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Sunday, June 21, 2009 satya asks

Q: Alternative therapy for bi polar

I am interested in any valid alternative therapy for bi polar. I have tried all of the usual suspects, with very disappointing results. I have had that CP450 liver test, which showed I have a problem with assimilating drugs - Intermediate was the classification. Currently I am taking no medication, but I am not doing very well indeed. I need some other insight or something, as I am losing my very tenous grip. Any help or thoughts?

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Answers (2)
Jerry Kennard, Health Guide
6/22/09 5:49am

>> My body seems to have always responded to non Western methods of treatment, as I have a problem with so many medications <<

 

An interesting perspective but one that I can't help but think reflects a certain inbuilt bias. The previous questions asked and your subsequent response suggest to me that you may be seeking some form of outcome or resolution that may not exist. The array of medication you appear to have tried and subsequently rejected is quite high. Now, you are on no medication at all and, by your own admission, appear not to be doing too well.

 

The quest for 'alternative' medication is one that has always puzzled me. It seems to suggest that mainstream medicine hasn't quite been looking in all the right places and has overlooked or passed over some vital 'alternative'. Of course modern medicine has its basis in everything from genes to herbs to accupuncture. I think the emphasis these days is increasingly on supporting anything (even if it is little better than placebo in clinical trials) that gets results.

 

I wish I knew more about your problems with assimilating drugs. It sounds such a definitive statement. Does this include all drugs, of all types and variety, and not necessarily taken orally? The previous respondent also asked whether you had tried psychological therapies. I think it's an important question and one worth considering.

 

Sorry for the ramble, but I'm always concerned when I read or hear that people have withdrawn from medication. I can fully understand why you may be seeking alternatives but I also believe you may not have exhausted the well-researched possibilities that already exist for the treatment of bipolar.

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6/25/09 12:02am

Thank you for your response. I can see that I need to give you more information regarding my query.

I sought out treatment in 2006 and was originally diasgnosed with major depression and put on Lexapro. This had some efficacy in the short term, but as I got more relaxed with talking to a psychiatrist, the diagnosis became Bi-polar I. I have as previoulsy indicated since then taken an array of medications to try to stabilise my moods etc, but with limited and sometimes no positive effect. Seroquel was useful for a time, but did not help keep me stable, even upping dosages did not help. Lithium made me a zombie and I coould only function for a maximum of 2 hours before I was flat on my back for the rest of the day. Not particularly helpful for work, driving or basically anything. Tegretol and Epilim similarly gave me no joy, with me having major problems with bleeding and thrombosis appearing all over my body, etc. Cymbalta was trialled with equally ineffective results and probably made me more manic and unstable. Paxam did help with my anxiety issues, and stopped me having full blown attacks. Then I had Seroquel XR, and that was a complete disaster. I could not stop thinking about suicide 24/7, and I was literally going completely ga ga.

As for alternative therapies, I have been doing Yoga for years and was in fact a teacher until I had 4 disc ruptures in my Thoracic spine. I now have 6 ruptures from neck to upper lumbar. I still do yoga though not at the level I was at before, I meditate, have gone back to regular accupuncture, I eat really well and look after myself in every other way.

My problem with medications, not just for bi-polar has been something I have had all my life. I cannot take many medications any longer as I have such adverse reactions as well as allergic ones, so even when I do get sick which is rare and I need to take antibiotics, I have a lot of difficulty finding something that my system can tolerate. Luckily for me I have a GP who is well aware of my problems and invariably I am prescribed child dosages as adult strength for most things is contraindicated. I am only very tiny (35-40kg). Added to that the CP450 test showed empiraclly that I only require small doses of anything for them to be effective. My Father had the same problem and drugs that should have been fine sent him hysterical or zombied.

