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Re: Amitriptyline augmentation options Christ_empowered

Posted by rovers95 on August 14, 2019, at 6:23:34

In reply to Re: Amitriptyline augmentation options, posted by Christ_empowered on August 4, 2019, at 14:02:15

> hi. what are your problems, now? my first suggestion would be lamictal, but...the titration is so slow, by the time you get up to 200 or so, you'll probably have more improvement from the elavil, anyway. not a big deal, but...personally, im trying to do the whole 'less is more' thing with Rx psych drugs.
>
> buspar might be a decent option...its cheap, generic.
>
> i think it is wise to be concerned about serotonin syndrome, btw. kind of like neuroleptic malignancy syndrome...its one of 'those problems' with the psych drugs that it seems few are warned about...and i dont see any quality data or all that much accurate record keeping on it, either.
>
> wellbutrin, maybe, but...seizures. they do happen. if you have good insurance coverage and an accommodating psychiatrist, i would ask about modafanil or even ritalin or focalin.
>
> vitamin c, b-complex, coenzyme q10, extra folate, zinc, possibly D3, especially if you opt for lamictal...
>
> elavil+perphenazine is still available, as (generic) Triavil. i dont think perphenazine is a good idea if you can avoid it, but if you and the psychiatrist think a more modern neuroleptic is appropriate, and they do informed consent and AIMS testing, etc..
>
> maybe a low dose of abilify or even a tiny dose of risperidone? the risperidone could potentially boost the elavil...but weight gain, metabolic probs, and prolactin elevation would be more of an issue than with abilify and the new D2 partial agonists (I think...).
>
> but then again, buspar might help, without all the neuroleptic risks.
>
>

Thanks, both ability and risperidone gave me akathisia. I'm tempted by lamotrigine, but I didn't respond to riluzole, so that may be a negative indicator of how I will do on that?

 

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