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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Taking Lamictal And Topamax When Suffering From Suicidal Thoughts?

Hello, I hav a very good friend who is about to get her daughter back and just about two weeks ago her daughter ran away from the group home she was staying at. My friend very stressed and getting no sleep called her psych doc and was advised to double up on her Geodon in the morning, this ment she was told to take 4 300mg capsules of Geodon. She took the four one day and went out and ran some errands . She was fine for hours and then after she got into her car after loading groceries in her car, she pulled out of the parking lot and she was at a stop light and her blood pressure went down to 40/20 and her left lung colapsed . The hospital is saying that she Over Dosed on Benzodiazopines. and it was a Suicide attempt. I know for a fact she was not trying to commit suicide as she is getting her daughter back soon and would not do that to her. She also takes Lamictal , Topamax, Gabapentin, Sanada or Sonada for sleep, Remron, IB profen , prozac and Tramadol. and clonidine . ...might be missing a couple but not sure. These are the ones I know of. Would and of these show up as a false positive in a drug test at the hospital ER? please let me know, this could mean she wont get her daughter back, and this little girl is very troubled and needs her Mother. Thank you so much for you time.
Thu, 24 Jul 2014
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Psychiatrist,  's  Response
Hi, thanks for the query. Your friend is prescribed a lot of medications (I am not sure for what plethora of conditions) & I need to understand the exact reasons that she is taking so many medications. Secondly, maximum permissible dose of Geodon (ziprasidone) is 120mg per day. In overdose, geodon auses a condition called as QT prolongation which can manifest as lowering blood pressure & collapse (which your friend suffered). She is also taking clonidine which also decreases blood pressure & collapse due to syncope. Her other medications like topiramate are rarely associated with activation of suicidal ideas. Hence, we need to reassess her to decide whether she really needs all these medications. You can get back to me if need further help. Good luck
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Can Taking Lamictal And Topamax When Suffering From Suicidal Thoughts?

Hi, thanks for the query. Your friend is prescribed a lot of medications (I am not sure for what plethora of conditions) & I need to understand the exact reasons that she is taking so many medications. Secondly, maximum permissible dose of Geodon (ziprasidone) is 120mg per day. In overdose, geodon auses a condition called as QT prolongation which can manifest as lowering blood pressure & collapse (which your friend suffered). She is also taking clonidine which also decreases blood pressure & collapse due to syncope. Her other medications like topiramate are rarely associated with activation of suicidal ideas. Hence, we need to reassess her to decide whether she really needs all these medications. You can get back to me if need further help. Good luck