Q: Can topamax alone keep my mood stable?
Well, I have read & read & read some more & I still have
question. I always thought I had a major depression problem (it came and
went). Then recently (well, 1999) my husband died & the grief
into the worst depression yet. I sought therapy when I self-diagnosed
myself. My pdoc now tells me I am bipolar, Type II. He had me on Wellbutrin,
Serzone and Topamax and Zyprexa. (All at the same time.) They kept me from
killing myself but I was in mostly zombie land...
Now, I am on Topamax alone; and it seems to be working. I am no longer
clinically depressed, but I still lack any zest for life, am lazy beyond
belief; this is like living in a "blah snydrome world". I can
this, but I am not happy with it. My FEAR is, can Topamax alone keep me
sorta on an even keel (albeit this keel is a rather dull one)?
Dear Ms. C.C. --
The answer is "maybe yes", as we don't have a lot of long term
experience with Topomax yet. Ask your doctor how much risk he thinks you'd
take to try monotherapy (as you are now, just a single medication) with some
other mood stabilizer, and whether in his opinion that one might also be able to
keep you "on an even keel" -- which is a very apt way of thinking
about what the medication is supposed to do. The point is, if you really
have bipolar II, there may be several different mood stabilizers that could work
for you, and there is definitely a possibility that you could have even-keel
without dulls-ville; however, there is some risk of losing the stability you now
have while you're trying other options. So it's tricky, but hopeful.
Published May, 2001