Posted by Christ_empowered on October 11, 2017, at 8:47:16
In reply to Quick question on possible adjunct, posted by beckett2 on October 9, 2017, at 16:52:50
hi. sorry things are rough for you right now. on the plus side, it seems that you're responding well to the selected psych drugs, and you have a thoughtful doctor.
i think supplementation could be helpful, also. personally, i do (fairly high dose) Orthomolecular. Not for everyone, clearly, but since I'm stuck on an "atypical" tranquilizer, those high dose vitamins, minerals, etc. do seem to help me tolerate the psych drugs and "get more mileage" out of treatment.
can you tolerate any tranquilizers? Since you're already on Lyrica and lamictal, plus a full dose antidepressant, my first thought was a small(ish) dose of some sort of tranquilizer, perhaps just on an as-needed/PRN basis.
just...based on my own personal experiences w/ "atypical" tranquilizers, I'd think about a low-to-moderate dose of Abilify or a comparable dose of risperidone, possibly just as needed.
with abilify, you'd run a higher risk on akathisia, which...is.not.fun. On the other hand, if it works w/o akathisia, its one of the "cleaner" options.
risperidone is more sedating and (personally...) I found it more mind-numbing, but that was at a full dose (4mgs). very low doses have been used to boost antidepressants, with good results for many people.
with the older tranquilizers, I would think a (very) low dose of perphenazine or perhaps loxapine might "get the job done," too, w/ a different adverse effect profile.
hope this helps.
poster:Christ_empowered
thread:1095357
URL: http://www.dr-bob.org/babble/20161215/msgs/1095379.html