Posted by Ritch on March 10, 2002, at 21:59:53
In reply to Re: medication compliance with painful S.E's? » Ritch, posted by Chloe on March 10, 2002, at 19:18:41
> I talked to the pdoc today. She said I should go back up to 500 of Neurontin and go up to 30 mgs of Ami. Didn't you tell me to do that a while back??? I should have listened and avoided all this!!! She added if I get "unstable" from too much AD, I should add a little more Li.
>
> But I looked back in my notes, and I have *always* had dry skin issues with N above 400 mgs. And I guess 300 mgs is best skin/hair wise, but definitely not mood wise. So I was thinking I should add in another 112 eskilith in the evening to total 225mgs lithium per day and and keep the N in the 300-400 range.Hi Chloe,
I would try the bump in Li to 225mg/day, and keep everything else the same. Do that for a week, and then consider the bump of AMI to 30mg/day. Wow, you are doing so well on such "Victrola" meds. It is really amazing.
> I am really not crazy about increasing the ami...But perhaps it wouldn't be as bad as I invision. How high have you gone on ami? What is a typical "small" dose anyway for pain or sleep, do you know off the top of your head?
Just an FYI, but doxepin was the first AD I was on and that got pushed all the way to 150mg/day during a bipolar depressive summer episode and it did... diddly squat. Amitriptyline has much more potent AD activity. I was on 20mg/day for a while, but it made me *too* flat, and my friends complained that I wasn't fun to be around anymore so I stopped taking it. Maybe I shouldn't have in retrospect...>
> Gee, any word on the pregabilin trials? Now I am interested, since I have such a love/hate relationship with N!
>
> How is the Dex/Neurotin/Celexa/klon going? Do you still have an absence of feeling rushed? I do hope so!It is doing OK, I think I could probably get by without the pstim until summer and do just fine otherwise.
Mitch
>
> Take care
> Chloe
poster:Ritch
thread:96004
URL: http://www.dr-bob.org/babble/20020307/msgs/97406.html