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Re: Mitch!!! » Mr.Scott

Posted by Ritch on November 23, 2002, at 9:57:03

In reply to Mitch!!!, posted by Mr.Scott on November 23, 2002, at 1:45:57

> Hello Mitch,
>
> Can we exchange current cocktails?
>
> Currently I'm taking:
>
> 2.5 mg of Lexapro (am)
> 200mg Caffeine (am)
> .25 mg of clonazepam (pm) or 3.75mg Tranxene (pm)
> 3000mg EPA (OmegaBrite)(pm)
>
> I would like to try 1)another soothing anticonvulsant, 2)back to more benzos or else 3)I may have to add some lithium back in, which is fine at the low end. Neurontin which I enjoy very much is highly side effect laden believe it or not for some reason. hmmm... perhaps 100mg only might work though. Stimulants are magic at first for me, but always degenerate into a sickening dysphoria. Doesn't seem to matter if it's Cylert, Cocaine, Ritalin, or Amphetamine. Only Caffeine can I tolerate...
>
> What magic recipe helps keep you sane and productive these days?
>
> Scott
>
>

Hi Scott, Currently:

1) Effexor XR 4 mg (yes that's right) A.M. and 4mg afternoons (approximate of course). That's just enough to "dust" the 5-HT transporters and relieve some anxiety (also helps with muscle aches/pains). I had a sleepwalking episode after taking it all at bedtime as an experiment-ain't doing that again! I will push the Effexor XR up to a max of 18.75mg per day (again approx.)when (and IF) I get depressive symptoms (during about 3-6 days of my 3-week cycle). I will back off to just the tiny 4mg AM dose when I get a little on the high side (2-4 days of my 3-week cycle). I have to keep it VERY low or I will get hypomanic big time.

2) Sublingual B-complex and fish oil (1G cap) and 150mg of Trileptal with lunch (along with a single multivitamin). I also am going to add on 500mg of L-tyrosine for a few days if I hit a low spot. It seems to really help, but only for a *few* days, then it poops.

3) A second fish oil capsule with food in the late afternoon with the 4mg of Effexor XR (if I think I need it).

4) Depakote 125mg + Klonopin .5mg at bedtime. This time I got the sprinkle Depakote. I thought they screwed up and gave me Prozac! No vanilla smell and they are green and white-odd. I also got a script for 250mg Depakote to take instead of the 125mg SPR if I am a little high.

5) Off stimulants. Feel much better. My mood was fairly stable on them, but like you I tend to get "icky" on them after awhile and would prefer a little distractability. Incidentally, the Trileptal addition is an experiment to see if I can get *improved* cognitive function with it without needing an ADD med. I must say it is working fairly well. I went to a 3-hr meeting the other day and actually sat in ONE chair and listened throughout the presentation. Something else too-I've noticed that tastes and smells seem "normal", they don't seem flat or nasty like they evidently have been for some time. I swear I have got some kind of temporal lobe problem. I don't want to go up on the Trileptal any more just yet. I almost barfed on it the last time I went to 300mg, but I was also on an SSRI (Zoloft), that triggers a lot of nausea anyhow.

Hey, I have got one question for you: Does your mood cycling follow a D-M-E or a M-D-E pattern? Mine follows a clearcut DME pattern. I tend to "bounce" out of depression with hypomania and then the hypomania just fades, then I crash out of 'normality' into depression rather suddenly.

Mitch


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poster:Ritch thread:128143
URL: http://www.dr-bob.org/babble/20021122/msgs/128906.html