Posted by undopaminergic on July 4, 2008, at 19:39:11
In reply to agitation, anxiety, fatigue and insomnia, posted by llurpsienoodle on July 4, 2008, at 15:20:45
> ah yes. the unholy triumvirate. The dark side of hypomania.
>
> It's time to tweak my meds around. The only thing I've found that helps with agitation has been wellbutrin. I took an extra one of those today. I will see if it helps.
>
> WellbutrinSR generic 150mg
> Abilify 10mg
> lamictal 300mg
> sertraline (zoloft generic) 100mg
> sonata prn 10mg
>
> I'm very nervous about my new job. This is causing me to lose sleep, and sonata 10mg is not cutting it.
>Have you tried codeine cough syrup or tablets? It might work great for occasional use, but there's a serious risk that it would lose its effects if used too often. However, you may be able to extend its usefulness by adding memantine or dextromethorphan.
>
> And the anxiety and agitation makes it hard to think.
>And on the other hand, too much benzodiazepines might also make it hard to think - otherwise something like diazepam (Valium) might be useful. Perhaps Valium in combination with piracetam (or other nootropic, for restoring thinking)?
> 1)what about adding provigil to my mix? I took it for a year with no adverse events. It would replace caffeine for my fatigue symptoms.
>Yes, that may be worth a try.
> I think the wellbutrinSR helps with anxiety and agitation because it enables me to sit down and focus on the task at hand rather than run around like a mother chicken looking for her chickies.
>
> 2)what about upping my dosage of wellbutrin to 300mg SR or something like that XL, whatever?
>Yes, or maybe Ritalin would have a similar effect? Then adding some of that might be an alternative.
Also, you could try guanfacine. It helps reduce excessive adrenergic activity.
poster:undopaminergic
thread:838031
URL: http://www.dr-bob.org/babble/20080626/msgs/838063.html