• Share. Be Supported. Recover.

    We are a friendly, safe community supporting each other's mental health. We are open 24 hours a day, 365 days a year.

Hypomanic help - Med choices

M

MrMuscles

Well-known member
Joined
Jul 29, 2021
Messages
61
Location
Oregon
For the life of me I can't figure out what I can do to treat hypomania.

Sure there are meds out there....but they all seem to have potentially horrifying side effects.
The only bipolar medication I'm on is Lamotrigine, but it doesn't stop hypomanic episodes.

-Antipsychotics are an absolute NO, they can cause tardive dyskinesia and EPS. 25%-30% of users will develop this horrible illness. Just NO.

-Lithium sounded promising, but it can cause diabetes insipidus. I would kill myself if I developed that disease. It may or may not be a rare side effect, but not worth the risk.
Constant blood testing and potential kidney/thyroid issues also prevents me from trying this medication.

-Depakote can't be taken because I donate plasma twice a week. This medication would harm recipients of my plasma.

Is there another type of medication out there that can treat hypomania? One without permanently disabling side effects?
I just want to hear some medication names so that I can ask my psychiatrist about them.

Perhaps I'm just screwed and I have to cope with 2-4 hours of sleep every night for the rest of my life.
 
F

Frankum35

Well-known member
Joined
Sep 20, 2021
Messages
286
Location
FLORIDA
For the life of me I can't figure out what I can do to treat hypomania.

Sure there are meds out there....but they all seem to have potentially horrifying side effects.
The only bipolar medication I'm on is Lamotrigine, but it doesn't stop hypomanic episodes.

-Antipsychotics are an absolute NO, they can cause tardive dyskinesia and EPS. 25%-30% of users will develop this horrible illness. Just NO.

-Lithium sounded promising, but it can cause diabetes insipidus. I would kill myself if I developed that disease. It may or may not be a rare side effect, but not worth the risk.
Constant blood testing and potential kidney/thyroid issues also prevents me from trying this medication.

-Depakote can't be taken because I donate plasma twice a week. This medication would harm recipients of my plasma.

Is there another type of medication out there that can treat hypomania? One without permanently disabling side effects?
I just want to hear some medication names so that I can ask my psychiatrist about them.

Perhaps I'm just screwed and I have to cope with 2-4 hours of sleep every night for the rest of my life.
Hello friend, I hope you can find the right meds for you. To me they all have horrible side effects, but is what we have for mental health.
 
M

MrMuscles

Well-known member
Joined
Jul 29, 2021
Messages
61
Location
Oregon
Hello friend, I hope you can find the right meds for you. To me they all have horrible side effects, but is what we have for mental health.
Thank you, hopefully there is a medicine out there for my circumstances.

Side effects are fine, I just don't want permanent side effects or permanent disability.
Many meds for mania can cause permanent disabilities.
 
S

SFGuy

Well-known member
Joined
Mar 28, 2021
Messages
346
Location
California
I take Depakote, which works for my hypo side pretty well. I won’t take APs for exactly the reasons you list. Depakote has a long list of potential side effects, but the bad ones are rare.

If you took it, I don’t know what you would do about the plasma donations. It might force you to give them up. And it might not work for you. It boils down to trade offs, I think, and how intolerable your symptoms become.
 
M

MrMuscles

Well-known member
Joined
Jul 29, 2021
Messages
61
Location
Oregon
I take Depakote, which works for my hypo side pretty well. I won’t take APs for exactly the reasons you list. Depakote has a long list of potential side effects, but the bad ones are rare.

If you took it, I don’t know what you would do about the plasma donations. It might force you to give them up. And it might not work for you. It boils down to trade offs, I think, and how intolerable your symptoms become.
Depakote is something I'll consider if I ever give up plasma donations, but I can't stop donating just yet. I get paid for donating plasma & at the moment it's my only income.

At least that's a possible solution for me someday.
 
B

BlueWater

Well-known member
Joined
Jul 29, 2021
Messages
594
Location
Earth
As SFGuy said, there are trade-offs to consider. And even people who don't have BP take APs like SGAs because they decide the risk is worth it for them. An SGA added to Lamotrigine and my AD is helping me. My moods are evening out. Options you could consider are Vraylar, Rexulti, Abilify and Latuda. There's an olanzapine/Prozac combo that works for some. Another person on this forum is taking Lamotrigine and Lexapro and I think just added Abilify or another SGA.

