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Re: Borderline Personality Disorder Meds

Posted by Andre Allard on October 25, 2001, at 6:54:20

In reply to Borderline Personality Disorder Meds, posted by tina on October 12, 2001, at 14:35:20

From the research I have done, it seems that the front runners in the treatment of BPD are:

zoloft 200-400mg, prozac 80-120mg, effexor xr 300-600mg, serzone 500-750mg

Paxil, TCA's and lithium can worsen symptoms.

Neurontin, lamictal, tegretol and valproic acid have shown a moderate efficiousy.

The atypicals, specifically zyprexa, in small dosages, have done very well in some patients for all symptoms.

A few pdocs claim that they have not had a BPD patient not respond to effexor xr in dosages of 300mg and up - as long as they could handle the side effects.

From my own experience:
200mg zoloft helped but made me nervous

Paxil and Celexa improved my mood slightly and helped with anxiety

Lamictal and serzone gave me skin problems in small dosages

valproic acid made me somnalant and worsened my mood

seroquel at 50mg did little

resperidone improved my mood a little and gave me speech problems - I could not pronounce many words

clomipramine calmed my obsessions but the side effects were awful

Zyprexa calmed my obsessions, improved my anxiety, mood, impulsivity and did what no other med has been able to do - controled my emotions and made me feel normal. I actually did not have emotions, which was OK by me. The only catch was that even at 2.5mg I craved sweets and could not control these cravings causing me to gain 5-7 pounds in 11 days.

effexor xr has been the best AD for me. Once upon a time 225mg did the trick and now I am up to 450mg.




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