Fink says in her post &#8220;<a href="http://finkshrink.com/blog/medications/can-my-bipolar-medications-be-increasing-my-anxiety.html" rel="nofollow">Can My Bipolar Medication Be Increasing My Anxiety?</a>&#8221; it&#8217;s not likely that Depakote or Lithium will cause anxiety. The &#8220;melancholy feeling of depression&#8221; you describe would be a more common side effect.</p>
<p>At 750 mg a day, you&#8217;re still on the low end of the range for Depakote.</p>
<p>We&#8217;re doing a biweekly series on medications used to treat bipolar mania, depression, and other conditions on <a href="http://blogs.psychcentral.com/bipolar" rel="nofollow">Bipolar Beat</a>. We started with lithium and Depakote and are currently working through common anti-seizure medications used to treat bipolar mania and reduce mood cycling.</p>
<p>In <em>Bipolar Disorder For Dummies</em> we cover the anti-anxiety medications. We&#8217;ll be addressing those in our biweekly series (called Bipolar Medication Spotlight), but probably not until later in the year. </p>
<p>Once we&#8217;ve covered several meds and I have some time, I&#8217;ll be posting our Bipolar Medication Spotlight entries here as a quick reference to bipolar meds.</p>
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		<title>By: Jon</title>
		<link>http://www.finkshrink.com/blog/medications/managing-bipolar-medication-side-effects.html/comment-page-1#comment-1350</link>
		<dc:creator>Jon</dc:creator>
		<pubDate>Thu, 11 Sep 2008 14:29:55 +0000</pubDate>
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		<description>I have started Depakote 2 months ago and it&#039;s done more bad than good. I get aggressie and angry on it so I don&#039;t know how well it&#039;s helping my mania. I also get alot of anxiety from it. I am only on 750 mg a day and the anxiety is terrible. Also a melancholy feeling of depression (hopeless feeling) developed with after beginning it. My Psyc says it will take longer to work but I know 2 months I can feel its full effect and it isnèt good. What do you reccomend. I cant take lithium because of serious side effects. Someone shed some light on my situation. There has to be something out there to make me feel good again. this is ridiculous. tks</description>
		<content:encoded><![CDATA[<p>I have started Depakote 2 months ago and it&#8217;s done more bad than good. I get aggressie and angry on it so I don&#8217;t know how well it&#8217;s helping my mania. I also get alot of anxiety from it. I am only on 750 mg a day and the anxiety is terrible. Also a melancholy feeling of depression (hopeless feeling) developed with after beginning it. My Psyc says it will take longer to work but I know 2 months I can feel its full effect and it isnèt good. What do you reccomend. I cant take lithium because of serious side effects. Someone shed some light on my situation. There has to be something out there to make me feel good again. this is ridiculous. tks</p>
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