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Prozac + Depakote ER for Bipolar? Quitting Effexor

Posted by CA 2 NJ on May 9, 2007, at 15:57:59

Hello again. I have been here a lot in the past few weeks as I've been trying to find that magic combo to help me with my Bipolar I (Mixed, Agitated Episodes with Ultra-Rapid Cycling), Borderline Personality Disorder, Panic Disorder, Generalized Anxiety Disorder and Obsessive-Compulsive Disorder.

I am currently going off of the Effexor as I could only tolerate for 3 weeks as every day I am in bed longer than I was the day before. Now I'm in bed about 18 hours a day. And most of the time I'm sleeping.

I only got up to 75mg of Effexor and was there for 2 weeks after spending 1 week on 37.5mg. So as of today I am taking 5mg of prozac in the morning and 37.5mg of Effexor at bedtime for a week, then going to halve the Effexor and continue with the Prozac for a week in hopes that I am able to get off this nasty stuff before I am to travel cross-country in the beginning of June.

Once I'm off the Effexor, I plan on staying on Prozac at 5mg (if it's effective, 10mg if not) as I have had Prozac throw me into a bad raging, manic episode before (along with Geodon). But that was without the Depakote.

So I am wondering if anyone who has Bipolar Disorder or Borderline Personality Disorder has had success with such a small dose of Prozac while taking a mood stabilizer (not an anti-psychotic). I just don't want to get manic again.

I also take 3mg of Xanax XR which seems to work well and 50-100mg Seroquel at bedtime (which I'm hoping to stop, but not sure how). Would Trazodone be a better alternative for sleep? As Lunesta and Ambien no longer work for me. :(

Does anyone have any suggestions as I am in between psychiatrists and have spoken with my General Doctor. He is the one who has me on what I am taking now. So I'm looking to those who may have actual experience in hopes of some information which may be of help.

I really hope there's someone out there who can help as I don't want to have to cancel my trip. It's already been put on hold since last November because I've been too messed up to go anywhere.

Thanks for listening... well reading. :)


Hugs,
CA 2 NJ


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poster:CA 2 NJ thread:757161
URL: http://www.dr-bob.org/babble/20070509/msgs/757161.html