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Re: I have only been psychotic on Nardil. Never withou

Posted by SLS on November 1, 2017, at 14:18:33

In reply to Re: I have only been psychotic on Nardil. Never withou, posted by Lamdage22 on November 1, 2017, at 12:28:32

I'm glad that you took the time to answer so many questions. Maybe someone will see something in your answers that will help you.

I'm sorry that you had such a difficult childhood.

> > There is a type of bipolar illness that presents as chronic depression except for episodes of mania that are brought on by antidepressants. (See DSM 5).

> Do you really think the DSM is so accurate and scientific?

Pretty much. I think a lot of people here would be surprised by just how exacting the DSM 5 is for diagnosing mental illnesses. Unfortunately, the entire manual is not online for free. I have seen bits and pieces of it, though. Ironically, the DSM IV was much better at diagnosing personality disorders than it was at diagnosing mood disorders.

I think we both would agree that your current treatment regime is a mess.

I really think you should consider taking therapeutic dosages of either Effexor or Paxil. You will very likely gain weight with Paxil, however it is not as bad as Zyprexa. I would also urge you to discontinue the lithium oratate. From the scientific literature I've read, it doesn't work and is more toxic than lithium carbonate at dosages necessary to produce similar blood levels. I think this is because the amount of orotic acid liberated with such high dosages is toxic. For you, I don't know that you would benefit from taking high-dosage lithium. You might be able to go without the Seroquel while you are taking Zyprexa. I think Zyprexa is a better anti-manic than is Seroquel. Was the Seroquel initially added for anxiety and insomnia? How did you end up at 950 mg/day?

I would also suggest that you consider the possibility that you can discontinue medication at a faster rate than what you have come to believe. You are not taking a benzodiazepine or opioid. One size doesnt fit all. This is not to say that you wouldnt need to taper the various medications you are on. Effexor can be painful to discontinue if it is not tapered. A reduction of dosage by only 10% every 4-6 weeks is counterproductive in my estimation. One would never be able to continue forward trialing different drugs if they have to take a year to come off of each drug they try.


- Scott



Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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poster:SLS thread:1095680
URL: http://www.dr-bob.org/babble/20161215/msgs/1095687.html