Posted by kregpark@yahoo.com on October 17, 2001, at 12:08:31
In reply to Re: PROVIGIL - forgot something, posted by houstongirl on October 17, 2001, at 9:57:15
I'm not sure if bp2 means rapid cycling or also a tendency on 'low' or high'.
Wellbutrin and Cyclert are pretty opposite from Celexa and Zoloft.
Maybe those were used in combinations ...
One idea might be to pick out a few meds that you liked the most.
There may be even a single one you like as a "base" to work around.
(For me, Klonopin is my clearcut "main med" for Generalized SP that I have worked around for several years.)If you have a general idea which types of meds have helped most that can be useful in future changes.
What about newer anticonvulsants like gabapentin and lamictal.
Also, Klonopin was FDA approved originally as an anticonvulsant, even though it is a benzodiazepine.
I think Klonopin may not be a preferred anticonvulsant nowadays but I'm not sure ...I guess as a one with pretty limited knowledge on this .. with what I know I'd wonder first about gabapentin, lamictal, and also how lithium worked out.
Also, if there was a preference for SSRI's versus stimulating antidepressants (Wellbutrin) or stimulants.If it seems a mix between SSRI's and Wellbutrin / stimulants, (different drawbacks with each) - then an MAOI might be worth trying.
For example, Nardil or Parnate, taken with an anticonvulsant.MAOI's are the post powerful antidepressant, and experts consider them underutilized.
Nardil is more relaxing, Parnate is more stimulating.
High doses are not necessary, and lower doses generally have low side effects.kregpark@yahoo.com
http://www.socialfear.com/> Yeah, Celexa 100 mg is as high as they will go on it. It's an SSRI, supposedly with the "cleanest" side-effect profile. I've been through a lot- Zoloft, Prozac, Paxil, Effexor, Wellbutrin, amitriptyline, nortriptyline, lithium, Ritalin, adderall, T4, that's all I can think of for now. I'm BPII - rapid cycling. I also had a grand mal seizure on Wellbutrin (w/in 38 hrs of first dose). EEG shows "epileptiform" brain wave activity, so I have to be an anti-convulsant anyway. I'm thinking of switching to Topamax (topiramate)- mostly b/c of weight gain from Depakote. I'm relatively stable now, though and I'd have to really taper Depakote before starting Topamax, so I'm just not sure...
>
> any advice?
>
> Cristy
>
>
> > Woops, just noticed something again forgot to mention.
> >
> > I'm not sure what the Celexa and Depakote (sp?) are for ... (pause) ...
> > ... I just looked on Internet, depakote = valproic acid???
> >
> > 100 Celexa (pretty high dose) + Depakote just from the little I know about those sounds like a good chance to blunt much of Provigil's effect.
> >
> > Again, not sure what the 2 meds are for but since I just read that depakote is anti-manic then it sounds like it may be sedating, and probably moreso combined with a pretty relaxing ssri like Celexa.
> >
> > I'm just kind of curious if switching 1 or both of the original medicines might not be worth trying also, as an alternative option to finding a 3rd med to counteract sedation from the first 2.
> >
> > kregpark@yahoo.com
> >
> >
> >
poster:kregpark@yahoo.com
thread:81227
URL: http://www.dr-bob.org/babble/20011015/msgs/81485.html