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Reducing meds. PDOC advise trial of any AAP Ideas?

Posted by LouisianaSportsman on May 1, 2014, at 2:13:32


I've posted my massive combo of meds before:

Brintellix (vortioxetine) 20mg
Desoxyn (methamphetamine) 30mg.
**Lamictal XR (lamotrigine) 200mg.
Latuda (lurasidone) 60mg.
**Gralise (gabapentin) 1,800mg.
**Nuvigil (armodafinil) 300mg
Trodenki XR (topiramate) 200mg.
**Xanax XR (alprazolam) 1.5mg.

I prefer going every two weeks. She also doesn't feel comfortable getting the Desoxyn script filled. These are the changes we're making:

Brintellix (vortioxetine) 20mg
Dexedrine (dexamphetamine) 60mg.
Latuda (lurasidone) 60mg.
Trodenki XR (topiramate) 200mg.
Klonopin (clonazepan) 1.5mg.

We spent about an hour and determined that it would be best to have one mood stabilizer (never noticed Lamictal do anything) so we're going with Topamax XR that augments well with weight gaining AAP, Latuda 60mg. Thanks to this mood stabilization, it allows the addition of an antidepressant, Brintellix. We have to change the Desoxyn back to Dexedrine as my stimulant (insurance letter), and we decided that the Nuvigil high dose was overkill per insurance company. She said that I will be able to augment medications in the future depending on how they react with my current medications, such as desipramine.

BASICALLY! The insurance company sent a letter to her advising her to monitor all of my medications more closely and that they would do their own independent evaluation if changes were not made. I think it has something to do with the Desoxyn. The insurance company also has a signed note by a professional PDOC.

My PDOC is open to me trying any AAP in place of Latuda because want to find the best one. The only other AAP I've been on is Abilify, and I thought it was OK.

I was thinking:

Sapris (heard lots of good things about it)

Zyprexa Zydis (hopefully be less weight heavy and I won't gain weight since I'm on Topamax and Adderall. Belviq is always an option if it super effective)

Clozaril (how dangerous is it? I don't think my PDOC would let me go get blood tests so it wouldn't be a hassle)






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