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Re: medication compliance-the cycle con'ts » Ritch

Posted by Chloe on March 13, 2002, at 19:06:53

In reply to Re: medication compliance-the cycle con'ts » Chloe, posted by Ritch on March 12, 2002, at 21:35:37

> Yikes! Sounds like a Neurontin withdrawal. I would bring the Neurontin back up to where it was first thing, then make a decision about upping the Li next (give it 3-4 days before you bump up the Li). I have had some destablization issues lately. It is all related to anxiety/panic issues. When I am out of major seasonal depressions I am hypersenstive to stimulants and antidepressants. They tend to hose up my sleep and cause intrusive thoughts and/or music-which can wind up with panic. I think it is all a neuroendocrine thing. The stims or AD's cause a "cascade" of sorts that wind up resulting in crappy sleep patterns, ruminations, and then hostility or panic. (aka "mixed state" crap). I have had to add 125mg of Depakote at bedtime the last couple of nites so I don't get an early morning awakening. I will continue to add Dep. on until my appetite starts to ramp up-then I will drop it (I think that will *signal* the return to relative normal neuroendocrine functioning).

Hi Mitch,
I think March is a very difficult month for folks with mood disorders...The days are rapidly getting longer, hence more activating light. But the temperature is more like winter/hyberation mode, at least where I am. Maybe it's just me, but early spring through the end of april can be really bumpy.

I am glad the depakote is shutting some of the noise down at night. Hopefully at that low dose you won't get the munchies. I find it very dose related and don't notice appetite changes until above 250 mgs.

Last night I was feeling really obsessive and crazy about what to do about my meds (as you well know). And felt shockingly like I was heading into the badlands. So I though Li would be more "potent" than an increase of 100 mgs of Neurontin.

I think Li could be an AD prn for me, have you heard of Li used like that? I felt energetic within an hour and happy that I had gone with the li not the Neurontin. But now 18 hours later, I think i should still go back up on the N. I am not crazy about Li's AD effect without the calming of N. I still think I am in N withdrawal. So I guess I will just have the Li increase as a one time thing, and try to resume my 400-500 of N over several days.
I really hate the short fuse I have on 300 on N. Boy I will lash out at anything. AND if I don't have a dose every six hours I am sweating, snapping and shaking.

OH, and I think the increased ami has also made me more bitchy. I have lots of energy, but it's an agrevated energy. Boy, what a mess I am with all these meds. I wonder if I dare drop the ami back to 20, increase the N to 400 and drop out my eve dose of li that I started last night. Humm, alot of changes...And scalp pain is probably a given, but I got to get to some emotional balance here. What, so I can start this whole process over again? I sure as hell hope not...


> I liked that.. "Dex and taxes", that is awfully close to "Death and Taxes"!

Sometimes I even have a sense of humor when I feel the worst. Ironic huh?

Thanks for listening, Mitch. :)
Chloe


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