Posted by zana on August 22, 2009, at 14:09:44
In reply to Re: Help please. I need to make some changes., posted by ricker on August 22, 2009, at 12:24:02
Thank you everybody for your thoughts.
I have had a bunch of second opinions here in the Boston area and the pdoc I am seeing now is quite experienced. He didn't want me to drop the remeron because it's supppsed to be California Rocket Fuel in combination with pristiq.
I originally started remeron for sleep. It never seemed to have much AD effect. Seroquel had a very modest AD effect at 300mgs. Provigil helps my mood and energy but has a nasty down side. I think we added the gabapentin to take the edge off the provigil.
The pristiq was added next. At first it was like magic. Then that pooped and we went up from 50 to 100 on it. Then the respirdal. Then we added Wellbutrin trying for improved mood and energy again, still. I have been on the klonopin forever.
I was thinking of trying to decrease the seroquel or the respirdal again. And I think I'll decrease the Wellbutrin as 300mgs makes me feel pretty wound up.
The pdoc, every pdoc I've ever seen, always says to change just one thing at a time. But with so many uppers and downers it seems like it hard to drop an upper without balancing it by dropping a downer.
Sigh...
poster:zana
thread:913470
URL: http://www.dr-bob.org/babble/20090818/msgs/913495.html