Q: Trileptal-Manic Espisodes-Appetite Control
My bipolar sister was effectively stabilized on Zyprexa (also
taking lamectil) following a recent hospitalization but gained 30 pounds. As
she was 40 lbs. overweight to begin with, she asked to be taken off the
Zyprexa and has now been prescribed Trileptal. She doesn't use a computer and
is pretty isolated. We would really like to know how much relief from manic
episodes she might reasonably expect from Trileptal, also if you're aware of
anything other than Topomax (which she doesn't tolerate well) that might curb
appetite and help with the weight-promoting effect of Zyprexa. If she could
get some pharmacological help, she's go back on Zyprexa. But her appetite was
impossible to control, which it usually isn't, and she got frightened.
Now she's really frightened because she's manic again, and it's worse
than ever. She's 55.
Dear Ms. B'
is probably just what I would do in this circumstance; I'm glad to hear her
doctor thinks likewise. Take a look at some recent evidence on thyroid
Published August, 2001