Posted by klein on May 8, 2014, at 6:54:47
In reply to New Regimin - still have some depression, posted by phidippus on May 7, 2014, at 22:37:16
> Diagnosis: Bipolar/ADHD/OCD
>
> Rx:
>
> Lithium 1200 mg (mood stabilizer)
> Brintellix 10 mg (to treat OCD)
> Geodon 160 mg (to treat bipolar and OCD)
> Vyvanse 70 mg (treats ADHD and OCD)
> Keppra 3000 mg (mood stabilization)
>
> All I have is some minor depression. If anyone has any ideas for treating it I'm all ears.
>
> EricHi Eric,
How about lowering your Geodon dose? According to Stahl high doses such as 160mg can be effective for very rapid cycling, but to get antidepressant effect a lower dose is recommended (20mg-40mg BID). The NE reuptake inhibition takes a while to kick though.
Small dose of Wellbutrin SR?
How is the Keppra working for you? Maybe you could augment it with stabilizers with a higher AD profile such as gabapentin or Lamictal or even LYrica.
How about increasing the dose of Brintellix?
Tricky diagnosis..
poster:klein
thread:1065359
URL: http://www.dr-bob.org/babble/20140419/msgs/1065362.html