Posted by SLS on June 12, 2015, at 1:27:56
In reply to Re: I'm just so tired of the same fight..., posted by b2chica on June 12, 2015, at 0:09:04
Oh. Before I forget. Lamictal works well with Abilify. Do you think Abilify and Trileptal might work to control Lamictal-induced hypomania? Wasn't that the problem with Lamictal - mania?
I forgot to ask you why you are taking Latuda in the first place. On paper, it looks like a good drug for bipolar depression. I imagine the clinical trials demonstrated efficacy. I never reviewed them. Sometimes, the only clinical trial that is worth paying attention to is your own. You never know.
Risperidone?
If you haven't yet tried a MAOI, you really need to explore that. I would ask your doctor about Parnate. You can combine it with nortriptyline, which might take care of intrusive thoughts, ruminations, and hypophagia. Of course, you would want to be on some sort of antimanic drug. There is NO WAY you can combine a MAOI with a serotonin reuptake inhibitor like Fetzima. These include SSRIs, SNRIs, and certain TCAs (imipramine, and clomipramine).
I wish I knew what would help us get well. I don't. I'm just throwing out some ideas that are rather aggressive.
Msybe the oral ketamine-type drug being developed by Naurex will eventually come to market. It should work as well as ketamine, but without dissociative cognitive side effects and a wider therapeutic window.
Would you consider things like intranasal ketamine or low-dose naltrexone (LDN)? Maybe higher dosages of memantine would be helpful. It may take several months to work, though.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1079621
URL: http://www.dr-bob.org/babble/20150520/msgs/1079678.html