Posted by SLS on July 3, 2009, at 12:15:47
In reply to Re: Feeling Miserable AGAIN!!!!!!, posted by Frustratedmama on July 3, 2009, at 10:19:54
> Hi everyone-
> Still miserable and no changes.... Not sure what to do.... Only choices for right now are to up the gabapentin or up the adderall,... Not ready to up the adderall as I am irritable...nor ready to up the gabapentin as I am lazy.... I just think i need an AD right now- not sure why I dont have one on board..... I guess cause recent try with buspar and lexapro failed.... This sucks!It would probably be in your best interests to be as objective as possible and understand that things might continue to suck for a few more weeks. It takes incredible patience and tolerance for pain to be able to give each treatment enough time to work.
I think I mentioned in another post that I am not a big fan of Neurontin. It doesn't seem to help that many people with depression or bipolar disorder, even though it is brought up to very high dosages. It just doesn't seem to "stick" with some people, despite producing an initial improvement. They just push the dosage higher and higher. Still, it might be logical to go up to 1200mg to give Neurontin a full trial.
Lamictal might be worth having on board as an augmenter as you work your way through other treatments.
I know Wellbutrin can produce irritability in some people, but it can also act to reduce depression and anxiety if it is a good match for your psychobiology. My doctor sees Wellbutrin + Lamictal to be particularly effective. However, I never quizzed him as to whether or not there were commonalities in the case profiles of those people whom profit from that treatment.
- Scott
poster:SLS
thread:904494
URL: http://www.dr-bob.org/babble/20090630/msgs/904733.html