We interrupt this newly developing series for some Life Stuff – Psychiatry and Medications update.
Hello darling Readerfaces. It’s that time of year again where everything is bad because the universe hates me. Stupid insensitive universe not giving a shit about me. Grr. Fortunately I had an appointment to see Psychiatrist at this exact time. In an extraordinary twist of behavior I actually talked to Psychiatrist about stuff. I blame this on being both highly, highly irritable and a bit impulsive. Lately everything has just been….
- Everything feels empty and utterly pointless. All things. Especially my life. (This causes extreme levels of snark)
- My Body Dysmorphic Disorder has been extra bad… you’ll hear more about this tomorrow.
- With a direct correlation – my bulimia has been worse, not terrible, but 3 times in the last week as opposed to once or twice in a month is a step backwards.
- Everything makes me angry. Everything. I screamed at the wind today for blowing too hard. I wish that was an exaggeration.
- So, so irritable. I want to shove socks into everyone’s mouths and duct tape them all shut. Everyone in the whole world.
- I’m not handling stress very well.
- My boredom has reached a soul level (and I don’t even believe I have a soul). I just want excitement to happen. I have no desire to pursue making it happen.
- I’ve been having all of the sleep. All of it. I never sleep. Now I sleep all the time. This is wrong.
The good thing is, I’m noting it and I’m not letting it rage out of control, even though I really want to let everyone know just how much everything their doing is extra douche-tastic. Behavior is controllable.
Another good thing, Psychiatrist is kind of starting to redeem himself. First, he gave me the option of just getting through this with therapy, or I could try additional medication. That in itself surprised me. So I asked him what my options would be. He went back through everything I’ve taken before, and mentioned without me saying anything that because I’m very concerned with my weight that he wouldn’t want to give me anything that would add to that distress! Score! So what’s my new drug?
It’s an anticonvulsant originally used to treat epilepsy. It’s also approved to treat migraines. It’s also been used to treat bipolar, and sometimes to augment psychotropics, or counteract the weight gain associated with antidepressants. Recent clinical reports indicate that it may have mood stabilizing properties. Other off-label and investigational uses of topiramate include the treatment of essential tremor, bulimia nervosa, obsessive-compulsive disorder, alcoholism, smoking cessation, idiopathic intracranial hypertension, neuropathic pain, migraine headache, cocaine dependence, and Borderline Personality Disorder. Topiramate is also being studied with a mixture of phentermine to form a drug called Qsymia for the treatment of obesity.
If it can help me with my migraines, potential alcohol problems, bulimia, and help me lose weight… I would be hyper impressed.
That being said. Let’s look at what can go wrong too!
Side-effects reported by > 10% of subjects in at least one clinical study (listed by prevalence):
Parathesia (numbness & tingling) (23.7%) At nearly 25% this one is probably likely
Upper respiratory tract infection (17.5%) Hmmmm.
Cold symptoms such as stuffy nose, sneezing, sore throat.
Diarrhea, weight loss (16.8%) Ew.
Anorexia (loss of appetite) (13.3%)
Memory Problems (11.2%)
Dry mouth, increased thirst, drowsiness, decreased sweating, increased body temperature, and hot, dry skin; (So what you’re saying is it’ll make me hotter? Haha)
Confusion, slowed thinking, memory problems, trouble concentrating, problems with speech or balance; (Who needs to not blow up society with my job anyways)
Vomiting (not such a deterrent for a bulimic), loss of appetite (hopefully), tired feeling, irregular heartbeats, feeling like you might pass out; or (and the rest are fail)
Severe pain in your side or lower back, painful or difficult urination. Sudden vision loss, pain around or behind your eyes; (how do these things count as acceptable to give to the public?)
Less serious Topamax side effects may include:
Mild dizziness, feeling nervous;
Numbness or tingly feeling;
Side-effects most frequently leading to discontinuation of therapy with topiramate:
Psychomotor slowing (4.1%)
Memory problems (3.3%)
Somnolence (Drowsiness) (3.2%)
On the plus side there are way fewer side effects than most of the other drugs I’ve been given. And I actually would mind having some of the others. We’ll just have to wait and see how this whole thing goes and I will keep you updated with my progress. I’m a little excited that that this one has actually been used in trials to treat BPD. Here goes nothing.