Posted by LouisianaSportsman on March 11, 2014, at 23:59:06
In reply to Phidippus., posted by SLS on March 10, 2014, at 8:13:49
Eric, since you gave such helpful advice to Scott, what would you do with my med regimen?:
Adderall IR (amphetamine salts) 60mg.;
Aplenzin (bupropion hydrobromide) 522mg.;
Brintellix (vortioxetine) 10mg.;
Lamictal (lamotrigine) 200mg.;
Latuda (lurasidone) 80mg.;
Nuvigil (armodafinil) 250mg.;
Neurontin (gabapentin) 1,200mg.;
Trokendi XR (topiramate extended-release) 100mg.I'm planning on increasing Brintellex to 20mg. next month, and Lamictal to 300mg., Neurontin to 1,600mg and Trokendi XR to 200mg. at some point.
I'm considering returning to Dexedrine for blood pressure purposes; amphetamine salts has more of a "boost" that I prefer, however.
I feel vortioxetine may cause mood destabilization; therefore, I might need my mood stabilization dosages increased.
The topiramate at the current 100mg. sub-therapeutic was working just fine because we have lamotrigine on board, and there are studies that suggest that you can use lower doses of the mood stabilizer you're augmenting to another mood stabilizer.
I feel like it is time to increase dosages; especially, I have been on these doses for so long, particularly lamotrigine at 200mg. for years; topiramate (indicated for weight-loss) for months.
I would love to trial Oxtellar XR (oxcarbazepine extended-release tablets) in place of my lamotrigine.
Lurasidone dosages above 80mg. don't seem to be any more efficacious. If conditions call for it, however, I would trial 120mg.
A gabapentin escalation would help with my anxiety and other factors.
What would you suggest, Eric? Replace and augment? Remove? Change? Edit? Etc.
Anyone other opinions?
poster:LouisianaSportsman
thread:1062167
URL: http://www.dr-bob.org/babble/20140307/msgs/1062326.html