Posted by LouisianaSportsman on March 8, 2014, at 20:22:26
In reply to Re: Brintellix Trial 10mg. @Eric, Scott, Lamdage22 » LouisianaSportsman, posted by SLS on March 8, 2014, at 9:57:16
>
> What's you treatment plan should you become manic?
>
> Good luck!
>
>
> - ScottNo idea! I've been trying to use all this medication to get manic, if that makes sense; so, initiation seems to be easier than treatment.
If I were to truly go manic, textbook mania, I believe I would increase my dosage of Latuda and augment either lithium or valproic acid depending on which one my PDOC preferred. Both are classic, effective, and possibly underutilized. It seems that lamotrigine is in the spotlight for first-line treatment now.
What would you augment if you were me, Scott? You know my medications, or you can refer to them. The drugs I've failed in the past are: sertraline, atomoxetine, guanfacine, aripiprazole, methylphenidate, hydroxyzine, venlafaxine.
Yes, those are the only drugs I've failed. Those plus the drugs I take now (*I did not fail clonazepam and pregabalin) are the only psychiatric medications I've fooled with. I'm not a seasoned veteran like you are! Lol
I have a tendency to latch on to a medication and just continue to take it because it's "whatever". My philosophy is: if it's not causing any side effects and life got better during the trial, then it must be good stuff.
The only medications that I've ever "noticed" are Adderall, Concerta and Nuvigil for obvious reasons Effexor/Pristiq due to anorgasmia, Strattera (hydroxyzine too but doesn't really count) due to lethargy and Lyrica/Neurontin for anxiolytic effects.
I'm so resistant to side effects that I went an entire year without bupropion; however, one day, the PDOC and I, thought it may be a good idea for me to go back on it since I didn't have any side effects on it before. She decided to put me on 522mg. Aplenzin. I knew I needed it strong, and I wanted it to go ahead to be at an effective dosage fast (300mg. Wellbutrin XL: meh), and she understood that.
She said, "Well, I normally titrate, but you do have prior experience with the drug. You never complain about medication side effects. I'm confident that you can handle this, but you're the only patient that could. I'm concerned about seizure threshold, but you're on so many AEDs. This dosage is essentially what I'm intending to try, bupropion was used in studies when it first came out in much higher doses until they found out it caused seizures significantly."
I cannot distinguish the physical feeling of bupropion nor the physical feeling of aripiprazole even the first day I took both, etc. I just know my emotions. That's why I write those emotions down.
Well, I'm sure all of this information would be helpful for to you if you were to "play PDOC" for me, SLS! Any advice or input would be welcome.
Take care!
poster:LouisianaSportsman
thread:1061746
URL: http://www.dr-bob.org/babble/20140307/msgs/1062076.html