Psycho-Babble Medication Thread 1023916

Shown: posts 11 to 35 of 36. Go back in thread:

 

Lamictal-Stablon-Latuda-Aricept combo?

Posted by Lamdage22 on August 26, 2012, at 15:25:23

In reply to Re: Memantine/Piracetam. Help me get ready for college » Lamdage22, posted by Novelagent on August 22, 2012, at 15:53:15

Anyone?

 

Re: Memantine/Piracetam. Help me get ready for college » Lamdage22

Posted by phidippus on August 28, 2012, at 22:54:38

In reply to Memantine/Piracetam. Help me get ready for college, posted by Lamdage22 on August 22, 2012, at 11:35:39

>Anyway, i now am on Lamictal 200mg and its ?helping somewhat against depression..

If you've felt an improvement in symmptoms due to the lamotrogine, its a strong indication you are bipolar. If you feel the cognitive side effects of the drug are intolerable, try a different mood stabilizer. I would recommend Lithium because it really helps with depression and smooths things out.

>I am considering to go on Memantine

Don't replace your lamotrogine with the Memantine. If you want to take it to augment your current treatment, I say do it, but be cautioned, Memantine is a D2 agonist which can cause psychosis.

>Piracetam

Is a great drug, but let me offer an alternative drug therapy: Keppra. Keppra improves cognition just like piracetam, in fact it is a racetam (Keppra=Leviteracetam). On top of improved cognition, Keppra makes a good way to treat anxiety and at higher doses has some mood stabilizing effects.

Another drug you could take to sharpen up at school would be Aricept

>Do you guys think this is a suitable combination >for me?

Lamictal+Keppra+Memantine would be my recommendation.

>Can i cross taper from Lamictal to Memantine?

Do not switch from Lamictal to Memantine. If you are bipolar, you are going to feel worse. Take Memantine with the Lamictal.

Let me know what you think.

Eric

 

Latuda for depression??? » Novelagent

Posted by AlexCanada on August 30, 2012, at 18:18:20

In reply to Re: Memantine/Piracetam. Help me get ready for college » Lamdage22, posted by Novelagent on August 22, 2012, at 15:53:15

Hello I have melancholic depression.

Does Latuda work for depression as well? if not is it safe to take as an add-on? I have severe cognitive issues, i have antero grade memory loss (difficultly retaining new information), general memory problems, learning problems, poor interest, poor enjoyment, poor motivation, low energy.

Please let me know. I have doc apt tomorrow.


>Memantine won't work, and piracetam is a waste of money-- the idea increasing oxygen to the brain will result in increased IQ is silly and has never been proven. If it were true, smoking would decrease IQ, and we know it does the opposite (because of nicotine, but not enough to justify smoking over).
>
> Try adding Latuda-- it has cognition boosting effects, and is an antipsychotic. I have no idea why you're not on an antipsychotic if you have schizophrenia-- aren't you afraid of relapse?
>
> Also, try aricept, but only after you stabalize ob an antipsychotic, as it can otherwise trigger hypomania if you're predisposed. Aricept does wonders, trust me.
>
> If you're going to take a supplement, you want fish oil-- it's good for schizophrenia, because of the inflammation hypothesis. And try citicoline (CDP Choline, not to be confused with choline).
>
> Before you start school, do full-time volunteering for several months (now until january) to get yourself into a routine of working. The easiest place to volunteer 24/7 is an election campaign.
>
> For your first semester, take half a courseload, so you don't set yourself up for failure. And remember, habits matter: try to aim to do your best studying the first 3 weeks, and you'll find yourself sailing through the semester without feeling like you're falling behind and playing catch-up.
>
> Don't worry about psychosis, just take an antipsychotic regularly. Ideally, consider taking Invega Sustenna. It's more convenient, becase you only have to take it once a month.
>
> Aricept dosing is 5mg once in the morning daily for 2 months, then increase to 10mg. Good luck! Use a day planner religiously.
> Hi all,
> >
> > i havent posted in a while due to being busy with trying to keep my head up. I have withdrawn from Nardil because i suspect both Nardil and life stressors have caused me to become paranoid and voicey this year.
> >
> > I fell into a devastating depression that was a burden for my family. Now i am somewhat recovered with Lamotrigine, BUT the cognitive side effects make me question if im going to make it through college like that. Im enrolled for January and i want to have a sharp state of mind.
> >
> > My state of mind makes it hard to pinpoint a particular disorder and i have gotten many (too many) diagnoses. Its almost pathetic and i wonder if some docs even know what the heck they are talking about. They just love to let judgements fall on my head.
> > How about simply looking for the meds that support me the best and CONSIDERING THEIR MEDS HAVE DRIVEN ME TOWARDS PSYCHOTICNESS AND BIPOLARISHNESS. They give me a med, it drives me manic, im bipolar. They give me a med, i go delusional/psychotic, im schizophrenic. Pretty destructive treatment of an individual seeking for help. What a vicious circle. Anyway:
> >
> > It looks like regular antidepressants can make me voicey/paranoid (happened on nardil).. I initially seeked help because of social anxiety and depression, which indeed were the predominant problems at the time prior to drug treatment. No mania and no psychotic features.
> > Treatment of the depression showed there is some bipolarishness to my condition and in times when strong antidepressant treatment and life stressors coincided have led me into the psychotic direction.
> >
> > I am not a particular disorder(let me tell you, i have many to choose from), i am still ME and unique.
> >
> > Anyway, i now am on Lamictal 200mg and its helping somewhat against depression.. I am considering to go on Memantine and Piracetam since they both have such a wide range of positive effects and i feel they might best support me in college.
> >
> > Do you guys think this is a suitable combination for me? Why, why not?
> > Can i cross taper from Lamictal to Memantine?
> >
> > I know i scream for help here alot but again id appreciate advice/help ;)
> >
> >
> > Have a great day,
> > Lamdage
> >
> >
> >
> >
> >
> >
> >
>
>

