Psycho-Babble Medication Thread 1076029

Shown: posts 1 to 9 of 9. This is the beginning of the thread.

 

Finally Found A Good Regimen: Bipolar Depression.

Posted by Louisiana Sportsman on February 5, 2015, at 17:33:52

It's been awhile since I've posted here. I used to be an avid member. I just got out of the treatment center. I've spent 123 days impatient since July 24th, 2014 trying to get me stable and get my Meds right.

I'm on a good regimen now. I have bipolar depression NOS, ADHD-PI, GAD.

sertraline 150mg. QD (Zoloft, Lustral) (1 & 1/2 100mg. tab)
vortioxetine 20mg. QD (Brintellix)
mirtazapine 45mg. QHS (Remeron, Zispin)
lurasidone 60mg. QHS (Latuda)
bupropion hbr 522mg. QD (Aplenzin)
armodafinil 250mg. QD (Nuvigil)
pregabalin 200mg. TID (Lyrica)
topiramate XL 200mg. QD (Trokendi XR, Toprol XL)

I'm engaging in life again. The world seems brighter. I'm on track to get my family back.

The sertraline is at the right dose to get sufficient SRI reuptake and is combined successfully with Brintellix at its lowest dose due to an interaction with bupropion-- bupropion increases Brintellix.

Mirtazapine is at the dose for sleep and a slightly activating NE effect due to a2 adrenergic receptor activity.

Latuda, IMO, is one of the best meds and I think it could be used successfully for unipolar depression. I take the right dose to inhibit 60% of DAT.

I take the hydrobromide salt of bupropion and combine it with armodafinil for ADHD. Here's an excellent study: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3197159/

Lyrica (pregabalin) controls my anxiety well. I take the max dose for anxiolytic effects.

Topiramate, IMO, is a great mood stabilizer and controls my weight.

I hope everyone is having luck finding the right meds for their dx!

Feel free to comment or ask questions. Thanks for reading.

 

Re: Finally Found A Good Regimen: Bipolar Depression.

Posted by Louisiana Sportsman on February 5, 2015, at 17:38:34

In reply to Finally Found A Good Regimen: Bipolar Depression., posted by Louisiana Sportsman on February 5, 2015, at 17:33:52

I'm also taking folic acid 800mcg. BID and melatonin 3mg. QHS as directed by my PDOC. OTC folic acid to get methylfolate which is Deplin, a costly RX drug. I believe the combo of folic acid and melatonin increases BDNF which alleviates my depressive symptoms.

 

Re: Finally Found A Good Regimen: Bipolar Depression.

Posted by linkadge on February 5, 2015, at 20:23:32

In reply to Finally Found A Good Regimen: Bipolar Depression., posted by Louisiana Sportsman on February 5, 2015, at 17:33:52

Holy Shitake Mushrooms. It think it would be shorter, if next time, you just list the meds you're not taking :)

Linkadge

 

Re: Finally Found A Good Regimen: Bipolar Depression.

Posted by Louisiana Sportsman on February 6, 2015, at 11:24:34

In reply to Re: Finally Found A Good Regimen: Bipolar Depression., posted by linkadge on February 5, 2015, at 20:23:32

I think it might be wise to reduce. If I were to do so, I would get off Brintellix and bupropion and mirtazapine.

But why mess with a good thing? I put 20mg. Brintellix but I have 10mg tablets. Mistake.

 

Re: Finally Found A Good Regimen: Bipolar Depression.

Posted by burial on February 7, 2015, at 1:26:25

In reply to Re: Finally Found A Good Regimen: Bipolar Depression., posted by Louisiana Sportsman on February 6, 2015, at 11:24:34

that's a lot of stuff, but i think it's worth it if it helps. Have you tried Lamictal for bipolar depression and if you did, wasn't it effective?

 

Lou's warning-psychiatrysez ยป Louisiana Sportsman

Posted by Lou Pilder on February 7, 2015, at 7:59:09

In reply to Finally Found A Good Regimen: Bipolar Depression., posted by Louisiana Sportsman on February 5, 2015, at 17:33:52

