Posted by PsychoSage on March 18, 2004, at 20:25:42
In reply to STIMULANTS PLUS 1 MOOD STABILIZER ANYONE??, posted by aazospiro on March 18, 2004, at 19:23:55
> Anyone here who COULD NOT tolerate valproate or lithium or tegretol? Would gabapentin be a good choice? And would it be prude to add a stimulant for daytime?
>
> Are the atypical anti-psychotics effective for anxiety, since they all bind to 5-HT2a receptors, in NON_PSYCHOTIC patients? Especially if nefazodone is not a choice. COuld they be used safely with antidepressants like bupropion?
>
> WHICH IS THE ATYPICAL ANTIPSYCHOTIC LEAST LIKELY TO CAUSE SEDATION AND WEIGHT GAIN?
>
> Please any ideas?I have only been on Trileptal as a mood stabilizer, and it is not as debilitating as the antipsychotic zyprexa. I have also done risperdal too, and that one worked well, but I did not stay on it for long because I was uninsured.
If you are not pyschotic I would avoid antipsychotics at all costs. If you want to go the nontraditional route for antianxiety then stay within the anticonvulsant/antimanic realm. Zyprexa does have antianxiety properties I am told, but it hardly did much for me in that department. It's still possible to be anxious after being turned into a zombie and adding 35 pounds in less than two months. It sedated me enoughsuch that I was sleeping 10-12 hours a day, but it made me anxious that I was being sedated in such a subtle way. I just figured at the time that if it doesn't knock you out right away, it is not disruptively sedating. Boy, was I wrong.
Do you have ADHD or treatment refractory depression? Why do you want a stim? A stim will make you edgy and possibly irritably dysphoric. It can switch you into mania too.
I was on a risperdal/wellbutrin 300 combo 3 years ago, so it is possible even though I was confused because I thought the risperdal would knock out the dopamine effects from the WB.
Seroquel can knock you out. It is notorious for sedation. I remember my second psych ward trip, and I had no experiences with neuroleptics. I never took one before, and when I saw this woman on Seroquel it freaked me out. She slurred her speech, and slept all day and night. If you don't need it, don't bother.
I have read here that only Abilify is activating. None of the rest come to mind as being nonsedating except maybe geodon, but I read it has some weird potential side effect which is really scary. I am not sure what it was, but I read it on this BIPOLAR PAGE:
http://www.mcmanweb.com/index.html
in the medication section.
you will have to check with others, but I think bupropion can be taken with any antimanic/anticonvulsant or antipsychotic. However, taken with a stim it can cause excessive CNS activation. I take WB with low dose provigil, so it does happen, but you have to be careful.
poster:PsychoSage
thread:325832
URL: http://www.dr-bob.org/babble/20040313/msgs/325854.html