I have bipolar I disorder, "classic" euphoric type (most of the time). I took Depakote for several years, which controlled the manic symptoms well, but unfortunately flattened my moods and personality more than I liked. Back in November I stupidly discontinued the Depakote (AMA), which resulted in a moderately severe manic episode within two weeks of discontinuation (I am also taking Wellbutrin and Celexa). Four weeks ago, my doctor suggested we try Neurontin and initiated treatment @ 600 mg/day. The Neurontin (or nature) ended the manic episode, but since that time I seem to have entered a rapid-cycling phase that I can't get out of. A week ago, my doctor increased the dose to 1200 mg/day, but I'm still experiencing very obnoxious manic symptoms alternating with tearful--not suicidal--depression. I'm trying hard to control my behavior, but not having as much success as I'd like. The questions are these: Should the increased Neurontin have had a more stabilizing effect by now? Is it reasonable to contact my doctor to discuss another increase so soon after the first one? Or, if not, how long should I wait? At what point or dose level would you consider the Neurontin ineffective for treating my disorder, assuming the rapid cycling continues?
I apologize for the length of this question, but I wanted to provide as much relevent information as possible. Thank you for taking the time to read this and respond.
Sincerely,
marcia