 

Re: Latuda for depression??? » AlexCanada

Posted by phidippus on August 30, 2012, at 21:29:10

In reply to Latuda for depression??? » Novelagent, posted by AlexCanada on August 30, 2012, at 18:18:20

>Does Latuda work for depression as well?

Yes its a potent 5ht1a antagonist, which means it helps produce more of that receptor which helps with both depression and anxiety.

What else are you taking?

Eric

 

Re: Latuda for depression???

Posted by SLS on August 31, 2012, at 0:40:12

In reply to Re: Latuda for depression??? » AlexCanada, posted by phidippus on August 30, 2012, at 21:29:10

> >Does Latuda work for depression as well?
>
> Yes its a potent 5ht1a antagonist, which means it helps produce more of that receptor which helps with both depression and anxiety.

I believe lurasidone is a partial agonist.

More recently, scientists have become interested in the involvement of the serotonin 5-HT7 receptor in depression. Latuda is a potent antagonist at this receptor. I don't know how this effect trickles down.


- Scott

 

Re: Latuda for depression??? » phidippus

Posted by AlexCanada on August 31, 2012, at 8:01:19

In reply to Re: Latuda for depression??? » AlexCanada, posted by phidippus on August 30, 2012, at 21:29:10

Parnate 15mg (tapering, will not take it anymore), + ritalin + valium. Gabapentin 300-400mg a day but likely stopping very soon to tolerance and side effects (works amazingly well initially).

> >Does Latuda work for depression as well?
>
> Yes its a potent 5ht1a antagonist, which means it helps produce more of that receptor which helps with both depression and anxiety.
>
> What else are you taking?
>
> Eric

 

Re: Latuda for depression??? » AlexCanada

Posted by phidippus on August 31, 2012, at 15:11:04

In reply to Re: Latuda for depression??? » phidippus, posted by AlexCanada on August 31, 2012, at 8:01:19

Are you planning on taking another antidepressant? Latuda will not do the heavy lifting an antidepressant will do. Its best used as an augmenter.

Eric

 

Re: Latuda for depression??? » SLS

Posted by phidippus on August 31, 2012, at 15:31:20

In reply to Re: Latuda for depression???, posted by SLS on August 31, 2012, at 0:40:12

"The 5-HT7 receptor is involved in thermoregulation, circadian rhythm, learning and memory, and sleep. It is also speculated that this receptor may be involved in mood regulation, suggesting that it may be a useful target in the treatment of depression."

That's what I get from Wikipedia

5ht7 vaguely said to modulate striatal and cortical dopamine function, but nobody really knows how this is any different from the modulation that occurs when you block 5ht2. Lattuda does cause significant sedation, whichits speculatedmay be a result of its effects on the 5-HT7 receptor.

http://jpet.aspetjournals.org/content/297/1/395.full.pdf

 

Re: Latuda for depression??? » phidippus

Posted by SLS on August 31, 2012, at 23:34:19

In reply to Re: Latuda for depression??? » SLS, posted by phidippus on August 31, 2012, at 15:31:20

> Lattuda does cause significant sedation

It did not sedate me at all. At higher dosages, it produced some pretty nasty brain fog.


