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Re: medication compliance with painful S.E's? » Ritch

Posted by Chloe on March 11, 2002, at 19:02:26

In reply to Re: medication compliance with painful S.E's? » Chloe, posted by Ritch on March 10, 2002, at 21:59:53


> I would try the bump in Li to 225mg/day, and keep everything else the same. Do that for a week, and then consider the bump of AMI to 30mg/day.

Hey, Mitch,
I am so depressed today. The lack of 100 mgs of N makes a huge difference in my affect. I am also trying to get my 200 mg dose of neurontin in the evening (instead of the am), so I can sleep. I have lost the ability to sleep soundly without my 200 mgs at night :(.

I do plan to bump up the li. I do think that will help with mood. But, I am having pretty bad scalp pain now, so I am reluctant to add some more li today...Any thought on if I can take all 225 in the am, or is it best to divide it?

>Wow, you are doing so well on such "Victrola" meds. It is really amazing.

I am not sure exactly what you mean by this...
But I can tell you that my mood is like a moving target. When I finally think I got it in my sights, something comes up, a side effect, a psychotic episode, whatever. So I have to constantly be titrating a tiny bit here and there to have *some* semblence of stability.

Oh, I had such a nice stretch. I hate it when I crash and burn. I made so many plans for this month (when I was feeling great!), that involve alot of responsibility and money. I really hope I can hold it together...

> Just an FYI, but doxepin was the first AD I was on and that got pushed all the way to 150mg/day during a bipolar depressive summer episode and it did... diddly squat. Amitriptyline has much more potent AD activity. I was on 20mg/day for a while, but it made me *too* flat, and my friends complained that I wasn't fun to be around anymore so I stopped taking it. Maybe I shouldn't have in retrospect...

When I was fourteen, after my first hospitalization, I was put on amitriptyline. I got up to 125 mgs for a couple of years. God did I feel *flat* too! I remember not caring about anything. Blah, blah, blah than I would have these wild rages. My mother was totally freaked by me!
150 mgs of Doxepin, Wow! How did you walk around? I heard that stuff is very sedating, but clearly less potent, I guess. It's interesting that your friends noticed that you didn't have a funny side anymore. How did you experience yourself? I get the impression you rather liked the feeling.


> It is doing OK, I think I could probably get by without the pstim until summer and do just fine otherwise.

Glad to hear you are doing ok...Is the pstim too stimulating? Maybe nortrip would feel better right now, pre summer?

take care and thanks,
Chloe


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poster:Chloe thread:96004
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