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Thinking of Tweaking My Combo. Thoughts Please?

Posted by Louisiana Sportsman on June 14, 2015, at 16:22:39

Last night, I did it. My PDOC said I could if I wanted I took my last pill of 30mg. Mirtazapine. That's my first step in the right direction, IMO. I'm thinking about coming off Latuda next. I suffer from unipolar major depression and generalized anxiety disorder.

AM:

Pristiq 50mg.
Wellbutrin XL 300mg.
Topamax 200mg.
Gabapentin 1,200mg.
NAC 1,200mg.
Fish Oil 1,000mg.
Zinc 150mg.
Caffeine 400mg.
Prilosec 20mg.
Aspirin 81mg.
B-Vitamin Complex with Folic Acid ~g.

PM:

Latuda 40mg.
Topamax 100mg.
Gabapentin 1,200mg.
Valerian Root 1,000mg.
Melatonin 3mg.
5-HTP 200mg.
NAC 1,200mg.
Fish Oil 1,000mg.
Zinc 150mg.

My PDOC meds are:

Pristiq 50mg.
Wellbutrin XL 300mg.
Latuda 40mg.
Topamax 300mg.
Gabapentin 2,400mg. (Actually taken as 600mg X 4)

Thinking about adding Buspar to capture back Latuda 5-HT1A partial agonism without the heavy duty antipsychotic action. It would also provide that action mirtazapine would give there when it antagonized the 5-HT receptors save that one without the weight gain and sedation side effects. Good idea?

Am I taking too many supplements? Which ones do I need to not take and which ones am I not taking that I need to take?

Any advice regarding my regimen would be greatly appreciated. Before you warn me about serotonin syndrome with combing 5-HTP with a SNRI, find me one case report in the literature where a normal 5-HTP added to someone taking a therapeutic dosage of a SSRI or SNRI suffered serotonin syndrome. BTW, I think it helps my depression 10% and curbs my appetite 20% so it's worth it for me lol.


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poster:Louisiana Sportsman thread:1079762
URL: http://www.dr-bob.org/babble/20150520/msgs/1079762.html