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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by rjlockhart37 on March 4, 2014, at 23:56:45
as i've posted here....i am on 20mg's of zyprexa and 400mg's of lamotragine and prozac, there all at their maxed doses, and tell you the truth, all of this is an error....none of it is needed expect for the prozac....
i just complied and was put on heavy doses of these....and they said it would flattenen the hyperactivty out.....see, i asked the doctor for adderall at the rehab, she wouldnt give to me because she didnt believe i had any attention deficiet, and zyprexa was used, it knocked my hyperactity to cloud 9.....i was dazed, cloud 9.....
you see.....all of this is an error, i needed treatment for ADHD, but the only stimulants are used is Nuvigil.....but still maybe mood stablizers are good for ADD, level out the dopamine levels....
does anyone know of a case when mood stablizers where the only thing used for treatment for a case which is CLEARLY ADHD....but was masked of being manic depressive....
Posted by LouisianaSportsman on March 5, 2014, at 0:37:19
In reply to bipolar treatment for ADHD, wierd...., posted by rjlockhart37 on March 4, 2014, at 23:56:45
> as i've posted here....i am on 20mg's of zyprexa and 400mg's of lamotragine and prozac, there all at their maxed doses, and tell you the truth, all of this is an error....none of it is needed expect for the prozac....
>
> i just complied and was put on heavy doses of these....and they said it would flattenen the hyperactivty out.....see, i asked the doctor for adderall at the rehab, she wouldnt give to me because she didnt believe i had any attention deficiet, and zyprexa was used, it knocked my hyperactity to cloud 9.....i was dazed, cloud 9.....
>
> you see.....all of this is an error, i needed treatment for ADHD, but the only stimulants are used is Nuvigil.....but still maybe mood stablizers are good for ADD, level out the dopamine levels....
>
> does anyone know of a case when mood stablizers where the only thing used for treatment for a case which is CLEARLY ADHD....but was masked of being manic depressive....From what I've been reading from you on the forum, I think 400mg. lamotrigine is an excessive dosage that may be causing cognitive side effects that effect communication.
At the rehab, I believe that the doctor discriminated against you, and she may have believed that you were presenting the symptoms for amphetamine salts due to recreational effects. I am sorry if that is was the case, rj.
Rant: Each patient should be evaluated individually, and they should not be immediately disqualified from schedule II medication (for amphetamine salts, any cathinone substance abuse should be a 'red flag', however; proceed with caution or, better yet, not at all until patient is properly rehabilitated) due to prior unrelated substance abuse.
Rj, if a patient is describing symptoms of ADHD, then mood stabilizers are not the right call to treat those symptoms. Medications such as Adderall IR, XR, Dexedrine, Vyvanse, Ritalin, Focalin, Concerta, etc. would be a better first-line treatment for a patient with ADHD symptoms.
Mood stabilizers should not be considered monotherapy for a patient who is truly ADHD and not bipolar. Mood stabilizers would be advisable for any truly bipolar patient, however. You and your PDOC need to properly evaluate your diagnosis.
If you are truly ADHD and not bipolar, then those psychostimulants mentioned beforehand may be the correct therapy concomitantly with fluoxetine. If so, this would eliminate the need for any other psychoactive augmentation agents, including mood stabilizers.
Augmention of a mood stabilizer such as lamotrigine would be advisable if manic depressive symptoms arise. If lamotrigine is indicated for ADHD symptom relief, however, then that should not be considered effective.
Rj, you do not have to necessarily use lamotrigine as your primary mood stabilizer. I, personally, would investigate Oxtellar XR (oxcarbazepine extended-release tablets) along with the many other mood stabilizing medications that are out there if you should require a mood stabilizing medication as part of your psychiatric therapy.
Good luck, and what do you think?
Posted by vbs on March 5, 2014, at 2:51:06
In reply to bipolar treatment for ADHD, wierd...., posted by rjlockhart37 on March 4, 2014, at 23:56:45
I have schizoaffective disorder but was misdiagnosed for a long time as ADD. I was prescribed stimulants for long time before they eventually made me psychotic.
Anyway, I think a moderate dose of Vyvanse or Concerta would benefit you. You will probably have to first find a job or obtain SSI disability, live independently from your parents, and change pdocs. If you just have ADHD you're unlikely to get approved for disability benefits. What has your pdoc diagnosed you with? Are you actively seeking employment? What do you think is preventing you from moving forward with your life? The answers to these questions are critical.