> It's been awhile since I've posted here. I used to be an avid member. I just got out of the treatment center. I've spent 123 days impatient since July 24th, 2014 trying to get me stable and get my Meds right.
>
> I'm on a good regimen now. I have bipolar depression NOS, ADHD-PI, GAD.
>
> sertraline 150mg. QD (Zoloft, Lustral) (1 & 1/2 100mg. tab)
> vortioxetine 20mg. QD (Brintellix)
> mirtazapine 45mg. QHS (Remeron, Zispin)
> lurasidone 60mg. QHS (Latuda)
> bupropion hbr 522mg. QD (Aplenzin)
> armodafinil 250mg. QD (Nuvigil)
> pregabalin 200mg. TID (Lyrica)
> topiramate XL 200mg. QD (Trokendi XR, Toprol XL)
>
> I'm engaging in life again. The world seems brighter. I'm on track to get my family back.
>
> The sertraline is at the right dose to get sufficient SRI reuptake and is combined successfully with Brintellix at its lowest dose due to an interaction with bupropion-- bupropion increases Brintellix.
>
> Mirtazapine is at the dose for sleep and a slightly activating NE effect due to a2 adrenergic receptor activity.
>
> Latuda, IMO, is one of the best meds and I think it could be used successfully for unipolar depression. I take the right dose to inhibit 60% of DAT.
>
> I take the hydrobromide salt of bupropion and combine it with armodafinil for ADHD. Here's an excellent study: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3197159/
>
> Lyrica (pregabalin) controls my anxiety well. I take the max dose for anxiolytic effects.
>
> Topiramate, IMO, is a great mood stabilizer and controls my weight.
>
> I hope everyone is having luck finding the right meds for their dx!
>
> Feel free to comment or ask questions. Thanks for reading.
>
Friends,
It is posted above of the drugs being taken by the poster. Be advised that when multiple drugs of this nature are taken that the effects of the drugs can be increased exponentially. In this case, death could come to one taking all of these drugs together via serotonin syndrome and heart related/blood pressure related causes of death. Also, seizures could happen and a state of mental confusion, hallucinations, difficulty concentrating and such, which could cause death by accident or by thinking that what they are doing could not harm them.
If you are a parent or in charge of a loved one and are trying to make a more-informed decision as to drug your child or not, or even yourself, be not deceived. If you are thinking that because being supportive takes precedence here and that the owner and any deputy of his is not interceding here so that you could be led to think that taking the combination of all of these mind-altering drugs could be safe, be advised that these drug could cause addiction, death or a life-ruining condition. And worse, since the drugs could be thought to be prescribed by a doctor/psychiatrist, you may be led to think that no harm could come to one taking these drugs together thinking that psychiatry is giving the drugs so psychiatry is a medical field where the oath is to do no harm.
Lou

 

Re: Finally Found A Good Regimen: Bipolar Depression.

Posted by Louisiana Sportsman on February 7, 2015, at 8:50:39

In reply to Re: Finally Found A Good Regimen: Bipolar Depression., posted by burial on February 7, 2015, at 1:26:25

> that's a lot of stuff, but i think it's worth it if it helps. Have you tried Lamictal for bipolar depression and if you did, wasn't it effective?

Lamotrigine gave me cognitive dulling as the only effect. I took 200mg. QD after a careful titration, of course. I felt better off of it than on it. Latuda is much more effective, and I think it is the best medicine for it, IMO. I'm on a bit more stuff for depressive episodes, but I'm trying to reach a medicated nirvana without mania, and I think I achieved it.

 

Re: Finally Found A Good Regimen: Bipolar Depression.

Posted by Uncouth on February 7, 2015, at 13:00:30

In reply to Finally Found A Good Regimen: Bipolar Depression., posted by Louisiana Sportsman on February 5, 2015, at 17:33:52

Could you actually tell the difference between aplenzin and wellbutrin at the same dose? what did your pdoc say about it...i'm quite curious about aplenzin but dont understand what its real benefits are.

alex

 

Re: Finally Found A Good Regimen: Bipolar Depression.

Posted by Louisiana Sportsman on February 7, 2015, at 16:25:41

In reply to Re: Finally Found A Good Regimen: Bipolar Depression., posted by Uncouth on February 7, 2015, at 13:00:30

> Could you actually tell the difference between aplenzin and wellbutrin at the same dose? what did your pdoc say about it...i'm quite curious about aplenzin but dont understand what its real benefits are.
>
> alex

Great question, Alex! Thanks for asking. I doubt I could tell the difference if the hcl was put in the Aplenzin release form.

I suggested the change to Aplenzin 522mg. from generic Bupropion XL 300mg. This hbr dose is equipotent to 450mg. of the generic hcl formula; therefore I had a significant increase in the amount of bupropion I was consuming daily.

Do I think the hbr is better? Yes, I do. Aplenzin uses an advanced release system that is far better than generic, and it also seems to be more smooth. I suggest Aplenzin if you're switching from the XL formulation. But, I must warn you that it is not cost friendly.


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