Going to kill my doc... (maybe trigs ED)
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| Wed, 01-26-2005 - 3:26am |
Ok, I don't seriously want to kill my doc. Thought I should make that clear. lol
But I am really mad about the med choice he has made. I told him I wanted topamax because it doesn't cause weight gain but he gave me Depakote instead (Epival in Canada). I am having so much trouble sleeping and I haven't stopped eating for the last 3 days. I hate this. It is so opposite. Normally when I'm manic I don't need to eat or sleep and when I'm depressed I do nothing but eat and sleep, so I should be at the point where I don't need to eat or sleep (at least this second, still rapid cycling). Ugh! I'm not hungry. It's not that I have an increased appetite, although I did when I first quit smoking. I just feel the need to keep eating. Not hungry, not bored, tired nothing. Don't know what's causing this and now I'm freaking out that I'm going to gain weight. I think I may just tell him next appointment that I won't take it, or maybe he'd give me topamax and epival to balance each other out. From what I gather he doesn't like topamax. I should get all the info I can together and take it with me. Anyway, when he was filling out my forms for me at the last appointment he was checking off boxes...chuckle...(don't ask I'm weird) and said you don't have an eating disorder do you? I'm thinking where were you 5 years ago when I was coming to see you every week for it. I guess that's why he thinks there's no prob. I've gained a little weight and am not dead or anything. I said I know I don't eat well but I do eat. I think when I go in I'll tell him if he keeps me on a WG med I will end up starving myself so either give me a WL med and I can continue to eat normally or at least a weight neutral one. I think the idea of using both in lower doses is a good one and will help balance the weight effects. I'll have to see if there are any interactions before I suggest that. Apparantly my doc does none of this research himself. He started me at 125 mg when the regular starting dose is 250 mg three times a day and we're not upping it until next appointment which is 2 weeks, where it's normally 4-7 days.
Sorry about the rant.
Amanda


TRIGS!!!!!
Amanda,
I think we've all wanted to kill our pdocs (at least once-LOL!), kind of comes with the territory!
I can relate to the eating constantly (I keep remember the old commercials for Jaws-"one enormous eating machine").
Hi Amanda/S,
ED's suck! I have one too. I purged with laxatives. I know=GROSS! Not a very efficant weight loss tool. I have a problem called IBS-C (Irrital bowel syndrome with constipation). Because of this problem I have to take RX things to help me go. I am on the edge of my ED all the time. Like I said it sucks!!!
When I was on zyprexa I went up to 209 and I'm only 5'4". It actually agrivated my diabetes. Though our meds are important for our bp we have to watch other problems with our health too.
I didn't gain a bunch of weight on depakote but that's only because I took up running. If I hadn't I would have been huge.
I've actually lost weight on Geodon but it's my understanding from posts here that not everyone can tolerate it.
I agree that if you decide the dep is too much for your Call your Doc. I think a doc should work with you not against you.
I had to laugh. I said on one of Morgaine's posts that only on a bp baord do you have to clairify that you're not serious about killing somebody.LOL
Love,
Jamie
Love,
Grrr. no I'm not mad at any of you but I'm ready to pitch my computer, printer and ivillage over the balcony.
Take 3.
This is my family doc I'm talking about don't have a pdoc yet. He considers himself my mental health professional he put that on my form said if he didn't then they wouldn't give me accommodations. That's where the ED came in.
Never binged when manic before. Only need to eat a little and that's not the ED I just don't need to eat as much, just like I don't need to sleep as much.
Thanks for scaring me with the 10 lbs in one week Keli :P
I know lots of meds for depression and bipolar warn about using them with a history of EDs probably b/c of the effects the ED and the AD can have on the liver. My liver seems to be ok. There is also the trigger effect whether WL or WG. I'm sure most would assume WG would be a bigger trigger but if I lost alot of weight it could trigger me to think like an ana again. So I just need to stabilize that. I'm not as skinny as when I had the ED but if I keep fluctuating with every cycle I'm going to gain even more in the long run. Right now I'm still not too big but my fat ratio is high and that puts me in the slightly overweight catagory, more accurately overfat, which is worse than being overweight and in shape.
Awww...but I wanted to threaten...considering I'm tending to mania today, although some of it (like now) is playful, most of it is irritable and on the edge of rage. Hate that. Seem to be having more and more dysphoric manias as time goes on. Grrr.
Ok no threats, but I will keep it in mind and mention it to doc if it starts triggering.
Checked the interaction between Depakote and Topamax and there seems to be a moderate interaction, but that doesn't mean that they can't be used together. It may mean more stress on the liver, and faster elimiation time for both. I'm sure it would be better not to but I really want the topamax and that seemed like a fair trade!
Jamie, sorry to hear that you are stuck with the effects of laxative abuse. I wish I could go back and tell your former self how bad they are for you but I'm sure she wouldn't listen anyway right?
Going to have to start exercising to get back the muscle I have lost and get rid of the fat I have gained and hopefully that will help keep my weight stable with the meds.
I'm currently on a very low dose working my way up so I doubt I'll have that problem yet anyway.
Seems to be a common thread here that we have to specify that we don't actually want to hurt someone. I think I read that somewhere else just today. Gotta love it. You guys make me laugh!
Thanks everyone.
Amanda