- Scott

 

Re: Latuda for depression???

Posted by Lamdage22 on September 1, 2012, at 6:36:49

In reply to Re: Latuda for depression??? » phidippus, posted by SLS on August 31, 2012, at 23:34:19

Thats what i want to avoid..

"Sharpening up" for college.. i couldnt have found better words to express what im trying to do.

As of now i am contemplating the Nardil/Stablon/Latuda.

As needed meds: Pramiracetam for periods of intense studying, Xanax for presentations and social events, Zyprexa to bar psychotic symptoms when they are coming on.

Zyprexa works almost overnight. Thats the good news for me.

Greetings,

Lamdage


> > Lattuda does cause significant sedation
>
> It did not sedate me at all. At higher dosages, it produced some pretty nasty brain fog.
>
>
> - Scott
>

 

Re: Latuda for depression???

Posted by Lamdage22 on September 1, 2012, at 6:47:43

In reply to Re: Latuda for depression???, posted by Lamdage22 on September 1, 2012, at 6:36:49

Nardil and Stablon are on their way to me.. The Latuda, i hope to get my GP here in Germany to prescribe it to me. Its not usually available in Germany.

 

Re: Latuda for depression??? » Lamdage22

Posted by SLS on September 1, 2012, at 7:32:04

In reply to Re: Latuda for depression???, posted by Lamdage22 on September 1, 2012, at 6:36:49

> Thats what i want to avoid..

With Geodon and Latuda, I didn't experience any brain fog until I exceeded 40 mg/day. Most people don't seem to get brain fog at all.

Good luck with school!


- Scott

 

Re: Latuda for depression???

Posted by Lamdage22 on September 1, 2012, at 12:18:45

In reply to Re: Latuda for depression??? » Lamdage22, posted by SLS on September 1, 2012, at 7:32:04

Thanks, Scott.

I guess its safe to say that Latuda and especially Nardil are going to give me some fog, but my hope is that Stablon will reverse this so my cognition remains unaffected.

Cognition is not really a problem unless it is diminished through meds. Its really no fun to go to school and feel stupid.

Greetings


> > Thats what i want to avoid..
>
> With Geodon and Latuda, I didn't experience any brain fog until I exceeded 40 mg/day. Most people don't seem to get brain fog at all.
>
> Good luck with school!
>
>
> - Scott

 

Re: Latuda for depression???

Posted by Lamdage22 on September 1, 2012, at 12:23:37

In reply to Re: Latuda for depression???, posted by Lamdage22 on September 1, 2012, at 12:18:45

The biggest problems i have are depression, lack of motivation and social anxiety.

 

Re: Latuda for depression???

Posted by Lamdage22 on September 3, 2012, at 8:01:56

In reply to Re: Latuda for depression???, posted by Lamdage22 on September 1, 2012, at 12:23:37

> The biggest problems i have are depression, lack of motivation and social anxiety.
>

F*ck it, im going back on a hefty med cocktail. Bupropion Lamictal Nardil Stablon.

I dont give a damn about psychosis that may eventually develop. Im not living this half life anylonger.

I rather live short but decent than long and miserable.

 

Re: Latuda for depression??? » Lamdage22

Posted by phidippus on September 3, 2012, at 15:39:01

In reply to Re: Latuda for depression???, posted by Lamdage22 on September 3, 2012, at 8:01:56

Nice cocktail.

Eric

 

Re: Latuda for depression???

Posted by Lamdage22 on September 5, 2012, at 4:39:18

In reply to Re: Latuda for depression??? » Lamdage22, posted by phidippus on September 3, 2012, at 15:39:01

> Nice cocktail.
>
> Eric

There was a time in my life where i took 90mg Nardil, 150 bupropion, phenylalanine, 5htp, Sam-E, enada nadh and ALOT of coffee all together and i was neither manic nor psychotic, just highly productive.

Maybe i forgot 1 or two antidepressant compounds.

Thats why i have a hard time believing these "psychotic" diagnoses.

I dont care anymore, i will get back on a hefty regimen.

 

Re: Latuda for depression???

Posted by SLS on September 5, 2012, at 7:07:07

In reply to Re: Latuda for depression??? » Lamdage22, posted by phidippus on September 3, 2012, at 15:39:01

> Nice cocktail.
>
> Eric

Yes. Very interesting choices.


