Bipolar Disorder Community
Mood stabilizers
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Bipolar Disorder is also known as "Manic Depressive Disorder". This forum is for questions and support for people with, or for loved ones of people with Bipolar Disorder. The forum covers topics ranging from Aggressive Behavior, Affect on friends and Family, Alcohol and Drug Abuse, Appetite Changes, Chronic Pain, Denial, Depression, Difficulty Concentrating, Euphoria, Guilt, Manic Depression, Medications, Mood Swings, Poor Judgment, and Sleep Disorders

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Mood stabilizers

Which mood stabilizers don't require monthly blood testing? Which of these is best to use?
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585414_tn?1288944902
Couldn't say which is best to use but Lamictal was the most effective for me as well as other people and generally used more than the others. Trileptal unlike Tegretol (which its clinically similar to) does not require a blood test. Neurontin and Topomax (topamax) don't but they are generally used as adjuncts. I was not able to tolerate Keppra because of personality changes and its not used often for this exact reason. The mood stabilizer I take now Clonidine is rarely used because it can cause depression and its a blood pressure medication in its original use with the potential of some severe side effects. I don't believe the medication Lovaza requires blood tests but like the rest of the mood stabilizers that would be listed its use as a mood stabilizer is experimental. However with many of these medications, Lamictal included, a blood test before starting the medication as well as at yearly intervals for whatever a doctor would determine but especially liver function is usually recommended. You could ask your psychiatrist about all this.
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I take lamictal (not surr what it's called outside of australia) and I don't need blood testing. I think blood tests are for lithium -as to what is the best?! - well whatever works of course!!
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1255505_tn?1272822715
The way I understand it, lithium requires blood testing because the therapeutic dose is close to the toxic dose. Is it monthly testing? Maybe at first while the optimum dose is being found. I think some blood tests may be needed with Depakote because it's hard on the liver. It's been a long time since I've taken it. If I remember right, my doctor tested my liver enzymes before putting me on it to make sure I was in good order before starting it.
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