If someone who has been diagnosed as a rapid-cycling bipolar...

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Question by thorey
Submitted on 9/16/2003
Related FAQ: Bipolar Disorder FAQ v 1.1 (1 of 4)
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If someone who has been diagnosed as a rapid-cycling bipolar is on Epival, should they still be having suicidal thoughts? Is there anything else that could be added (in terms of medication) to stabilize them?

Answer by blue_gurlie
Submitted on 11/2/2003
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I'm a rapid-cycler myself. From what I've read, SSRI'sare used in particular for (potentially) suicidal patients...Of course then you have to have something to counter it. I am on Effexor XR and Topomax and do the trick as long as I make sure to get enough sleep...otherwise I slip into another cycle. Hope this helps. Good luck!

Answer by katie
Submitted on 2/23/2004
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i don't know when you posted, but i'vebeen told the best things for rapid cycling are anti convulsants (like topomax, etc) or anti pshychotics, and that anti depressents and lithium's can make it worse.

Answer by Dave
Submitted on 4/28/2004
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I have just been told I'm a rapid cycler. But I pretty much guessed it anyway. I take a mood stabiliser (Tegretol), Escitalopram (cipralex), anti-anxiety (Buspar) and anti-psychotic (chlorpromazine). The SSRI keeps me up and slightly manic, although I have to agree if I don't get enough sleep the cycles keep on going. The doctor said it depends on the type of cycles you have, if they are depressive then they prefer lithium and if they are manic they prefer anti-convulsants. SSRI'sare only safe with either of these. Hope this helps

Answer by missy1980
Submitted on 10/26/2005
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i'mon lithium ,tegratol ,effexor and trazadone for sleep. And I feel more manic now than I ever have before. Can someone suggest something. I was just diagnosed rapid cycling.

Answer by june
Submitted on 12/8/2005
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I HAVE HAD BI-POLAR FOR 20 YEARS NOTHING WORK, I RAPID CYCLED IN AND OUT OF HOSPITAL, UNTIL I WAS PUT ON TOPOMAX(200)MG,AND EFFEXOR 75MG, BEEN ON IT 2YRS NO HOSPITALIZATIONS.MY LIFE HAS NEVER BEEN BETTER MY IQ WENT UP ON MY TEST. AND I FEEL GREAT. NOT UP NOT DOWN. LIFE HAS NEVER BEEN BETTER. TRY IT. AND TAKE IT AND DONT STOP.

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