Posted by Netch on October 12, 2007, at 16:03:08
In reply to Re: Lost Motivation + Focus???....now what?, posted by sometimesblue on October 12, 2007, at 14:09:41
> OK, 3 questions:
>
> 1. Lamictal w/ Bupropion & Prozac? I like the Bupropion because it fixed all the sexual side effect i had from the numerous SSRI's i have ben on.
>
> 2. Amblify: energy & focus? Those are major problems for me, as long as i can remember they have been.
>
> 3. Any sexual side effects from Amblify or Lamictal?
>
> thanks for your help,
> SB>I also take Carisoprodol on & Off & most >recently ultram for chronic back pain.
>How do you think these can be addressed?
A problem with SSRI is that it can blunt emotions, including motivation.
Lamictal do not cause sexual dysfunction and it may stabilize your mood on Bupropion.
If a med distabilizes your mood it could be a sign that your bipolar or mixed state.
That would indicate that you should try lamictal first... and then add prozac/Bupropion if you need additional AD effect. An option is to add lithium.Abilify is an atypical neuroleptic that is used for bipolar/schizofrenic symptoms. It addresses issues with motivation, fatigue, paranoid thoughts (delusions/psychosis), isolation, instable mood, social fears/hostility/aggressivity.
The med does not work for everybody, some become fatigue from it, but I know many schizofrenics/bipolars who've been helped with abilify. The secret is to find the right dose. Too much may cause fatigue, anxiety or insomnia.
Since you're using ultram for chronic back pain I assume your pain is severe. I would try to get a MRI scan to exclude any problem that could be addressed surgically. If it's an issue with muscle pain maybe a naprapat/chiropractor/osteopath could help you out. If the pain is more complexed like in fibromyalgia maybe lyrica could address your problem.
If you're overweight and/or eat high sugar diet it may also worsen your pain condition./Netch
poster:Netch
thread:788747
URL: http://www.dr-bob.org/babble/20071009/msgs/788779.html