Posted by Mitch on May 31, 2001, at 13:15:47
In reply to Re: Tired of chronic BP II misery mitch, posted by loosmrbls on May 31, 2001, at 11:17:03
He is quite right. I have had a lot of troubles with switching stuff too quick or worse-changing more than one thing at a time. I am somewhat *lucky* though, I cycle so fast you usually see if something is working or not pretty quickly. I just mentioned adding the Neurontin as a *single* next step (when you see your pdoc next). He did offer to add some Neurontin at your last visit, right? The other stuff I wrote would have been possibilities over the course of months. If you aren't bothered too much with sedation from the Remeron then that is a good sign-your depression is probably lifting.
sounds good,
Mitch
> Just spoke with pdoc over the phone. Because there is has been so much med-switching in the past, he is pretty insistent we keep things stable and see how it goes. I really can't argue against that. If we add or change a new med and things chenge, it will be impossible to lay the blame anywhere.
> So right now I am staying on Remeron 30mg (no sedation at this dose, increased appetite), Depakote 1500mg (slight heartburn and increased appetite, but no sedation or tremor as other people complain about), and Klonopin 0.5mg as needed every 6 hours for agitation.
>
> If, after 4-6 weeks, I still am requiring a lot of Klonopin due to agitation then I will call the AD trial a failure and probably add Neurontin. If my thinking is still off (and I know exactly what you are talking about with the "fogginess" and ADD adding to the frustration), then an amphetamine will be in order.
> Right now, I want to address the bipolar disorder, especially the depressive aspect, because this can also cause loss of concentration and intellect. Have to eliminate this before figuring out if ADD characteristics are playing a role. I am convinced I have ADD.
>
poster:Mitch
thread:64595
URL: http://www.dr-bob.org/babble/20010530/msgs/64906.html