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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 14 to 38 of 38. Go back in thread:
Posted by Maxime on August 10, 2009, at 13:00:04
In reply to Re: My current cocktail, posted by Sigismund on August 9, 2009, at 20:19:56
The largactil is my mood stabiliser. I like it a lot. It makes me feel calm. I've tried to go without the Wellbutrin and it made me worse.
Posted by Maxime on August 10, 2009, at 13:03:28
In reply to Re: My current cocktail, posted by Justherself54 on August 10, 2009, at 1:24:31
> For me, Wellbutrin caused horrible anxiety and cymbalta caused rage episodes.
>
> I'm really sorry you're going through this Maxime.
>
> Were you feeling OK for a bit on your current cocktail, was something recently added? Keep posting..we're all here for you.Thank you. I've been on this cocktail for over a year now. But meds never last long with me. Thanks for your support.
Posted by Maxime on August 10, 2009, at 13:04:26
In reply to Re: My current cocktail, posted by manic666 on August 10, 2009, at 4:57:18
> thats a lot of meds well it is in my eyes , maby just maby one of them is wrong for you, an screwing the rest , i dont no much as you can see but i have been where you are many times , stay safe
I've been on these meds for over a year now and this is the worst I have felt.
I will do my best to stay safe.
Posted by Maxime on August 10, 2009, at 13:06:32
In reply to Re: My current cocktail » maxime, posted by softheprairie on August 10, 2009, at 5:46:49
> I'm sorry it's gotten this awful for you. I noted you supplied references on a different thread that supported use of MAOIs combined with a TCA and/or stimulants. Is that something you've tried? Or have you just been interested in trying such an agressive strategy, but not been able to find a prescriber to agree to it? I imagine most patients would really have to doctor-shop to find a willing psychiatrist for that strategy. (I'm sorry if you've talked about this already recently on the board; I haven't read as much here of late.) I wanted to let you know I'm really pulling for you, even if I don't know the best words or med coctail for you.
I've been on many different cocktails. I was taking Parnate with Adderall at one point and that worked well.Maybe it's time to try it again.
Posted by Maxime on August 10, 2009, at 13:08:38
In reply to Re: My current cocktail » maxime, posted by SLS on August 10, 2009, at 6:16:51
You know that suicidality (feelings of suicide not necessarily the result of reasonable thoughts) has a neurobiological substrate. Much work has been done in this area. The depressive illness can trigger episodes of suicidality. So can drug treatment. Please take this into consideration as you evaluate your suicidal feelings and ideations.
>
> > Any suggestions on which meds I might add?
>
> Not at the moment.
>
> Well, maybe one. Seroquel.
>
> I'll think about it some more.
>
>
> - ScottI will keep it in mind. But I am not taking anything new. I've been on these meds since February 2008.
Thanks Scott.
Posted by Maxime on August 10, 2009, at 13:09:42
In reply to Re: My current cocktail, posted by bulldog2 on August 10, 2009, at 10:36:44
> > Right now I am taking the following:
> >
> > 60 mg Cymbalta
> > 300 mg Wellbutrin XL
> > .5 mg Clonazepam
> > 100 mg Largactil
> >
> > I want to feel better than I am now. Currently I am thinking about suicide a lot. I also have a lot of trouble getting up in the morning. I am anxious a lot.
> >
> > Any suggestions on which meds I might add?
> >
> > Thank you.
>
> LithiumI've tried lithium and at every dosage (even low ones) I was toxic on it. I don't want to try that med again.
Posted by SLS on August 10, 2009, at 16:35:47
In reply to Re: My current cocktail, posted by bulldog2 on August 10, 2009, at 10:36:44
> > Any suggestions on which meds I might add?
> >
> > Thank you.
>
> Lithium
Good thought.
- Scott
Posted by SLS on August 10, 2009, at 16:49:32
In reply to Re: My current cocktail » softheprairie, posted by Maxime on August 10, 2009, at 13:06:32
> I've been on many different cocktails. I was taking Parnate with Adderall at one point and that worked well.Maybe it's time to try it again.
Try to sneak some nortriptyline in there.
A couple of more thoughts. You can simply add these as adjuncts to what you are currently taking. You won't be able to try Geodon once you start and MAOI. It inhibits the reuptake of serotonin.
All three drugs are 5-HT1a partial agonists, and might work synergistically with the Cymbalta. Abilify has the added benefit of stabilizing the DA postsynaptic receptors through partial agonism.
1. Geodon
2. Abilify
3. BuspironeI realize that a great many ideas expressed here will mirror things that you have already tried. But don't think that you are frustrating us. We will all keep trying.
- Scott
Posted by floatingbridge on August 10, 2009, at 17:05:58
In reply to Re: My current cocktail » Maxime, posted by SLS on August 10, 2009, at 16:49:32
Abilify at a small dose was helpful for me--2.5 mg.
fb
parnate and stim might be good, too--but that's wholesale change.
hoping you're getting some good info / brainstorming here!
