Posted by SLS on August 2, 2016, at 6:41:26
In reply to Re: no meds working? » SLS, posted by sacct on August 2, 2016, at 2:21:20
> > > hey, so I have OCD, social anxiety, as well as borderline personality disorder.
> >
> > Did Trileptal help at all with impulse control?
> >
> > You might profit from treatment with a combination of Trileptal + antipsychotic + anti-OCD. Perhaps something like:
> >
> > Clomipramine + Trileptal + Saphris
> >
> > Nardil + Trileptal + Saphris
> >
> > By the way, Remeron makes my depression worse.> trileptal didn't seem to do anything for my impulse control (have an unfortunately bad habit of distorted thinking / overdosing :( ). that was one of the mood stabilizers I was on for the longest. I'm thinking of trying it again.
You never know what drugs that, although ineffective as monotherapy or in one combination or another, will ultimately prove itself critical in yet another combination. If it doesn't hurt, it might make sense to leave it on board while you try other things. I have done that with lithium, Lamictal, and Abilify while switching antidepressants. Both of these drugs proved critical when I tried to lower the dosage of discontinued them. I'm feeling significantly better since adding Parnate and nortriptyline. With Trileptal, one must be careful of developing hyponatremia (low blood sodium). This is screened for by simple drug tests (electrolytes).
> at the moment, I am on just Geodon 20mg 2x (psychiatrist thinks it should help with distorted thinking and rumination).
It very well might. I think Geodon is a bit unpredictable, though. It helps some people and hurts others. If you find yourself getting hyperactive, you might need to switch to another antipsychotic sooner rather than later. I have seen a few people react very well to Saphris (asenapine) in depression, bipolar mixed-state hypomania, and schizoaffective disorder. It is rather "clean" as far as side effects are concerned, and doesn't seem to produce weight-gain. As much as I like this drug, it could, of course, not work or make you feel worse - just like any other psychotropic drug choice. Saphris works well in people who have paranoia.
Keep trying!
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1091064
URL: http://www.dr-bob.org/babble/20160713/msgs/1091077.html