Posted by LouisianaSportsman on April 28, 2014, at 22:47:11
In reply to Re: Start over with clomipramine or combination? » Louisiana Sportsman, posted by klein on April 28, 2014, at 10:43:45
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> > YES! Have you considered gabapentin or pregabalin? Hands down the best anxiolytic (better than alprazolam) for me that also acts a mood stabilizer and and antidepressant. My favorite medicament.
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> Hey L.,
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> I so agree with you. I haven't tried traditional stimulants but Modafinil + Gabapentin/Pregabalin = amazing.
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> My main issue with this combo is that both Lyrica and Neurontin poop out very soon, and I find that withdrawing from them is excruciating. Most people quit taking them with minimal side effects... I plummet into deep depression that lasts for weeks (no anxiety symptoms though). I've quit high dose Effexor and benzos doing very rapid tapers almost without a hitch, but I find that withdrawing from Lyrica//gabapentin is not just "debilitating", but downright disabling.
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> Any ideas?
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> BTW, I do taper off slowly but it makes no difference. The last time I quit Lyrica (swearing I'd never touch that drug again) my doc prescribed Namenda/memantine, which helped considerably, but it was still quite a bad experience.
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>Well, I was getting prescriptions for 600mg./daily from my PDOC as well a sample packs from a GP; I also paid some people I knew to go and get Lyrica prescribed so I could get their scripts.
I was going 1,200mg. - 3,000mg./day of pregabalin for a while.
I told my PDOC about my addiction and she helped prescribe gabapentin, titrate the dosage of pregabalin, and use #90 diazepam 10mg augmentation with Baclofen for a month until I was completely clean with no hassles.
With my primary anxiolyic off board, my PDOC knew that I needed something to help so I was about to get Xanax 1.5mg. afterwards. Recently, I mentioned that I wanted to responsibly use gabapentin so I'm now on Gralise 1,800mg. which is a time released gabapentin and we decided to it would be best to continue with the Xanax XR.
My PDOC discussed Memantine was a possible option in the near future. You like it, I'm assuming? I want it to manage my amphetamine tolerance, receive cognitive benefits, and possible depression relief. I feel it needs to be added since we recently switched my Dexedrine to Desoxyn (m-amp).
I'm prescribed Nuvigil 300mg./month which is equal to Provigil 600mg. and I find it works synergicitally with the methamphetamine. While I no longer receive the AMAZING results-- daily gabapentin has been effective with the Xanax XR to keep my anxiety under control. And the double punch of modafinil + m-amp has kept me focused and reduced ADHD symptoms.
The next time you're trying to get off pregabalin/gabapentin, your PDOC should taper your gabapentinoid intake and write a Baclofen/Valium taper.
But yes. Lyrica + Nuvigil is one of the most underutilized remedies.
poster:LouisianaSportsman
thread:1064818
URL: http://www.dr-bob.org/babble/20140419/msgs/1064916.html