Posted by ed_uk2010 on January 25, 2015, at 5:04:37
In reply to Re: Nardil from Greenstone or Gavis??????, posted by meffect on January 24, 2015, at 21:57:08
Hi again!
>I dont think bipolar -- though I do have high's and lows that can happen very rapidly depending on the situation I put myself in, it doesn't seem like bipolar. Honestly, in my research, borderline personality disorder fits me the most -- except i dont self harm
Yes, I get the impression your mood is reactive to the situation rather than having more prolonged and less reactive mood episodes typical of bipolar disorder. Most people with bipolar disorder have weeks or months of manic/mixed symptoms followed by prolonged periods of depression, but the course is very variable and there are different forms.
Whether you're bipolar or not, have you tried any 'mood stabilising' meds at all? Like Depakote, Tegretol or lithium? Many people use these in combination with antidepressants. They might be helpful if you feel very angry or irritable in response to difficult situations. I'm interested in hearing how you've responded to meds other than antidepressants and benzos, what have you tried?
>never had cbt. I was having problems with my marriage when I made the original post. good point...
Do you know if CBT might be available to you? It might help to reduce your negative thought patterns. For those who do well, the response to CBT is usually long term.
>I'm taking 1mg of Klonopin at night for sleep. 30mg of temazepam at night for sleep. 2mg of Xanax which I take only at night if I really have trouble sleeping; and I usually cut it in half first. Actually lately with the Provigil, I will take 1mg of xanax during the day if things get too much to handle. Vybrid 10-20mg daily. I'm trying to go down to 10mg because of the sexual side effects. I've tried every SSRI. Lexapro and Vybrid seem to work the best for calming my emotions, but Lexapro makes me SOOOO tired to the point where I can not avoid taking a 3 hour nap no matter how hard i try. Zoloft and Prozac make me too anxious and irritable. Paxil made me tired like lexapro but i never gave it a good trial
How long did you try Zoloft for? The reason I ask is because the initial anxiety generally passes. Some people find it helpful to start very low eg. at 25mg and then increase gradually. I was mainly asking in case you would feel less tired on Zoloft than on related meds.
One med you could consider is vortioxetine (Brintellix). It has some similar properties to Viibryd but acts at a greater range of receptors. Have you tried it?
>On Parnate, I had to take a nap at lunch. Parnate felt like a week dexedrine with a crash that = nap. Nardil was better than Parnate but...
OK, not an option again then!
>and the comedown from that made me break down :/
Yeah, meds which make you feel amazing and then give you a brutal comedown will only make you worse in the long run... and this problem only gets more severe over time, which is really not good for your health. It's also a problem if you're having to take more benzos to get over the come down. I really think you should reduce and then stop all potent stimulants and try to minimise your use of additional benzo doses... you're already on a substantial dose regularly.
>I have this weird issue where im tired all day, but as soon as it's time to go to bed, I feel more alert and awake.
That's common in anxiety/depression. Have you tried a melatonin capsule at night to see whether it helps you sleep?
Take care.
poster:ed_uk2010
thread:1075449
URL: http://www.dr-bob.org/babble/20150102/msgs/1075506.html