Does Trileptal Cause Weight Gain
[Home] [Bipolar News] [Bipolar Disorder] [Medications] [Treatments] [Bipolar Disorder/Job/School] [Disabilities] [Ask the Doctor] [Ask David] [Self-Injury] [Personal Stories] [Graham's Column] [Steven's Column] [Storm's Column] [Columnist Archives] [Suicide] [Community Support] [Family Members] [Expressions] [Greeting Cards] [Books] [Awards] [Links & Rings] [About Us] [Contact Us]

 


Q:  Does Trileptal Cause Weight Gain


Dr. Phelps,

I am on Topamax 150mg, Seroquel 200 mg and Synthroid 25 mcg.  I was previously on Depakote with good results but switched to Topamax due to weight gain.  Since starting on the Topamax, I have had control of my weight but less control over my moods.  I have had three mixed episodes in six months.  Are there any better mood stabilizers or combinations of medications for episode control that don't cause weight gain?  What about Trileptal, does it cause weight gain?  Thanks in advance.

Dear Elizabeth -- 
I haven't seen any weight gain so far with
Trileptal.  I think it's going to be like it's older brother Tegretol, where "weight gain" is on the list of potential side effects, but I have hardly ever seen that clearly caused by the medication (obviously people gain weight all the time even without these medications).  I like this medication a lot, and I think it will replace Depakote pretty soon except for the guru's in academic medicine who will say there's not enough data to support it's use; anybody who's treating a lot of patients has figured out it's extremely well tolerated and works for sure, pretty much in the same range as Depakote's frequency of effectiveness. 

Then there's some interesting stuff about a thyroid approach you're not on to check out.  I would be concerned about the possibility that Topomax is accelerating or exacerbating your cycling, from the sound of it; it can do that, for sure.  There are quite a few other alternatives to consider as you go along, including low dose lithium (although that has some potential for weight gain, it's much less than Depakote and may be less at lower doses such as could be combined with other mood stabilizers). 

Dr. Phelps


Published December, 2001
 

 

Bipolar World   1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014
Owners: 
Allie Bloom, David Schafer, M.Ed. (Blackdog)
Partners:  John Haeckel, Judith (Duff) 
Founder:  Colleen Sullivan
 

Email Us at Bipolar World

 

About Us  Add a Link  Advance Directives  Alternative Treatments  Ask the Doctor   Ask Dr. Plyler about Bipolar Disorder   Ask The Doctor/ Topic Archives  Awards  Benny the Bipolar Puppy  Bipolar Chat  Bipolar Children  Bipolar Disorder News  Bipolar Help Contract  Bipolar World Forums  Book Reviews  Bookstore  BP & Other mental Illness   Clinical Research Trials & FDA Drug Approval   Community Support   Contact Us  The Continuum of Mania and Depression   Coping   Criteria    Criteria and Diagnosis  Criteria-World Health Disabilities,  DSMV-IV   Dual Diagnosis  eGroups  Expressions (Poetry, Inspiration, Humor, Art Gallery, Memorials  Family Members   Getting Help for a Loved One who Refuses Treatment  Greeting Cards  History of Mental Illness  Indigo  Job and School  Links  Manage Your Medications  Medications   Medication and Weight Gain    News of the Day  Parent Chat  Pay for Meds  Personal Stories  Self Help  Self Injury  Significant Others  Stigma and Mental Health Law  Storm's Column  Suicide!!!  The Suicide Wall  Table of Contents   Treatments  Treatment Compliance  US Disability  Veteran's Chat  What's New?