Posted by Tabitha on February 19, 2016, at 1:55:41
In reply to Re: Suicidal ideation, adding lithium » Tabitha, posted by SLS on February 19, 2016, at 1:32:14
> Hi Tabitha.
>
> I'm sorry that you are having such a difficult time. I am glad that you felt safe enough to relate your suicidal thoughts.Thank you. It's nice to see you still posting. I think it was you who (some time ago) suggested 150 was too low on the lamictal.
>
> I'm sure you understand that many people need combinations of medication to make them feel better. As an example, this is the treatment regime that I am having some success with:
>
> Parnate 80 mg/day
> desipramine 300 mg/day
> Lamictal 300 mg/day
> lithium 300 mg/day
> Abilify 10 mg/dayI'm glad if all that is keeping you stable and functioning. I know there's no real reason to object to multiple meds, but I'm also on three other Rx and 4 OTC daily (these were recommended by docs, not just vitamins and such) for non-mental stuff, so the thought of 4 or 5 psych meds is difficult.
Which meds do you think help most with depression? Does Ability add anything on its own, or is it just to augment other ADs?
>
> I am wondering if you have ever tried:
>
> MAOI
> TCA
> Wellbutrin
> AbilifyMAOI, no. I think I'd have trouble with the diet restrictions, so that might be a last resort.
I've tried Wellbutrin a long time ago. I had extreme irritability with it, but I'd be willing to try again, as I don't think I was on much of any mood stabiliser at that time.
Abilify, no, haven't tried it.
TCA, yes I used those back before SSRI, when I was misdiagnosed unipolar. They made me quite drowsy. Once SSRI were in wide use I was happy to switch to Prozac, although that gave me really uncomfortable agitated dreams. But again, I wasn't on mood stabilizer so might have been hypomania rather than regular side effects.
>
> My doctor has luck combining Wellbutrin with Lamictal. I would even consider adding Abilify to that.I'll ask about those options once I get the lithium and fetzima taper sorted out.
>
> Are you a spiritual person?
>
>
No, in fact I've moved from being non-religious yet still vaguely open to some kind of spiritual practice to more clearly atheist.> - Scott
>
>
poster:Tabitha
thread:1086267
URL: http://www.dr-bob.org/babble/20160131/msgs/1086270.html