For sleep, most nights I take Lunesta, Hydroxyzine and Trazodone. Some nights, instead of Trazodone I take Mirtazapine. I almost always take Klonopin and lately a low dose of a beta blocker whose side effect is sleepiness.
 
Amazingly

Amazingly

Well-known member
Joined
Jul 7, 2021
Messages
264
Location
USA
You can always try out carbamazepine at this point.
It’s best to consult with a doctor.
Good luck!
 
K

keith74

Well-known member
Joined
Sep 14, 2020
Messages
650
Location
Canada
Sure there are meds out there....but they all seem to have potentially horrifying side effects.
Don't get scared off by the listed potential side effects. Remember that it is "potential". Not everyone is affected. There are many people who take various drugs for many years with little or no side effects. Drug companies are required by law to list ALL potential side effects, no matter how minute the chance. Ever take a look at the warning label for some common over the counter drugs like aspirin? It is really scary!! If people took it seriously, then no one would ever take aspirin.

Another more common example is all the people who don't want to get the covid vaccine because of the rare side effects. They let the tiny risk of a side effect from preventing them to get protection from a disease that they have a far greater chance of getting.

Basically you will never know if you will experience any side effects until you try. For many people, the benefits far outweigh the cons.
 
Wishbone

Wishbone

Well-known member
Joined
Apr 20, 2019
Messages
2,868
Location
England
You could maybe speak to your doc about the possible use of meds but only 'as needed' (PRN), so that you'd only take them when you felt hypomanic and then go back to taking only Lamotrigine thereafter. Worth asking.
 
M

MrMuscles

Well-known member
Joined
Jul 29, 2021
Messages
61
Location
Oregon
Don't get scared off by the listed potential side effects. Remember that it is "potential". Not everyone is affected. There are many people who take various drugs for many years with little or no side effects. Drug companies are required by law to list ALL potential side effects, no matter how minute the chance. Ever take a look at the warning label for some common over the counter drugs like aspirin? It is really scary!! If people took it seriously, then no one would ever take aspirin.

Another more common example is all the people who don't want to get the covid vaccine because of the rare side effects. They let the tiny risk of a side effect from preventing them to get protection from a disease that they have a far greater chance of getting.

Basically you will never know if you will experience any side effects until you try. For many people, the benefits far outweigh the cons.
Make no mistake, I'm weighing the risks against the benefits for every medicine I consider. So when I say that these drugs have potentially bad side effects, I mean effects which are so disabling that the medicine simply isn't worth the risk.

Classic example would be antipsychotics, about 25% of patients taking them will develop TD. 25% is HUGE!

Look at Lithium as another classic example. If you take Lithium you have a 20% of developing a type of diabetes that would ruin your life.

These are NOT rare side effects
 
M

MrMuscles

Well-known member
Joined
Jul 29, 2021
Messages
61
Location
Oregon
You could maybe speak to your doc about the possible use of meds but only 'as needed' (PRN), so that you'd only take them when you felt hypomanic and then go back to taking only Lamotrigine thereafter. Worth asking.
That's not a bad idea, but I don't believe Lamotrigine can just be stopped safely for any long length of time. Withdrawal would be a factor.

I like the idea of taking something on an as needed basis. There's is a specific benzodiazepine out there that I really wish my doc would prescribe because it's very highly rated for insomnia by many people.

I don't really want to go asking for benzodiazepines though because that may appear as though I'm a drug addict.
 
Wishbone

Wishbone

Well-known member
Joined
Apr 20, 2019
Messages
2,868
Location
England
Lamotrigine would continue it's just at certain times when you need it you take something else in addition to it. Short-term benzo's can be good for calming you down, as can short-term antipsychotics. Neither should become a problem as you shouldn't be having so many hypomania's that that door is left open for too long. I'd definitely discuss this exact thing and your fears about taking others things in the long-term.
 
M

MrMuscles

Well-known member
Joined
Jul 29, 2021
Messages
61
Location
Oregon
Lamotrigine would continue it's just at certain times when you need it you take something else in addition to it. Short-term benzo's can be good for calming you down, as can short-term antipsychotics. Neither should become a problem as you shouldn't be having so many hypomania's that that door is left open for too long. I'd definitely discuss this exact thing and your fears about taking others things in the long-term.
I misread what you wrote originally, I thought you were implying discontinuation of Lamotrigine sometimes. Haha
Yes, staying on Lamotrigine while also taking a benzo or something would be ideal.

I kind of like the idea of taking an antipsychotic just for hypomania, but I think even rare dosing could lead to developing Tardive Dyskinesia.
 
