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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by Louisiana Sportsman on April 10, 2014, at 15:27:37
Hey, everybody!
I always see so many people asking for help with their medication, but I never see the passing side of psychopharmacology too much even though I know it's there.
Please share your combo or one medication (gasp!) that has you in at least 70% remission. This is a grade of a C- in college.
I just want to see what is at least helping people somewhat.
Posted by Louisiana Sportsman on April 10, 2014, at 18:47:19
In reply to Spinoff from tom2288: Combo makes you feel 70% OK?, posted by Louisiana Sportsman on April 10, 2014, at 15:27:37
I am 71.5% better.
Prescriptions that got me there:
Brintellix (vortioxetine) 20mg.; TA
Dexedrine (d-amphetamine) 60mg.; [#180 10mg.] 4TA2Pgr
Lamictal XR (lamotrigine) 200mg.; TA
Latuda (lurasidone) 60mg..; TD PCHS
Trokendi XR (topiramate) 200mg.; CA
Xanax XR (alprazolam) [#90 0.5mg.] 2TAFAX2QPMTRPOBIDNotice everybody: I discontinued and will not ever continue Neurontin or Lyrica due to abuse. Also, I did not refill Nuvigil per someone's advice on here. I take the advice of people on here very seriously.
Very proud of myself. Have not abused my Xanax XR, but I don't want fill it next month. I don't want to be on BZD therapy and I have NOTHING wrong with it for those indicated for it.
I still get a weird anxious nervous feeling a lot, mood destabilization, depression, and other mental health issues that I'm able to hide from the rest of the word. But it's there. Definitely inside of me. And, I know the meds have made things a lot better and have given me a great hobby. I love pharmacology.
Feel free to share!
Posted by jono_in_adelaide on April 11, 2014, at 0:47:25
In reply to Spinoff from tom2288: Combo makes you feel 70% OK?, posted by Louisiana Sportsman on April 10, 2014, at 15:27:37
70% - Nardil + Xanax
90% - Nardil + nortriptyline + risperidone (low dose) and Xanax
Posted by tom2228 on April 11, 2014, at 13:34:26
In reply to Re: Spinoff from tom2288: Combo makes you feel 70% OK?, posted by Louisiana Sportsman on April 10, 2014, at 18:47:19
I posted in my original thread that I'm not feeling as good today. And was only at 70% to begin with, but being at 70% instead of the bottom of the ocean felt like 100%.
And I love psychopharmacology too. Actually want to be a psychiatrist.
Posted by phidippus on April 11, 2014, at 16:31:56
In reply to Spinoff from tom2288: Combo makes you feel 70% OK?, posted by Louisiana Sportsman on April 10, 2014, at 15:27:37
Lithium 1200 mg (Bipolar I) 90% reduction in symptoms
Carbamazapine 400 mg (Bipolar I) Covers what the Lithium does not
Luvox CR 100 mg (OCD) don't know how much it will help with OCD
Geodon 160 mg (OCD) 50% reduction in OCD symptoms
Vyvanse 70 mg (ADHD) 100 reduction of symptoms.
Eric
Posted by Phillipa on April 11, 2014, at 17:46:27
In reply to Re: Spinoff from tom2288: Combo makes you feel 70% OK? » Louisiana Sportsman, posted by phidippus on April 11, 2014, at 16:31:56
Geodon for OCD & that's a high dose isn't it? Phillipa
Posted by LouisianaSportsman on April 11, 2014, at 18:51:57
In reply to Re: Spinoff from tom2288: Combo makes you feel 70% OK? » Louisiana Sportsman, posted by phidippus on April 11, 2014, at 16:31:56
> Lithium 1200 mg (Bipolar I) 90% reduction in symptoms
>
> Carbamazapine 400 mg (Bipolar I) Covers what the Lithium does not
>
> Luvox CR 100 mg (OCD) don't know how much it will help with OCD
>
> Geodon 160 mg (OCD) 50% reduction in OCD symptoms
>
> Vyvanse 70 mg (ADHD) 100 reduction of symptoms.
>
> EricGlad to see the Tegretol is working for you. I think carbamazepine is a clear winner over oxcarbapazepine and probably eslicarbazepine. Wow, Lithium is amazing! I kinda wish I would have chosen it over Lamictal. I actually think it's a better drug, just as an IMO thing-- it's just that the blood tests dissuade people, including me from trying it lol.
Geodon, hey 50% is better than nothing, right? Geodon has one of the most complex MOAs of anything I've seen. I hope Luvox turns out to do something for your OCD. I'm sure you've already tried everything under the sun for it.
My number one suggestion would be Aldoril (methyldopa/hydrochlorothiazide). Similar to clonidine (which is sometimes indicated), but a much better treatment since it combines two treatments into one. I would give this is a shot for your OCD.
I switched to regular ole Dexedrine IR 60mg. Have you ever tried it? I imagine that since you're getting 100% coverage with Vyvanse there's no point. It's equal to 22.5mg. Dexedrine. (Vyvanse according to Shire is equal to 30mg. Adderall XR 30mg.) I imagine it's equal to more than 22.5mg. however since the bioavailability is 100% so it's probably 30mg. of Dexedrine too. It's just making me really curious tho. I might consider asking for Vyvanse 70mg. with #90 10mg. Dexedrine.
Posted by phidippus on April 12, 2014, at 4:03:29
In reply to Re: Spinoff from tom2288: Combo makes you feel 70% OK? » phidippus, posted by LouisianaSportsman on April 11, 2014, at 18:51:57
>the blood tests dissuade people, including me from trying it
Their really not that big of a deal and you don't have to do them as often as you think. I have mine done when I do my diabetes check, every 3 months.
>Geodon has one of the most complex MOAs of anything I've seen.
Right?
>I switched to regular ole Dexedrine IR 60mg. Have you ever tried it?
No, just regular Dexedrine capsules, 15 mg.
Eric
Posted by ed_uk2010 on April 14, 2014, at 15:19:07
In reply to Re: Spinoff from tom2288: Combo makes you feel 70% OK? » phidippus, posted by LouisianaSportsman on April 11, 2014, at 18:51:57
>Aldoril (methyldopa/hydrochlorothiazide).
Why would someone want to take hydrochlorothiazide (a diuretic) for OCD? It is indicated for high blood pressure, especially in black people and the elderly. HCTZ should not be combined with lithium because it causes accumulation. In addition, there is no evidence to support the use of methyldopa in OCD. Many years ago, methyldopa was a popular treatment for hypertension, including hypertension in pregnancy, but the side effect profile is relatively poor so it's fallen into disuse.
I'm confused.
Posted by LouisianaSportsman on April 15, 2014, at 1:05:49
In reply to Re: Spinoff from tom2288: Combo makes you feel 70% OK? » LouisianaSportsman, posted by ed_uk2010 on April 14, 2014, at 15:19:07
I was completely wrong. Thanks for pointing that out, Ed.
Posted by ed_uk2010 on April 15, 2014, at 13:19:47
In reply to Re: Spinoff from tom2288: Combo makes you feel 70% OK?, posted by LouisianaSportsman on April 15, 2014, at 1:05:49
> I was completely wrong. Thanks for pointing that out, Ed.
No problem!
This is the end of the thread.
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