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Re: Review Of My Medication Regimen; Advise Needed

Posted by oceansun on October 12, 2014, at 12:16:32

In reply to Review Of My Medication Regimen; Advise Needed, posted by LouisianaSportsman on October 11, 2014, at 22:27:40

> I've been gone for awhile, I'm currently in a 90 day impatient treatment, and I am able to get online for this weekend. I go back without access Monday-Friday. I complete the program next Monday.
> I've been on psychiatric medication for awhile now, and I've found a combo that is OK, but I feel like I can improve it.
> I currently take:
> Sertraline [Zoloft] 50mg.
> Mirtazapine [Remeron] 30mg.
> Lurasidone [Latuda] 40mg.
> Bupropion SR [Wellbutrin SR] 450mg.
> Topiramate [Topamax] 100mg.
> Gabapentin [Neurontin] 2,400mg.
> Propranolol [Inderal] 30mg.
> Suffering from chronic fatigue which I think is from the mirtazapine. Mirtazapine has been, hands down, the best antidepressant in terms of producing a response, but the weight gain and sugar cravings and the risk of prediabetes with the concomitant use of lurasidone worries me a lot-- the only reason I got on it is because I needed to be able to sleep in the treatment facility. I have gained 30lbs. on mirtazapine, but I'm not sure I want to give it up. Can the dosage increase reduce fatigue like I've read about? What about going down to 15mg.? Something has to give. I just really like the response it has on my MDD and GAD. Maybe I could switch to something in the tricyclic class since I've have such a good response...
> I'm not sure what benefit I have gotten from sertraline, and I'm considering discontinuation or switching to Brintellix.
> I'd like to switch the Bupropion SR 450mg. to Aplenzin 522mg.
> The topiramate does nothing to curb my appetite nor seems to provide that energy or mood effect anymore. Would like to switch to Qudexy XR (topiramate extended release) 200mg.
> The lurasidone has been effective, but I think Abilify 10mg. was better for me.
> I think Lyrica 200mg. X 3 would be better than gabapentin 800mg. X 3
> Propranolol was written for a minor arrhythmia, I think it would be good for GAD-- like the 80mg. XL.
> My goal:
> Brintellx 10mg.
> Abilify 10mg.
> Aplenzin 522mg.
> Lyrica 600mg.
> Qudexy XR 200mg.
> Remeron 60mg.
> Propranolol XL 80mg.
> Thoughts?
I wish I could help. I have some of the same questions as you, such whether tricyclics could be a replacement for Remeron.

I guess I wouldn't discontinue Zoloft right now if you're not in a good place only because of discontinuation symptoms. Going higher on propranolol may help anxiety more, but you risk sedation, though you could find out in a matter of days. Lyrica might be better than gabapentin in that it's supposed to be "stronger" but I don't know what benefits you're getting from it. It can cause weight gain, supposedly more than gabapentin. You could go higher on Topamax for the weight control, but it has pretty nasty side effects the higher you go. Abilify did cause prediabetes in me.

Have you ever tried Lamictal? It seems to help a lot of people with everything. Or another standard anticonvulsant?

I wish you the best in your search and in your stay.




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