B

BlueWater

Well-known member
Joined
Jul 29, 2021
Messages
594
Location
Earth
I misread what you wrote originally, I thought you were implying discontinuation of Lamotrigine sometimes. Haha
Yes, staying on Lamotrigine while also taking a benzo or something would be ideal.

I kind of like the idea of taking an antipsychotic just for hypomania, but I think even rare dosing could lead to developing Tardive Dyskinesia.
I take Klonopin every night, sometimes .25mg, sometimes .5mg. It can cause depression.

For anxiety, I also take Propranolol 10mg most nights. My anxiety tends to occur in the afternoon or at bedtime.

The 25% TD rate is for SGAs or APs in general?
 
K

keith74

Well-known member
Joined
Sep 14, 2020
Messages
650
Location
Canada
Classic example would be antipsychotics, about 25% of patients taking them will develop TD. 25% is HUGE!
25% is indeed a non-trivial number. However, I thought that number is with the first generation (typical) APs while the number is much lower with the second generation (atypical) APs. I'mnot sure however.
 
Similar threads
Thread starter Title Forum Replies Date
A First hypomanic episode at 20 Bipolar Forum 2
F Not Recognizing Hypomanic State ? Bipolar Forum 17
Amazingly Hypomanic all day today Bipolar Forum 11
G hypomanic irritability? Bipolar Forum 3
T Hypomanic and on no meds. Starting Seroquel today. Bipolar Forum 12
D How do you deal with depression that follows a hypomanic episode? Bipolar Forum 7
N Hypomanic again Bipolar Forum 1
N Hypomanic episode Bipolar Forum 11
AnxiousE Hypomanic or just happy? (Stealing this title from another) Bipolar Forum 3
S can you be hypomanic and suicidal at the same time Bipolar Forum 5
D Difference between manic and hypomanic Bipolar Forum 7
H Is it possible for antidepressants to make someone manic/hypomanic without being bipolar? Bipolar Forum 7
A Hypomanic forever I wish Bipolar Forum 1
F What is the longest manic/hypomanic espisode you ever had? Bipolar Forum 7
valleygirl Chronic Insomnia, Exhaustion, and the Occasional Hypomanic Episode Bipolar Forum 1
valleygirl I think I might have been hypomanic Bipolar Forum 2
A Hypomanic or just coping well? Bipolar Forum 4
megirl hypomanic Bipolar Forum 2
P hypomanic!!!! Bipolar Forum 2
Grape Hypomanic Horridness Bipolar Forum 37
S hypomanic Bipolar Forum 2
megirl getting bit hypomanic Bipolar Forum 1
M depression after hypomanic Bipolar Forum 3
M things you do when your manic or hypomanic Bipolar Forum 19
M Is a hypomanic stage coming again. Bipolar Forum 6
A.m.b.e.r Hypomanic! WTF Bipolar Forum 3
T Could I be going hypomanic? Bipolar Forum 10
shaky How do you know if you are hypomanic? Bipolar Forum 1
loulabelle hi guys *hypomanic* Bipolar Forum 4
diamondshine is this the start of manic/hypomanic? Bipolar Forum 8
B My psych nurse feels she can’t help me anymore Bipolar Forum 8
M Help w a bipolar 19 yr old. Bipolar Forum 34
M When to help? Bipolar Forum 15
floatin Psych tomorrow, please help Bipolar Forum 5
J Help after breakdown/major depressive episode Bipolar Forum 9
M No-polar podcasts that help? Bipolar Forum 8
K How to help (convince) someone that they should seek treatment Bipolar Forum 29
M Sleep disorder tied to Bipolar 2? Help Bipolar Forum 59
S Help please - meds and doctors Bipolar Forum 19
A Latuda works, but causes me EXTREME sleepiness, help please Bipolar Forum 9
F Would love some help/advice understanding my first experience with someone who has bipolar - Bipolar Forum 21
floatin Does Meditation Help? Bipolar Forum 28
Julia_2021 Med is killing my libido, is there any help? Bipolar Forum 24
M Help! I am in Pain! Bipolar Forum 12
U Please help Bipolar Forum 17
D Help me Bipolar Forum 10
M My on/off partner has shown all signs of bipolar, and I need help & advice please Bipolar Forum 7
J Bipolar help Bipolar Forum 19
G How do reach out for help when I can't speak about it out loud? Bipolar Forum 1
B Getting help for anxiety Bipolar Forum 4

Similar threads

Top