Posted by Christ_empowered on September 21, 2012, at 12:25:14
I think I need a little boost for my Abilify (30) and Neurontin (900). I guess I could ask about a dosage increase on the neurontin, but my doc is big on keeping doses low.
My problems are anxiety, especially in social situations, and agitation. I don't particularly care for SRI drugs over the long haul, although they're OK for relatively short term (few months) use for severe problems (like when I had psychotic depression).
My problem is that I do think I need something to help get me to the point that I can a) go to vocational rehab w/o freaking out; b) socialize, also without freaking out; and c) reduce my agitation levels. One would think that the max dose of Abilify plus Neurontin would=no more agitation. What's strange is that its some kind of inner agitation that keeps my thoughts looping and prevents normal socializing and such.
I don't want another antipsychotic at any dose. My doc had mentioned low-dose Haldol. I threw out extremely low dose perphenazine strictly as-needed. My doc gave that a thumbs down, and I gave Haldol a thumbs down, since typical neuroleptics make me dysphoric and unable to think clearly.
So, I guess that leaves antidepressants. I was thinking Surmontil because its apparently a tranquilizer. At high doses, some studies suggest it can help psychosis. Awesome. So, I don't think it will flip me into agitation.
Then again...sooooo sedating. I liked jono's idea of wellbutrin+sri, but that would have me on 4 drugs. Maybe Effexor, and just ramp it up until I feel better? Cymbalta scares me a little bit, because I already took in a hospital and found it somewhat numbing.
Ugh. What to do? BuSpar is out, btw. So is day time vistaril.
poster:Christ_empowered
thread:1026303
URL: http://www.dr-bob.org/babble/20120912/msgs/1026303.html