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Re: need a new coctail....AD Advice?

Posted by polarbear206 on February 14, 2008, at 11:01:51

In reply to need a new coctail....AD Advice?, posted by B2chica on February 14, 2008, at 9:42:09

> i am currently on:
>
> ritalin 20mg bid
> lexapro 15
> topamax 50
> zyprexa 5 or 10PRN
>
> problem is i am having breakthrough depression every other week and breakthrough "highs" every other week. i guess that's rapid cycling? anyway Dx psychotic depression with bipolar features ESPECIALLY RE medication.
>
> the lexapro just makes me so tired. i switched to night but that might be whats caused this breakthrough stuff? not certain though ive been trying to track it and its show up before i did that.
> i want to ask my pdoc for a new AD and not sure what to ask for. i was on Wellbutrin XL successfully for several years then after pregnancy it just didn't seem to work. i'm looking for something similar to WEllbutrinXL, something a little more stimulating, NOT to make me tired like lexapro does. i'm already tired enough dont need more of that!
> however the only other two that i tried that i had HORRIBLE results with was Effexor and prozac....
> any other suggestions would be great.
> i'm also willing to drop topamax as it doens't seem to be helping too much. but i'm keeping it as i REALLY don't want to gain weight.
>
> thanks for any input. my appt is two weeks.
> b2c.

The Ritalin could be exacerbating your cycling. I would be very cautious. Why don't you decrease it and see if that helps.


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poster:polarbear206 thread:812648
URL: http://www.dr-bob.org/babble/20080207/msgs/812675.html