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Re: Zonegran And Remeron?

Posted by JayBTV on December 10, 2006, at 12:08:45

In reply to Re: Zonegran And Remeron?, posted by med_empowered on December 10, 2006, at 11:42:06

> zonegran is pretty hardcore. Even in epilepsy, its not a first-line med. Maybe Provigil? It has mild slimming properties. Also...do you need remeron? Do you think there are ADs (or something) w/o the weight gain that you could use for your problems? Do you have any ADHD symptoms? Stims sometimes make ADs work better and reduce weight gain (or cause weight loss). You could also try "optimizing" your mood stabilizer(s) instead of using remeron.
----

First off thanks for the reply.

I've been on pretty much everything over the course of the last year and a half. Used Provigil a while back and found it subtle but curiously positive in some way. The cost however is going to make it an impossibility for me at this point.

I'm comming off a week long hospital stay after nearly a manic episode nearly killed me. My pdoc recommended Nardil after trying a number of SSRIs, Wellbutrin, Emsam, Buspar, and I'm sure a few others. At 29 the sexual side effects really bother me so I don't think I'd go back to a standard SSRI unless I was hospitalized.

The Nardil worked almost too well in making me hypomanic. I started drinking like a fiend, smoking, and basically taking anything psychoactive I could find (including Robotussin of all things :( For some reason (again I was completely out of my head) I just decided it was a good idea to finish the bottle of Naril along w/ the remainder of my lithium (15-20 300mg pills), and 7 vicodin I found in the house. Of course I had a serious overdose and by many accounts should have died.

Anyway, that was three weeks ago. I'm back to normal on Lithium (900mg) and the hospital also put me on Neurontin (900mg). I can't tell if the latter is doing all that much. Nontheless I'm going through the worst depression of my life. Crying spells, no motivation, and on top of that I "quit" my job (again while manic w/ that "I'm god/f* the world" mentality). Luckily I do have a good family who is helping me through this (and it's not the first time).

I see my pdoc tomorrow (he was on vacation last week). As a result I've been obsessed with researching anything we might not have tried to get me feeling OK but at the same time stable. I had never considered Remeron before but I do like the lack of sexual side effects. I know it's one of the most "hardcore" ADs but he was about to throw me on Effexor last time but due to what I've read about it I don't think I'd ever take that.

Zonegran has great (for the most part) reviews on rememdyfind.com and I don't think there's anyway it could be harder on my system them lithium (unless I get SJS). So yea, after spending the last few days querying here, Remedyfind, askapatient, and Crazymeds the Remeron/Zonegran combo was what I planning to talk to my doc about.

Comments are welcome and hope everyone else is finding ways to be happy.

Cheers,

-Jay


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poster:JayBTV thread:712129
URL: http://www.dr-bob.org/babble/20061206/msgs/712162.html