Posted by Reggie BoStar on January 16, 2007, at 21:37:27
In reply to Re: Still can't stay awake, Lamictal added, new probs, posted by blueberry1 on January 16, 2007, at 5:16:03
Hey Blueberry1,
Thanks for the input.Although it looks like a complicated mess, the only two meds that remain constant are the Cymbalta at 60mg and the Neurontin at 1800mg. The others have all completely replaced previous meds (or none) in the last year.
We found out that even though the Cymbalta doesn't make me entirely functional, I'm even worse without it. Before Cymbalta I had to have ECT just to keep me on my feet.
However, we also found that upping the dose to 90mg doesn't help much at all. Hence the 60mg dose for the foreseeable future. Most likely Cymbalta would be the last AD to go if my pdoc and I felt it was worth the risk of having to go through ECT again.
Neurontin is essential in preventing migraines. Some others in that category, Maxalt, Imitrex, and Axert, are only taken one-at-a-time "as needed". These days that's very rare, since the Neurontin works so well.
Buspar is there to control social anxiety and GAD. It doesn't seem to be related to how any of the others function. I'm not sure it's essential, but life is a lot easier with it than without it.
That leaves Wellbutrin, Lamictal, and Gabitril. I have no idea what they might or might not be contributing to this situation.
You're right - no matter how I slice it, that's a mess. I go to a "Dual Diagnosis" meeting in the same facility as my pdoc tomorrow, and a visit in the same place with my therapist next week. I just had another long day in the sack. I think I'm going to recommend trying your minimalist approach.
I think I could go as far as being on Cymbalta and Neurontin only for the sake of experiment. At this stage I'm willing to try anything.
BTW, my pharmacy is one of those that keeps computerized tabs on interactions and augmentations of various meds. They've successfully flagged other bad mixes in the past. This time around, for some reason, they're quiet about the mix. In the past I've trusted them, but..
Thanks for your input, it gave me a lot to think about.
Have to go now and keep a log of this week's sack time.
Take care,
Reggie BoStar
poster:Reggie BoStar
thread:718409
URL: http://www.dr-bob.org/babble/20070113/msgs/723038.html