Posted by bleauberry on June 9, 2008, at 20:13:04
In reply to Rocket Fuel Failed; What Magic Combo Is Next?, posted by BGB on June 9, 2008, at 16:40:05
I don't know you or your history so this could be all wrong, but I gotta say I think that is too many meds and one or two of them are actually causing you to feel worse than you would otherwise. Actually, if you were still on all those same meds, my bet is you would feel a lot better than now if they were half the dose they are now.
If it were me, I would not even consider adding another med. I mean, if you feel horrible on these meds, they aren't working, ok? Not only are they not working, there is a decent chance one of them is doing enough of something bad that is negating any good the others might have. For all we know, your body and liver might be having such a hard time overloaded with all these chemicals you just might be in toxic overload from a physiological viewpoint, with its unavoidable impact on the brain.
Since I don't know you I couldn't begin to say which meds to wean off of or in what order.
For sure I know from reading posts here for over a decade that the people that were in the worst shape had a huge laundry list of drugs they were one. Coincidence? My gut feeling is that even though they were in bad shape before the drugs, they weren't as bad as they were with all the drugs piled on top.
If two or three meds can't get the job done, they need to be changed, not added to. Just the way I see it.
I'm not saying you should or should not do it, but if it were me, I would cut the wellbutrin in half, valium in half, trazodone in half, stabilize there, and then whittle them down some more. If there were any one drug I would point a guilty finger at, it would be wellbutrin. Valium would take a close second, with trazodone right behind it.
Replace wellbutrin straight across one-for-one, not add on, with modafinil. Replace remeron, one-for-one, not add on, with zyprexa. If there absolutely has to be a benzo, replace valium with xanax. Have abilify on a watch list. Have ritalin on a watch list. If you ever go an maoi route, it's going to be a journey to get the effexor and remeron down to zero and wash out.
I know the mindset is to add another med. Sometimes the opposite makes more sense. Either eliminate or replace.
poster:bleauberry
thread:833832
URL: http://www.dr-bob.org/babble/20080606/msgs/833857.html