I believe a good therapist or life coach would be invaluable.
Just my two cents.
Take care. :-)
Posted by Phillipa on March 5, 2014, at 9:09:36
In reply to Re: bipolar treatment for ADHD, wierd...., posted by vbs on March 5, 2014, at 2:51:06
RJ it really is time to move out and get on your own. Is this the same pdoc you have been seeing? Phillipa
Posted by ed_uk2010 on March 5, 2014, at 14:09:23
In reply to Re: bipolar treatment for ADHD, wierd...., posted by Phillipa on March 5, 2014, at 9:09:36
If you indeed have ADHD, Strattera may be useful, and as a non-controlled substance, you pdoc may be more willing to prescribe.
Your Zyprexa dose is high, even for schizophrenia 20mg is rather a lot. 400mg of Lamictal is also an unusually high dose. Do you feel that you are benefiting from these meds?
Posted by vbs on March 5, 2014, at 15:52:12
In reply to Re: bipolar treatment for ADHD, wierd...., posted by ed_uk2010 on March 5, 2014, at 14:09:23
ed_uk makes good points. Strattera may be beneficial. Have you ever taken it?
Also, as ed asked you, do you feel that Lamictal and Zyprexa help you? What would happen if you discontinued them? Mania? Psychosis? Why is your pdoc prescribing them?
I hope your family and girlfriend are supportive. We need all the help we can get.
Posted by vbs on March 5, 2014, at 19:18:15
In reply to bipolar treatment for ADHD, wierd...., posted by rjlockhart37 on March 4, 2014, at 23:56:45
So, you're being treated as bipolar? And you disagree with her.
RJ, the more I think about it the more I think you really need to be self sufficient. Get a job, move into your own place, and see a new shrink who treats adult ADD/ADHD if that's your goal.
You're stuck right now.
Good luck. Peace.
Posted by 10derheart on March 6, 2014, at 1:45:33
In reply to Re: bipolar treatment for ADHD, wierd...., posted by vbs on March 5, 2014, at 15:52:12
2007 was the only time, right Matt, and you didn't like it at all or think it helped...?
Posted by rjlockhart37 on March 6, 2014, at 12:39:54
In reply to Re: bipolar treatment for ADHD, wierd...., posted by LouisianaSportsman on March 5, 2014, at 0:37:19
yes....its a crazy thing, but the mood stablizer i've been prescibed is high, yes, and all it does is level out my moods, and sometimes be on cloud 9 with the zyprexa.....this is the EXACT opposite of a stimulant, but it does regulate some of my irrtibity moods.....it does level them out, but it spaces me out....i have to use extra effort, but maybe it's best for right now, i take Nuvigil 250mgs....and that's the only stimulant i can take, so ... it's not all the doctor's fault because all my psych reports distinctly said i had schizoeffective, then another one directly said i had schizophenia....which i know is not true, maybe tiny bits of it but nothing say it's truely
but i do have to give the doctor credid because they used other medications, they don't believe i have ADD because they know of my past substance abuse of it, yet i've grown out of that stage, i am prone to take more and more, yet alot of people do that, my case is just well known for it, and i've disclosed it to babblers here....
concerta definetly woulld help but you see the only thing, is my only thing i can use right now is the lamictal and zyprexa for suppressing hyperactivty but it ZONES me out, makes me vary passive, and attention span is lowered.....it's crazy, i know, the only thing for the ADD part is Prozac and Nuvigil...maybe i need to cut the lami. and zypre. off....
they diagnosed me with mania, because of my hyperactity in the thoughts, and let me say, it was ADHD, yet they didnt believe me, and thought i just wanted amphetamine stimulant....that's what happened, so have to accept it and move on.....ill have to work with the doctor furthur more, the medicines do work, but their kinda not needed, it does help with irrtibility....but it's not a main treatment
thanks for posting...
r
Posted by rjlockhart37 on March 6, 2014, at 12:51:36
In reply to Re: bipolar treatment for ADHD, wierd...., posted by vbs on March 5, 2014, at 2:51:06
i am on disability but it is not much.....im having to pay my mother back because she covered my money situations with my credit card....
the thing is i know i am prone to abuse, or dependence.....but the depedence has surfaced to where i cannot function, i have sitting duck for 4 years....nothing....it is case that should be noted of dependence that is required to have the medication.....it destroyed 4 years of my life getting ripped off stimulants....
