Trileptal Dosing
[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:  Trileptal Dosing


My 15 year old son has become obese by taking depakote. His mood is stable at 2000 of depakote.  We are trying to switch him to trileptal.  Currently he is on 1200mg of Trileptal and 1500 of Depakote.  He doing some rapid cycling again.  I don't want to give up on the trileptal.  He weights 220 lbs at 5'7" tall. What is the maximum dose of Trileptal that be given to someone like him?

Thank you.  Please do not post my identity on the internet.  I would appreicate a quick response.



Hello Anon -- 
Trileptal dosing is defined primarily based on its use in epilepsy, where the "maximum" according to the manufacturer is 2400 mg.  I've heard of one patient taking 2600 (not mine).  However, in my experience, patients start not liking this medication at about 1800 and I've only had one patient up higher than that, briefly.  But up to that dose, it seems generally very well tolerated.  

Another thought for you and your son:  research on this is just beginning, but there is one very small "open trial" (no control group) which looked at Glucophage as a sort of "antidote" for weight gain on Depakote, or Zyprexa, or  Risperidone.Morrison  Read more about Glucophage if you wish in an essay about weight gain on psychiatric medications.  

Dr. Phelps


Published December, 2002 

 

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?