Headaches, Sweats, Tiredness,...& Meds
[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:  Headaches, Sweats, Tiredness,...& Meds


Dear Doc.
I have been put on lamictin 150mg and zoloft 100mg daily for anxity and a mood stabilizer. I have been on this coctail now for 4 months, and the last 2 weeks my vision has been affected, I have head aches, hot sweats,tiredness and feeling very lazy, at night unable to sleep but during the day could sleep, I also take adco- olpidem to help sleep re back pain 15mg. Can I also add that I do have a bad back and would give anything for South Africa to operate and give me a new disc(opetation not available here), mine is L4 L5, unable to have fusion they say, so I also take cataflan and voltaren for pain. My weight has shot up, which again does not help my back, could the above systoms be the tablets. If I was my horse (which, mine I can longer ride) I would have her put down, some days are very bad for me and I feel unable to cope, what is your opinion?


Dear Louise -- 
Sorry, I couldn't identify "adco-olpidem" (e.g. Google search) so I'm not sure what you're taking there (sounds like zolpidem, which is Ambien in the U.S., a medication for sleep).  

Well, there are a lot of parts to this story.  Sorry to hear you can't ride, what a disappointment.  It could be that the back pain is the central problem, interfering with sustained sleep, which can make bipolar disorder worse. 

But then again, so can antidepressants, and you're on one of those.  Sometimes I feel like a broken record, just repeating "watch out for antidepressants"; but here we go again.  Ask your doctor if she/he thinks your antidepressant could be making your bipolar disorder control worse, which could mess up your sleep cycle, which can make back pain worse, which can make bipolar disorder worse, and so forth.  

In other words, "it could be your back"; or, "it could be your antidepressant".  Or it could easily be neither, including, for example, that your bipolar disorder is not sufficiently well controlled regardless of the antidepressant, which might not be contributing to the problem and could end up being an essential ingredient (I have to say that to show that I can acknowledge this is possible, even though in my experience it isn't true very often).  In this case you'd have to think about another mood stabilizer to add to the lamotrigine. 

Obviously what I wanted to emphasize is that you might have a part of the solution to all this that's a lot simpler than surgery; or even adding another medication; namely, gradually tapering one off, the Zoloft, and replacing it if necessary with either a higher lamotrigine dose (up to 400 is routine, 200 is often better than 150 but you have to get there carefully under your doctor's supervision as there's risk in going up too fast; and lamotrigine even has anti-pain properties itself that might be stronger at a higher dose) or an additional antidepressant-like mood stabilizer (low-dose lithium, and perhaps omega-3 fatty acids, are the candidates there, as you'll see from that link above).  

If that actually works, and you get back on that horse, which should be the goal (including adopting some other form of exercise that you can do, to lower weight, in the interim), write and let me know. 

Dr. Phelps
 

Published May, 2004
 

 

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?