- Scott

 

Re: Latuda for depression??? » Lamdage22

Posted by phidippus on September 5, 2012, at 14:33:57

In reply to Re: Latuda for depression???, posted by Lamdage22 on September 5, 2012, at 4:39:18

Maybe you only become psychotic when you're depressed?

Eric

 

Re: Latuda for depression???

Posted by Lamdage22 on September 6, 2012, at 14:25:25

In reply to Re: Latuda for depression??? » Lamdage22, posted by phidippus on September 5, 2012, at 14:33:57

> Maybe you only become psychotic when you're depressed?
>
> Eric

That may very well be possible..

So by the end of next week i will have Nardil, Stablon and Wellbutrin here. Will keep you updated.

I hope to be able to launch myself out of this hole im in.

 

Re: Latuda for depression??? » Lamdage22

Posted by phidippus on September 6, 2012, at 14:42:34

In reply to Re: Latuda for depression???, posted by Lamdage22 on September 6, 2012, at 14:25:25

That's quite the cocktail. Why did you choose the Stablon?

And how about an antipsychotic? Had you considered one?

Eric

 

Re: Latuda for depression???

Posted by Lamdage22 on September 7, 2012, at 4:07:19

In reply to Re: Latuda for depression??? » Lamdage22, posted by phidippus on September 6, 2012, at 14:42:34

> That's quite the cocktail. Why did you choose the Stablon?
>
> And how about an antipsychotic? Had you considered one?
>
> Eric

Hi Eric,

Stablon because with its alleged pro-cognitive, anxiolytic and mild euphoria properties, i think it would be a wonderful addittion to Nardil.

I wouldnt necessarily recommend this, but hey, thinking about suicide as much as i do and feeling such despair about the future, THATS kinda life-threatening. Its not only life threatening, worse, it is life preventing.

I thought about an antipsychotic, but importing Latuda here would cost me a hefty 1800 dollars a month for 80mg a day.

I remember when i was on the hefty cocktail back then, i took a low potency antipsychotic at night for sleep. That might have been what kept me stable. Its called pipamperon and it is a low potency antipsychotic without weight gain, marketed as a sleeping pill here in Germany.

I always have last resort zyprexa, and this abolishes my symptoms within a day or two although i wouldnt want its side effects on a regular basis.

Maybe its true that i only get psychotic when depressed. I mean looking at all the stuff i took with the Nardil back then, it sounds like big time psychosis for anyone vulnerable right? Well, it didnt happen, quite the opposite, i was really sharp in school and for my standards highly functional. Id say what you call normal. Then i stopped taking the Nardil augmenters and 2 month later, sure enough, depression and alleged or real psychosis returned. Id call it pseudo-psychosis but... whatever the heck that was. Now at the same time i stopped all the Nardil augmenters, i also ran out of the pipamperon i took at night..

What do you think?

Thx, Lamdage

 

Re: Latuda for depression???

Posted by Novelagent on September 7, 2012, at 21:01:38

In reply to Latuda for depression??? » Novelagent, posted by AlexCanada on August 30, 2012, at 18:18:20

Latuda is an antipsychotic, so if it will work, it'll work as good as any other antipsychotic, only it will give the least cognitive diminishment (provided you take it at the same time each day; being off by even an hour and a half can throw off the steady state. Use an alarm on your phone to remind you).

Some here swear by antipsychotics, but they didn' do anything for my depression. I was napping all the time. I eventually took selegiline, 5mg a day (it's now sold as emsam) and the supplement DLPA by Life Extension. The combo worked from the first day; after two weeks, I noticed I hadn't craved sleep once for the prior two weeks.

After 6 months, I went off it and didn't need it anymore. Talk to your doc, get emsam, and buy DLPA.

