Posted by Geezer on December 23, 2001, at 20:58:50
In reply to Re: WHAT TO DO ABOUT BIPOLAR II ???? » Geezer, posted by Cindylou on December 23, 2001, at 20:06:31
> How do you feel on your current combo? Still depressed, tired, or anxious or all three?
>
> Maybe adding Lamictal could help augment the Depakote?
>
> I feel for you. I feel like I've been through the ringer trying all these meds, and I need low doses also. But keep trying! We'll find the right cocktail one of these days.
>
> cindyHi Cindy,
Thanks for the reply-you have helped me out in the past. Actually feel terrible on the current combo. When they start messing around with SSRIs and TCAs the resulting Asthenia makes the atypical depressive symptoms worse. I don't have much trouble with the hypomania, aside from some anxiety and mild anger. I have been DXed by the best at the Stanley Foundation here at the Univ. of Cincinnati (after 30 years of treatment for major depression with AD monotherapy); the problem is I can't find anyone to prescribe Lamictal or Selegiline and hesitate to treat myself with those meds. The pdocs in research have the answers but they don't treat patients, the pdocs providing the treatment are too conservative to give the proper treatment.
Happy Holidays
>
> > DX: Bipolar II,Atypical Depression and Dysphoric Hypomania.
> >
> > TCAs not acceptable due to adverse side affects.
> > SSRI's not acceptable due to ASTHENIA.
> > Wellbutrin did nothing, Remeron too sedating, Serzone too sedating, Effexor-will not try due to adverse side affects and Horrable withdrawal. Provigil is nothing more than the rebound depression portion of Dex. Can't take Stims. due to previous abuse. Can not find a pdoc with the intestinal fortitude to try selegiline or Parnate.
> > Current Meds:
> > Dakakote 750mg.
> > Klonopin 1mg
> > Ambien 10mg
> > Zoloft 25mg
> > (I know these are low doses but increases only add to the Asthenia)
> > Any suggestions?
poster:Geezer
thread:87755
URL: http://www.dr-bob.org/babble/20011222/msgs/87781.html