Posted by psychosage on April 25, 2004, at 12:07:04
I am not happy with my antidepressant regimen. I've been kind of depressed lately, but I have also been more active because of the help of provigil. I feel my intellect returning somewhat and some more hope from the motivation it has given me, but it has also helped me reflect on pass mistakes and conflicts. I feel guilty for being lazy and a drug user in the past, but the drug user part is not particularly recent {knock on wood}. Provigil has given me a taste of my mind before psych drugs and illicit drugs. I'm trying to return from leave from an elite university, and I really want to have my meds settled since they have honestly screwed me over before. SSRIs have sent me into hypomanias while trying to stay sober when I first started. Zyprexa knocked me on my ass and rendered me completely ineffective while adding 35 pounds.
I'm bipolar with or without psych drugs, so I have to be cautious about my mood swings. I am on wellbutrin xl 300 now, and I thought it was agitating me, but I have only made a peep about it once with a lot of uncertainty to the pdoc. I am reluctant to try any other antidepressant because most of them are sedating or make me apathetic. That actually makes me want more stimulation sometimes so i feel better, so anything that brings me down can trigger my behavior or thoughts in the direction of hypomania. I had been on wellbutrin before, and it didn't make much of an impression on me, but now it just seems like I feel icky in my own skin. I usually think of this as something cognitive and not biochemical at least in terms of how it should be addressed. However, I think it's time to think about dropping the wellbutrin.
Would strattera be good for antidepressant activity {assuming I dropped the wellbutrin}? What would happen if I added low dose effexor to the wellbutrin?
I have done a wellbutrin/zoloft combo, but I didn't comply, so I have no idea what could have happened. I mostdefinitely take every pill as directed now though.
I also take trileptal.
I would hate to be on the trileptal with nothing else but the provigil since then I would probably need more provigil.
That is part of the reason why i was reluctant to leave wellbutrin while on trileptal before provigil was added. I am not allowed to have any schedule 2 stims by the way.
Anyone have any ideas?
me: persistant depressive symptoms, mood-related/stimulant abuse-induced attention trouble {no childhood ADD/ADHD}, hypomanic symptoms, occasional psychotic symptoms {though with pretty solid insight on hallucinations which are infrequent}, some anxiety which fuel a lot of my mixed moods which are predominantly what I experience. I'm an irritable bipolar I guess.
I am SSRI unfriendly
antipsychotic unfriendly
provigil is the only stimulant I am allowed {in recovery}Any ideas so I can have some point of departure for my next appointment?
Thanks!
poster:psychosage
thread:339853
URL: http://www.dr-bob.org/babble/20040423/msgs/339853.html