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Re: Your cocktail...Mitch, kk or anyone » Ritch » MomO3

Posted by Ritch on August 3, 2002, at 0:16:17

In reply to Re: Your cocktail...Mitch, kk or anyone » Ritch, posted by MomO3 on August 2, 2002, at 16:42:43

> Hey kk & Mitch..
>
> How are you? Are you guys still taking the same cocktails?

Hi, I am currently on:
Depakote 250mg +Clonazepam .25mg +Diphenhydramine 25mg @bedtime.
Effexor XR 12.5mg + Bupropion 12.5mg (Ok, I count granules in the capsule, crush the bupropion,etc.) +500mg L-tyrosine +500mg Vitamin C + sublingual B-complex first thing in the morning on an empty stomach. Then I do a vigorous cardiovascular workout, weight lifting, stretches, etc. for an hour.
THEN, 1G of Flaxseed oil with breakfast and then at lunch with a multivitamin and folic acid. A couple of cups of stout coffee in the afternoons with nearly an hour of bright outdoor light exposure.


>
> In reference to the post below...Tell me about the depakote in this combination.???.. I think that's where I will be next month (make that later this month)..

Depakote works great for hostility, intraday cycling, mixed states (the best uses IMO). Little efficacy for "uncomplicated" depression, so-so for anxiety, so-so for sleep. I haven't heard of anyone here yet that was happy with Depakote monotherapy for their breakthrough depressions they experience. Lithium is a far superior monotherapy for bipolar IMO (that is, if you can tolerate it OK).

>
> After a few weeks of hellbutrin, I finally got the pdoc to prescribe Effexor along with my Neurontin, Klonopin, and Ritalin (I chose ritalin because it's easier for me to regulate the dose, and although I liked the Concerta it interfered with my sleep).
>
> At my last appt, he tried to switch me from Neurontin to Trileptal, but I could find very few positive responses... so I told him I wouldn't take it. I am thinking of outright asking for depakote because as I am ramping up on the Effexor, I am brimming with hypomania (which is a nice change after a seemingly endless depression). My dad says don't mess with a good upswing, but I am just looking for an even keel.


Watch out for Effexormania! I am serious. I lately got up to just 25mg/day and I was getting loopy. I took 37.5mg of XR once (during my hypomania-prone part of the year) and I was intensely hypomanic within two hours and it lasted half the day! Raging and shouting on the phone-not good. BEWARE-watch the dose and your reaction to AD's.

>
> I have not taken depakote before so I am wondering about the pros/cons of taking both depakote and neurontin? Do you really need both? Do they work on different things?
>
> Thanks for any input from anyone!!
>
> Mom (Holly)

Neurontin settles anxiety better than any non-benzo anticonvulsant I have tried. I get some weird sfx above minimal dosages, however, and I am not even taking it all now. I have experienced good antidepressant effects from it in the past. Generally, for most folks, I think Dep+N. makes a good combo.

Mitch


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