> Hello I have melancholic depression.
>
> Does Latuda work for depression as well? if not is it safe to take as an add-on? I have severe cognitive issues, i have antero grade memory loss (difficultly retaining new information), general memory problems, learning problems, poor interest, poor enjoyment, poor motivation, low energy.
>
> Please let me know. I have doc apt tomorrow.
>
>
> >Memantine won't work, and piracetam is a waste of money-- the idea increasing oxygen to the brain will result in increased IQ is silly and has never been proven. If it were true, smoking would decrease IQ, and we know it does the opposite (because of nicotine, but not enough to justify smoking over).
> >
> > Try adding Latuda-- it has cognition boosting effects, and is an antipsychotic. I have no idea why you're not on an antipsychotic if you have schizophrenia-- aren't you afraid of relapse?
> >
> > Also, try aricept, but only after you stabalize ob an antipsychotic, as it can otherwise trigger hypomania if you're predisposed. Aricept does wonders, trust me.
> >
> > If you're going to take a supplement, you want fish oil-- it's good for schizophrenia, because of the inflammation hypothesis. And try citicoline (CDP Choline, not to be confused with choline).
> >
> > Before you start school, do full-time volunteering for several months (now until january) to get yourself into a routine of working. The easiest place to volunteer 24/7 is an election campaign.
> >
> > For your first semester, take half a courseload, so you don't set yourself up for failure. And remember, habits matter: try to aim to do your best studying the first 3 weeks, and you'll find yourself sailing through the semester without feeling like you're falling behind and playing catch-up.
> >
> > Don't worry about psychosis, just take an antipsychotic regularly. Ideally, consider taking Invega Sustenna. It's more convenient, becase you only have to take it once a month.
> >
> > Aricept dosing is 5mg once in the morning daily for 2 months, then increase to 10mg. Good luck! Use a day planner religiously.
> > Hi all,
> > >
> > > i havent posted in a while due to being busy with trying to keep my head up. I have withdrawn from Nardil because i suspect both Nardil and life stressors have caused me to become paranoid and voicey this year.
> > >
> > > I fell into a devastating depression that was a burden for my family. Now i am somewhat recovered with Lamotrigine, BUT the cognitive side effects make me question if im going to make it through college like that. Im enrolled for January and i want to have a sharp state of mind.
> > >
> > > My state of mind makes it hard to pinpoint a particular disorder and i have gotten many (too many) diagnoses. Its almost pathetic and i wonder if some docs even know what the heck they are talking about. They just love to let judgements fall on my head.
> > > How about simply looking for the meds that support me the best and CONSIDERING THEIR MEDS HAVE DRIVEN ME TOWARDS PSYCHOTICNESS AND BIPOLARISHNESS. They give me a med, it drives me manic, im bipolar. They give me a med, i go delusional/psychotic, im schizophrenic. Pretty destructive treatment of an individual seeking for help. What a vicious circle. Anyway:
> > >
> > > It looks like regular antidepressants can make me voicey/paranoid (happened on nardil).. I initially seeked help because of social anxiety and depression, which indeed were the predominant problems at the time prior to drug treatment. No mania and no psychotic features.
> > > Treatment of the depression showed there is some bipolarishness to my condition and in times when strong antidepressant treatment and life stressors coincided have led me into the psychotic direction.
> > >
> > > I am not a particular disorder(let me tell you, i have many to choose from), i am still ME and unique.
> > >
> > > Anyway, i now am on Lamictal 200mg and its helping somewhat against depression.. I am considering to go on Memantine and Piracetam since they both have such a wide range of positive effects and i feel they might best support me in college.
> > >
> > > Do you guys think this is a suitable combination for me? Why, why not?
> > > Can i cross taper from Lamictal to Memantine?
> > >
> > > I know i scream for help here alot but again id appreciate advice/help ;)
> > >
> > >
> > > Have a great day,
> > > Lamdage
> > >
> > >
> > >
> > >
> > >
> > >
> > >
> >
> >
>
>

 

Re: Latuda for depression??? » Lamdage22

Posted by phidippus on September 7, 2012, at 23:38:38

In reply to Re: Latuda for depression???, posted by Lamdage22 on September 7, 2012, at 4:07:19

I think you have a great plan for tackling your depression and I'm thinking just keeping out of that hole will keep the psychosis away. In Europe, Luvox, an antidepressant, is used as monotherapy in the treatment of psychotic depression-they don't add an antipsychotic.

Can you tell me more about your psychosis?

Eric

 

Re: Latuda for depression???

Posted by Lamdage22 on September 8, 2012, at 4:51:15

In reply to Re: Latuda for depression??? » Lamdage22, posted by phidippus on September 7, 2012, at 23:38:38

Hi Eric,

i have sent you a babblemail.

> Can you tell me more about your psychosis?
>
> Eric


Go forward in thread:


Show another thread

URL of post in thread:


Psycho-Babble Medication | Extras | FAQ


[dr. bob] Dr. Bob is Robert Hsiung, MD, bob@dr-bob.org

Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.