Posted by Quintal on August 23, 2007, at 1:45:02
In reply to Parnate/Dexedrine/500 sleeping meds, please help, posted by dopaminerequiem on August 22, 2007, at 21:53:14
I had my best response ever to a cocktail of Parnate, Klonopin and Lamictal. I know you've taken Lamictal already though - what happened with that? How about lithium as an augmenter/mood stablilizer?
How do you respond to opiates? It sounds as though you're getting to the point where bupe might be a reasonable option, at least for a while, until you regain your tolerance(?) to Parnate. I have similar 'issues' with BPD and substance misuse, and opiates have been very helpful. The small amounts of codeine in OTC products has kept me well and functioning for about a year now, but tolerance is fast gaining ground of course. They seem to have mood-stabilizing, antidepressant and anxiolytic effects. I've also found opiates helpful with rage - they have a pacifying at-pace-with-the-world effect, whereas benzos, although they got rid of my anxiety, were often like throwing petrol on glowing embers. They're also highly dopaminergic, obviously.
Have you ever tried a dopamine agonist? Mirapex has shown robust effects as a mood stabilizer and antidepressant in bipolar disorder, and it's safe to take it with Parnate. Might be helpful as an augmentation strategy?
Q
poster:Quintal
thread:777910
URL: http://www.dr-bob.org/babble/20070815/msgs/777956.html