so.....my life is starting to move on...im having to cope with only prozac and nuvigil for ADHD treatment, alone with the bipolar medications....it's a wacky wack case....but i will move forward....
thanks for the post:-)
r
Posted by rjlockhart37 on March 6, 2014, at 12:56:23
In reply to Re: bipolar treatment for ADHD, wierd...., posted by Phillipa on March 5, 2014, at 9:09:36
hey phillipa.....
thanks for resoponding....thing is im on disability...im 27 in april, and still im having to work all this out...my disability is getting in the way but as this year ... i am going to have to learn to walk with a leg that is not developed, metaphorically speaking, make it without things that are needed, and it can be done...yes....but i don't want to boarst about my future success....because i have no idea what it will be....
yea...im still seeing the same pdoc, she won't use stimulatns, expect for Nuvigil....which is some help.....yes....ill still have to work through the bipolar med treatment, and maybe get used to it's effects, who knows maybe it will help with hyperactivty, but it just makes me so ZONED out....cloud 9 staring into space thinking about things when attention span is needed....
anyways...yea....ill make it....:) thanks for posting
r
Posted by rjlockhart37 on March 6, 2014, at 13:03:50
In reply to Re: bipolar treatment for ADHD, wierd...., posted by ed_uk2010 on March 5, 2014, at 14:09:23
the lamictal and zyprexa takes care of agitation and irrtibility....and defiently will calm hyperactivty in the brain, but see this is the thing....from my belief is it's not the way to treat it....it's a dopamine problem....and the mood stablizers are ionizing nuerotrannsmitters, yet it's not treating the direct problem for the ADHD dopamine thing....
it does make me leveled out....but with lamictal at 400mg makes me vary passive....it does help with the mood with prozac....that's the only benefit it plays is with mood enhacement....not dopamine/motivation/stimulant enhancement....it makes me in a better mood to do work, instead of having psychomotor stimulation from classic amphetamine stimulant.....
i will have to adjust all this with the doctor....
the zyprexa zones me to sleep at night.....it's sedating....but it is good, i've taken zyprexa for years....and finally it was increased to 20mg's....i was on 30mg's for a 6 months but it caused me to jerk, and studder over my words....it was tartive dsyk...problem, i had to move down on the dose....
the only benefit i get from zyprexa and lamictal is decresed hyperactivty and passiveness, my attention span is lower....but still my attention span is bad even without these medications....but they cause the firing in the brain to lower.....
so.....ill get out of this, ill work with the doctor but until then learn how to deal with life with the current medicines....
thanks for the posting:)
r
Posted by phidippus on March 6, 2014, at 14:04:06
In reply to bipolar treatment for ADHD, wierd...., posted by rjlockhart37 on March 4, 2014, at 23:56:45
What you should do is go off all your meds and see how you are. Have the docs contemplate you in a naked state.
Eric
Posted by rjlockhart37 on March 6, 2014, at 19:45:50
In reply to Re: bipolar treatment for ADHD, wierd.... » rjlockhart37, posted by phidippus on March 6, 2014, at 14:04:06
my currnet doctor wouldnt do that, but if i did, i would be hard because i went 2 years disclosing to them i had ADHD, and they denied it because the believed i was seeking stimulant....and put me on zyprexa....they got the hyperacity mixed up with mania.....
if i went to a naked-no medication state, i would have depression, and ADHD symptoms, i already know because i went through it many times stripped off meds and put on new ones.....
only stimulant i take now is nuvigil, and caffeine, and nicotine.....
Posted by rjlockhart37 on March 6, 2014, at 19:53:29
In reply to Re: bipolar treatment for ADHD, wierd...., posted by 10derheart on March 6, 2014, at 1:45:33
i reremebt when i wrote that post....i was sitting in lazy boy chair at home....and i was irrtible from strattera....and had to frequently take Xanax which i took at the time, over and over for the anxiety......
yea i did a trial again in 2011 with it but there was no success.....i wasnt irrtible like in 07, but it just had hardly any effect....
Posted by vbs on March 6, 2014, at 20:14:28
In reply to Re: bipolar treatment for ADHD, wierd.... » 10derheart, posted by rjlockhart37 on March 6, 2014, at 19:53:29
You're a strong person, RJ. You've endured a lot over the years.
Take care.
This is the end of the thread.
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