Posted by phidippus on June 11, 2015, at 16:24:53
In reply to Re: Medications that don't touch the 5HT1 receptor?, posted by tiopenster on June 11, 2015, at 15:11:08
>lamictal (somewhat effective)
What was your dose?
>lyrica (very effective, but poops out after a week)
How did it effect you? Less anxiety?
what made you think it pooped out?
>geodon (effective, then dropped in effectiveness)
Your symptoms worsened. I doubt the Geodon lost effectiveness.
>The cocktail that resolved my problems 2 years ago was the following, but I was a zombie that slept a lot and didn't talk much
Geodon
Lamictal
Lyrica
Remeron
KlonopinThat's a bipolar person's regimen. If I were to venture a guess, I would say you're bipolar 2 because of all the anxiety.
>Insidon
Opipramol acts as a high affinity sigma receptor agonist - a mechanism shared by Luvox.
Based on your response to past medications, I would strongly recommend you seek treatment for bipolar disorder.
When treating bipolar disorder it is essential that you start with a mood stabilizer. You responded to Lamictal in the past-I would encourage you to start treatment with it.
Once your mood is stabilized and you still have an excess of anxiety, I would recommend starting an SSRI as this is the best way to treat anxiety. If you have adequate mood stabilization, you shouldn't react to them as you did in the past.
OR, you can take the Remeron, as you have had success with this in the past.
I wouldn't mess with the Geodon. Antipsychoticss are not designed to treat anxiety.
I would instead recommend Keppra, Riluzole or Zonegran-all are glutumate inhibitors and have anxiolytic properties.
Your reaction to 5ht1a agonists is simply bipolar.
Eric
poster:phidippus
thread:1079343
URL: http://www.dr-bob.org/babble/20150520/msgs/1079653.html