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Rocket Fuel Failed; What Magic Combo Is Next?

Posted by BGB on June 9, 2008, at 16:40:05

I have bipolar I and am currently in a horrible depressive state. Honestly, I can't think about anything other than suicide. It's all that goes through my mind.

Anyway, I'm on a ton of meds and none of them are helping. I've tried "California Rocket Fuel" with both Effexor and Cymbalta (separately), to no avail. Here's what I'm on now:

Cymbalta 120mg
Remeron 60mg
Wellbutrin SR 600mg
Trileptal 1200mg
Lamictal 200mg
Valium 5-10mg PRN
Trazodone 150mg (for sleep)
Cytomel 50mcg (for AD augmentation-my thyroid is normal)
Propranolol 120mg PRN for tremors

Over the 10 years that I have been taking meds, I have taken the following AD's:

Wellbutrin SR
Effexor XR
Effexor XR + Remeron
Cymbalta + Remeron + Wellbutrin SR

Would anyone like to make any recommendations as to what I should try next? I've never tried a tricyclic before; should I try one, or should I go straight for an MAOI?

I have no energy and no desire to do anything. I could just sit and watch tv and sleep 24 hours a day. I truly find pleasure from nothing. Getting up and going to work each day is becoming more and more difficult. I can't get anything done because I can't form a complete thought without thoughts of death interrupting me. I have got to find something better.

Thanks, everyone, for your input! =)

P.S. I have ordered some Temgesic tablets, which are 0.2mg buprenorphine sublingual tablets. I am thinking about augmenting my current regimen with 0.2mg buprenorphine twice a day.




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