My other dilemma with the medications especially the ordinary Seroquel is that it locks me up shockingly, which sends my pain level through the roof. I have constant pain with my back already, though this is not new in itself, as I have always had back pain owing to a double scoliosis, bad horse accident, motor vehicle accident, a fall from 2 strorey building, ladders, you name it and it has probably happened to me. How I have not broken any bones or been rendered paraplaegic is a mystery to most. And even though I have such pain all the time, I am still as flexible as rubberband, and no-one would guess just what agony I am in. Stoic yoga mindset at play. I have avoided pain medications for the most part, though as more things go wrong in my back I am finding I have to take a 10mg Oxycontin and sometimes up to 2 more days than not. This is not something I want to do either, but I have to function at work and at home, and they do actually work for me. Opiates, not the synthetic kind seem to be tolerated well in my system with little if any side effects.

I realise that I present a problem for the medico's out there, but until I was diagnosed, I was still going about my life without medications just fine. The same things were happening then.

This is very longwinded I know and I apologise for that. Without giving you my full medical history I realise things are difficult.

Thanks for your input.

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7/23/09 11:23pm

I seem to have somewhat of this same situation. I have tried Prozac, Effexor, Lamictal, and Abilify and with the first two mentioned, I did really well for about 9 months, than became rageful or "manic" to an extreme that I couldn't deal with. The prozac also left me with crying spells constantly, when normally I don't experience the depression part of bipolar as severly as the mania. The lamictal and the abilify (I just remember that I tried Paxil once briefly, too) just did plain weird things to me. My doc rx'd Abilify, said it was a stimulant and to take it in the morning, and it knocked me completely out for 10 hours straight. I had to have my husband pick me up at work because I looked (and acted) like a drunk. I have adverse reactions to medication. Whenever someone says, "this made me sleepy, or this made me hyper, I usually end up with the extreme opposite symptom."

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6/21/09 4:59pm

satya,

 

What are the "usual suspects" that you have tried?  I suspect that since you mentioned that you may be somewhat drug resistant that you are referring to alternatives to medication.  Have you tried psychological therapy and what type?

 

Even if you had no difficulty with taking medication, medication is not a complete solution.  No medication or combination is going to lead to complete stability.  Bipolar Disorder is not purely a medical condition.  What other areas have you addressed to improve stability?

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6/22/09 12:26am

Thanks for your response, though it was not really what I was asking. My fault for not being very specific in the first place I guess. My state of mind is far from 'normal' at present.

The "usual suspects" have consisted of : Lexapro, Seroquel, Paxam, Lithium, Tegretol, Epilim, Cymbalta, and Seroquel XR. These have obvioulsy not been taken all at once, but I was consistently taking Seroquel (the older version) and Paxam. The other drugs I was completely intolerant of and it has been a procession of trying things to see if they improved my symptoms. Unfortunately all of them only seem to be marginally effective and only in the short term, before things began running off again. I have been off all medications now for about 3/4 months, as I was verging on psychosis and was unable to stop my urge to suicide 24/7. I did feel better not taking everything, but only on the surface. My cytochrome test showed that I only require 'paediatric' doses which has made treatment options more difficult.

My body seems to have always responded to non Western methods of treatment, as I have a problem with so many medications. Thus my interest in finding out if there is some other way I can go.

Hope this is clearer and not too long.

Thanks

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6/23/09 5:05am

satya,

 

Jerry does have some good points.  Bipolar Disorder is not purely a medical condition,  though it does have biological components, which medication intervention aims at correcting.  Medication should not be completely dismissed even if you have to start at very small dosages.  The other point that I had also mentioned was therapy.  Therapy aims to treat the psychological aspects of Bipolar Disorder.  Therapy also can result in positive changes in neurotransmitter levels, reducing symptoms of depression, anxiety and stress through learning coping techniques.  Medicarion and therapy together are very effective.

 

Other alternatives to consider are exercise or yoga and meditation.  Exercise is great for reducing stress and has an antidepressant effect.  Yoga is also a good form of exercise, improves the mind body connection and with meditation is also great to alleviate stress and depression.  With the difficulty your system has with breaking down medication, I would not advise herbs or supplements, besides omega-3 fatty acids, which have shown to have a modest effect on depression and increase good cholesterol levels.

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By satya— Last Modified: 12/23/10, First Published: 06/21/09