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Re: Maxime - Questions about Thorazine ed_uk

Posted by TomG on February 21, 2006, at 16:29:08

In reply to Re: Maxime - Questions about Thorazine TomG, posted by ed_uk on February 21, 2006, at 14:36:20

> Hi Tom
>
> Have you tried all the atypical APs available in the US? (apart from clozapine)
>
> Ed

Yep I have maybe not to an aggresive degree like pushing doses etc. but I've given several atypicals multiple trials in different combos But...... my doc gave the greenlight that he would write a script for Amisulpride when I want to try it. I have a little tinkering to do with this Symbyax before I give up on it also. I have added 400mgs provigil as well and it seems to go nicely with the Symbyax, but it isn't the most natural feeling drug. I'm really just playing around with the dosing right now to see what I like. I took 1000mgs Provigil today and 1200mgs yesterday. There are some mild hemodynamic changes at these doses and a little angina but nothing to worry about quite frankly I would have to say I experience euphoria at these doses. I have loads of Ativan to deal with any sudden edginess that modafinil throws my way, but I think its a pretty safe drug. I keep the blood pressure cuff and some Captopril within reach. Tommorrow I will go back down to the 400mg range and hold.

What has really been bugging me is when I think back to when Geodon started working really well for me. When I started the 20mgs of Geodon I had added it to a cocktail of 1200mgs Neurontin
and 1350mgs of lithium carbonate. My doc removed me from both the lithium and the Neurontin immediately. A month later the Geodon cr*pped out on me completely. I want to get some opinions on this because I thought it could have been the combo that was helping me and not just the Geodon working solo.

My strategy is to play out this Symbyax then go to Amisulpride then replicate my Neurontin, lithium, Geodon combination. If all this fails then I will look into the use of low dose Thorazine or Haldol(I do mean reeeal low dose). It sounds like worthy option. I like to think far ahead of what I'm going to try.

Please I welcome any alternate strategies, disagreements, questions

Tom


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