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Re: What do you think of this crazy combo? sdjeff

Posted by Sad Panda on April 20, 2004, at 11:44:24

In reply to What do you think of this crazy combo?, posted by sdjeff on April 20, 2004, at 0:50:17

> I trust my pdoc but this seems like a bit much.
>
> I have MDD w/ GAD (or BP2, still undecided) and BPD traits. I also have a flavor of CFS w/pain.
>
> My current cocktail is:
> 20 mg Geodon, in the morning, titrating up.
> 5 mg Zyprexa in the morning
> 25 mg Nortripyline at night
> .25 mg Halcion at night
>
> I treat the muscle pain with OTC stuff like Ibuprofen and Aleve and the occasional Ultracet or Darvon. Not very effective but all I can afford to do.
>
> The zyprexa is sedating, I think the Geodon helps with that. Both AP's help w/delusions, paranoia, irritability and mild visual disturbances. the Halcion is just for sleep. The AP's make me super quiet. Frustratingly quiet.
>
> The Nortriptyline is for the depression. I had a manic episode on Amitryptaline several years ago so we're being careful with this one. I am hypersensetive to AD's, AP's and other neuroleptics like lithium, tegretol, etc.
>
> Right now I feel flat and pretty depressed. Maybe overmedicated. My functioning is better on this combo than any other, but I still have problems w/suicidal ideation, mild akathesia and slower cognition. On the upside, my anxiety is all but wiped out.
>
> Any thoughts?
>

Take Zyperxa at night & ditch Halcion? Ramping up only one at a time might be a good idea too.

Cheers,
Panda.



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