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New medication to try & update
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<blockquote data-quote="susiestar" data-source="post: 75898" data-attributes="member: 1233"><p>Glad to see you again. I haven't heard of epival. Is it approved for kids? Why is the doctor starting with this instead of a more typical mood stabilizer like lithium? </p><p></p><p>Personally, I think the docs like to start with the newer drugs because the drug reps push them so hard. I always ask the doctor if there is an older drug that will have the same effect and why we are not trying it first. The older drugs are often cheaper, don't come in samples, and the docs dont get any incentives to use them. But the older medications have usually been studied more, side effects are more known, and problems are more known. </p><p></p><p>Blood draws can be a pain, but ask the doctor for some prescription EMLA cream (lidocaine/prilocaine cream) to rub on the arm before the blood draw. Numbs the area, works great. Same stuff that is in orajel, I think. Or very close. I use it for some other skin problems but we find it great for splinters, shots, blood draws, etc...</p><p></p><p>Just be firm with the doctor. Or I think there is one called LMX4 that the pharmacist can get for you, it may be OTC. Many docs thing EMLA is off hte market, but it is not, at least in generic.</p><p></p><p>For bipolar a mood stabilizer is a must. Nothing else will work on the real problem. Other medications may treat some symptoms, but the adults on here with bipolar will tell you that the right mood stabilizer will make a world of difference. The blood draws are just for safety, like a seat belt is. Seems to me that mood stabilizers are for bipolar what insulin is for diabetics. You might keep some diabetic symptoms under control with a careful diet, but you need insulin to really treat it. For biplar you may keep some symptoms under control with antipsychotics or other medications, but mood stabilizers are what you need to really address the illness. Does htat make sense?</p><p></p><p>So sorry you had a rough summer. I wondered where you were. </p><p></p><p>Hugs,</p><p></p><p>Susie</p></blockquote><p></p>
[QUOTE="susiestar, post: 75898, member: 1233"] Glad to see you again. I haven't heard of epival. Is it approved for kids? Why is the doctor starting with this instead of a more typical mood stabilizer like lithium? Personally, I think the docs like to start with the newer drugs because the drug reps push them so hard. I always ask the doctor if there is an older drug that will have the same effect and why we are not trying it first. The older drugs are often cheaper, don't come in samples, and the docs dont get any incentives to use them. But the older medications have usually been studied more, side effects are more known, and problems are more known. Blood draws can be a pain, but ask the doctor for some prescription EMLA cream (lidocaine/prilocaine cream) to rub on the arm before the blood draw. Numbs the area, works great. Same stuff that is in orajel, I think. Or very close. I use it for some other skin problems but we find it great for splinters, shots, blood draws, etc... Just be firm with the doctor. Or I think there is one called LMX4 that the pharmacist can get for you, it may be OTC. Many docs thing EMLA is off hte market, but it is not, at least in generic. For bipolar a mood stabilizer is a must. Nothing else will work on the real problem. Other medications may treat some symptoms, but the adults on here with bipolar will tell you that the right mood stabilizer will make a world of difference. The blood draws are just for safety, like a seat belt is. Seems to me that mood stabilizers are for bipolar what insulin is for diabetics. You might keep some diabetic symptoms under control with a careful diet, but you need insulin to really treat it. For biplar you may keep some symptoms under control with antipsychotics or other medications, but mood stabilizers are what you need to really address the illness. Does htat make sense? So sorry you had a rough summer. I wondered where you were. Hugs, Susie [/QUOTE]
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