Posted by Louisiana Sportsman on June 30, 2014, at 14:33:29
In reply to Re: Update: treatment 37 days; regimen now thoughts? » Louisiana Sportsman, posted by SLS on June 30, 2014, at 10:44:36
Armodafinil is indeed good for ADHD. I don't believe the PDOC will triple my dosage of mirtazapine without doubling it first but 45mg. is preferable. I've tried Pristiq and it's tied with sertraline and a lot harder to get off of; definitely see the pharmacological reasoning behind the combination with bupropion. I appreciate the analysis of the medications I made a list of, very interesting!
Scott,
I'm sorry to hear that things aren't shaping out the way they should for ya since I've been absent. I was hoping that at least you'd be doing well. It really helped me that I got to adjust/augment medication so often. I had about six sessions.
I discontinued aripiprazole for the same reasons, but as we discussed Latuda worked for me. I'm sorry it didn't work for you. What about Fanapt? Seems a bit side effect heavy...
>
> My current treatment regime for bipolar depression:
>
> Parnate 100 mg/day
> desipramine 200 mg/day
> Lamictal 200 mg/day
> lithium 450 mg/day
> prazosin 30 mg/day
>
>
> - ScottWill you increase the desipramine to 300mg.? That's about as high as I'd dose it with Parnate.
Your lithium dosage is a bit low; I doubt it's even within the therapeutic blood serum level. Consider raising it?
If you raise the lithium, perhaps you could lower the lamotrigine to 100mg.? It seems to have more of antidepressant effect at lower doses. Might help with cognition and overall sense of being to lower it too. You'll feel better, I didn't realize how strong it was until I went off of it.
You know how the prazosin is working for your symptoms. How is that?
poster:Louisiana Sportsman
thread:1067551
URL: http://www.dr-bob.org/babble/20140609/msgs/1067669.html