Shown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by schleprock on June 23, 2012, at 18:48:31
My first seventeen years on nortriptyline were great, but my anxiety has gotten out of control over the past 3 years. Since that time, I've been supplementing off-and-on with clonazapam (which I'm back on - .5 mg) and atenolol (which I'll probably get back on tonight - 12.5 mg) current dose of nortriptyline is 150mg.
Things have gotten really bad over the past couple of months, and I've been starting to consider other options suggested to me by my pdoc. Lyrica seems the most promising (he also mentioned buspar and neurontin).
So I'm wondering if there's anyone out there who has used Lyrica to augment a tricyclic (or other antidepressent) with Lyrica to treat anxiety to compensate their waning potency. I'd want to start at a very small dose if I went ahead, but not so small a dose as to not feel any effect. Any suggestions considering what I'm already taking? Varying the doses of my current meds hasn't really done much, so it might be time to ad something new.
(I should probably add that I had a very bad experience when a previous pdoc had added lithium to my nortriptyline dosage, so I am excessively cautious when it comes to changes in medicine.)
Posted by Peter Heuer on June 25, 2012, at 6:14:11
In reply to Use of Lyrica to augment an anti-depressant for ch, posted by schleprock on June 23, 2012, at 18:48:31
Hi,
I'm on Remeron, Wellbutrin, Lyrica and Buspar.
This is a great combination of drugs.I take 45 mg of Remeron and 100 mg of Lyrica at bedtime.
I take 150 mg of Wellbutrin and 20 mg of Buspar in the morning.
I also take 20 mg of Buspar in the afternoon.
Best regards,
Peter Heuer
Posted by phidippus on June 25, 2012, at 18:27:56
In reply to Use of Lyrica to augment an anti-depressant for ch, posted by schleprock on June 23, 2012, at 18:48:31
Lyrica is awesome for anxiety. I compare it to about .5 - 1 mg of Ativan at its highest dose. I would start slow-about 150 mg twice a day. As you slowly titrate up, you'll notice some 'odd thinking' which usually wanes. I went up to 600 mg with minimal side effects. It has a low side effect profile, so that makes it attractive.
Let me know if you decide to go on it.
PS-it will augment an SSRI if you decide to take one.
Eric
Posted by schleprock on June 30, 2012, at 19:07:57
In reply to Re: Use of Lyrica to augment an anti-depressant for ch » schleprock, posted by phidippus on June 25, 2012, at 18:27:56
> Lyrica is awesome for anxiety. I compare it to about .5 - 1 mg of Ativan at its highest dose. I would start slow-about 150 mg twice a day. As you slowly titrate up, you'll notice some 'odd thinking' which usually wanes. I went up to 600 mg with minimal side effects. It has a low side effect profile, so that makes it attractive.
>
> Let me know if you decide to go on it.
>
> PS-it will augment an SSRI if you decide to take one.
>
> Ericthanks. does lyrica have any positive antidepressant effects (against loss of interest, etc.) as this seems to be my biggest problem at the moment.
Posted by phidippus on July 17, 2012, at 18:23:08
In reply to Re: Use of Lyrica to augment an anti-depressant fo, posted by schleprock on June 30, 2012, at 19:07:57
Yes, Lyrica can help with depression. In two ways: as a glutamate antagonist and as a substance p antagonist.
Eric
Posted by schleprock on July 17, 2012, at 18:59:18
In reply to Re: Use of Lyrica to augment an anti-depressant fo » schleprock, posted by phidippus on July 17, 2012, at 18:23:08
> Yes, Lyrica can help with depression. In two ways: as a glutamate antagonist and as a substance p antagonist.
>
> EricThank you, but my pdoc has already steered me towards risperidone after discussing Lyrica with him, as he said that this would be more potent for treating depression.
This is the end of the thread.
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