Posted by jerrympls on March 20, 2006, at 7:23:34
In reply to Re: I've got a good med combo, but still need advi, posted by SLS on March 20, 2006, at 7:15:49
> > Diagnosis: Major Depression, recurrent, treatment-resistnat w/GAD
> >
> > Lexapro - 20mg
> > Adderall XR - 20mg 3xdaily
> > Klonopin - 1mg 4x daily
> > Hydocan (hydrocodone) - 5mg 4x daily
> > Seroquel - 100-300mg for INSOMNIA
> > Ambien CR - 12,5mg
>
> Some doctors - probably a minority - see an episodic or recurrent depression as having a bipolar component. If you haven't evaluated the mood stabilizers yet, now might be a good time to consider investigating them.
>
> I have a hard time imagining how a mood stabilizer would remedy the lability of mood that is produced by the daily fluctuations in the levels of hydrocodone.
>
> Have you ever been evaluated for BPD? Do you have impulse control problems? Anger? BPD is more often seen (or at least diagnosed) in females. It does occur in males, but looks different in presentation. If you are BPD, I would recommend going with Trileptal and Zyprexa.
>
> My memory ain't so good, so I can't remember what things you have tried already. It might be interesting to see how you respond to Lamictal. It might not take you all the way to where you want to go, but it might produce enough of an improvement for you to continue to work while searching for a more effective treatment.
>
>
> - Scott
>Yeah I've been studied to see if there is a BP element to my unipolar cycling - but the last team of psych docs I saw at the University of Minnesota couldn't find anything leading them to BPD. However, I have been on Tompomax, Lamicatal, Lithium, Depakote, etc in the past to see if anything would help. Nothing really worked. I've thought about perhaps trying Lamicatal again....I just don' tknow. I'm back in school and I desparately need some stabalizing med - but at the same time I don't want a new med to impair my concentration & memory - and for some reason I rememeber with Lamicatal (or Topomax?) that one side effect was being unable to vocalize words - meaning, I could see the word in my head, but couldn't say it. It was the wierdest thing.
poster:jerrympls
thread:622379
URL: http://www.dr-bob.org/babble/20060315/msgs/622421.html