Posted by Maxime on August 10, 2009, at 18:27:26
In reply to Re: My current cocktail » Maxime, posted by SLS on August 10, 2009, at 16:49:32
I wish Abilify was available in Canada.
Posted by Zyprexa on August 10, 2009, at 19:25:53
In reply to My current cocktail, posted by maxime on August 9, 2009, at 19:27:24
How about a mood stabilizer?
Posted by Phillipa on August 10, 2009, at 20:20:06
In reply to Re: My current cocktail » maxime, posted by Zyprexa on August 10, 2009, at 19:25:53
Maxime if you don't want to change the meds what about raising the cymbalta? Phillipa
Posted by floatingbridge on August 10, 2009, at 20:33:32
In reply to Re: My current cocktail » SLS, posted by Maxime on August 10, 2009, at 18:27:26
Abilfy --not available online? (It's really expensive!)
Posted by floatingbridge on August 10, 2009, at 20:35:17
In reply to Re: My current cocktail » maxime, posted by Zyprexa on August 10, 2009, at 19:25:53
lamictal?
Posted by Maxime on August 11, 2009, at 18:27:11
In reply to Re: My current cocktail » maxime, posted by Zyprexa on August 10, 2009, at 19:25:53
> How about a mood stabilizer?
THe thorazine is my mood stabiliser at the moment.
Posted by Maxime on August 11, 2009, at 18:27:42
In reply to Re: My current cocktail, posted by Phillipa on August 10, 2009, at 20:20:06
> Maxime if you don't want to change the meds what about raising the cymbalta? Phillipa
I've tried doubling it and it did nothing.
Posted by Maxime on August 11, 2009, at 18:28:25
In reply to Re: My current cocktail » Zyprexa, posted by floatingbridge on August 10, 2009, at 20:35:17
> lamictal?
Makes me more depressed. :(
Posted by floatingbridge on August 11, 2009, at 22:04:13
In reply to Re: My current cocktail » floatingbridge, posted by Maxime on August 11, 2009, at 18:28:25
Maxime,
When do you see your pdoc again? Do you have a sense of direction yet how you'd like your treatment to go? Any hunches?
fb
Posted by Phillipa on August 11, 2009, at 23:15:56
In reply to Re: My current cocktail » Maxime, posted by floatingbridge on August 11, 2009, at 22:04:13
Maxie figured that. What about requip? Low dose it's doing wonders for an old babbler. Phillipa
Posted by elanor roosevelt on August 11, 2009, at 23:47:34
In reply to Re: My current cocktail » floatingbridge, posted by Maxime on August 11, 2009, at 18:28:25
Maxine
Please remember that meds might work for a while and then turn around on you. Consider re-evaluating the meds you are taking. My experience has been that once i get to a bad spot i never do well with adding even more--there is always something i have to get rid of.
Good luck and take good care of yourself
Posted by Maxime on August 12, 2009, at 12:45:10
In reply to Re: My current cocktail » Maxime, posted by floatingbridge on August 11, 2009, at 22:04:13
> Maxime,
>
> When do you see your pdoc again? Do you have a sense of direction yet how you'd like your treatment to go? Any hunches?
>
> fbI see him on the 24th. I think I am going to ask to switch to Parnate. That was the one drug I responded to really well. I think it's time to try it again.
Posted by Maxime on August 12, 2009, at 12:46:00
In reply to Re: My current cocktail, posted by Phillipa on August 11, 2009, at 23:15:56
> Maxie figured that. What about requip? Low dose it's doing wonders for an old babbler. Phillipa
I don't think that's available in Canada yet.
Posted by Maxime on August 12, 2009, at 12:47:35
In reply to Re: My current cocktail, posted by elanor roosevelt on August 11, 2009, at 23:47:34
> Maxine
> Please remember that meds might work for a while and then turn around on you. Consider re-evaluating the meds you are taking. My experience has been that once i get to a bad spot i never do well with adding even more--there is always something i have to get rid of.
> Good luck and take good care of yourselfI'm thinking about changing completly. Going back to Parnate. Clearly the Cymbalta has pooped out on me. I think the Wellbutrin helps a bit.
Thanks for your help.
Posted by Sigismund on August 15, 2009, at 1:46:23
In reply to Re: My current cocktail » floatingbridge, posted by Maxime on August 12, 2009, at 12:45:10
>That was the one drug I responded to really well. I think it's time to try it again.
You remember your post, years ago now, where you said something like
'I have to accept that the Parnate is not helping'?What else, apart from Parnate, were you on then?
Posted by Maxime on August 15, 2009, at 12:46:23
In reply to Re: My current cocktail » Maxime, posted by Sigismund on August 15, 2009, at 1:46:23
> >That was the one drug I responded to really well. I think it's time to try it again.
>
> You remember your post, years ago now, where you said something like
> 'I have to accept that the Parnate is not helping'?
>
> What else, apart from Parnate, were you on then?I was taking Adderall and Lamictal I think. It worked very well for two years and then it stopped. It's not something I expected Parnate to do ... poop out on me.
This is the end of the thread.
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