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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by Christ_empowered on November 11, 2014, at 7:57:10
I'm on...30 Abilify 1200 Trileptal and 100 Lamictal. When I freak out, which is rarely, I take a few 100mgs caps neurontin and 2mgs risperidone.
I can't concentrate! I blame meds for everything, at some level, but...I think I'll have to add something, rather than reduce doses or drop something. I already asked pdoc about dropping the Trileptal and increasing the Lamictal, and that was a no go.
Cymbalta? Could I take Celexa and Wellbutrin (wellbutrin alone is probably a no go because of agitation concerns) ?
Ugh. Does sufficiently high dose remeron help concentration at all?
Posted by rjlockhart37 on November 12, 2014, at 16:24:25
In reply to Good AD for focus?, posted by Christ_empowered on November 11, 2014, at 7:57:10
fisst awnser is yes, wellbutrin, but it is known for agititation.....some people it works like a cup of coffee in the morning....others is like too much and feeling jittery and anxiety
effexor is one that can help *some*. but it doenst really work so well on NE and dopamine as wellbutrin and strattera and Reboxetine do.....
prozac can help slightly with increasing mood to do work.....
r
Posted by oceansun on November 12, 2014, at 21:22:21
In reply to Good AD for focus?, posted by Christ_empowered on November 11, 2014, at 7:57:10
Ever try Deplin? It's relatively harmless. It gave me energy and focus and lifted brain fog immediately, but personally I got irritable from it, so it was a no go. And it's a good drug to take with Lamictal.
> I'm on...30 Abilify 1200 Trileptal and 100 Lamictal. When I freak out, which is rarely, I take a few 100mgs caps neurontin and 2mgs risperidone.
>
> I can't concentrate! I blame meds for everything, at some level, but...I think I'll have to add something, rather than reduce doses or drop something. I already asked pdoc about dropping the Trileptal and increasing the Lamictal, and that was a no go.
>
> Cymbalta? Could I take Celexa and Wellbutrin (wellbutrin alone is probably a no go because of agitation concerns) ?
>
> Ugh. Does sufficiently high dose remeron help concentration at all?
Posted by Lamdage22 on November 14, 2014, at 9:48:48
In reply to Good AD for focus?, posted by Christ_empowered on November 11, 2014, at 7:57:10
I blame meds for everything, at some level,
True :) That and psychiatry.
>
> Cymbalta? Could I take Celexa and Wellbutrin (wellbutrin alone is probably a no go because of agitation concerns) ?Hmm Celexa, idk anything about. Wellbutrin.. if you have no schizo symptoms maybe.
> Ugh. Does sufficiently high dose remeron help concentration at all?
Posted by Lamdage22 on November 14, 2014, at 10:33:22
In reply to Re: Good AD for focus? » Christ_empowered, posted by oceansun on November 12, 2014, at 21:22:21
Honestly,
i dont think it is treatable.. maybe you have to learn to live with it.
You seem to need much mood stabilization and also you have a high dose of an antipsychotic.
Everything that would get your focus back up could also get your symptoms back up.
Thats my opinion at least.
Posted by Lamdage22 on November 14, 2014, at 10:35:53
In reply to Re: Good AD for focus?, posted by Lamdage22 on November 14, 2014, at 10:33:22
Its easy for me to say as i live in a country where i dont have to make my own living if im not able to.
Posted by phidippus on November 15, 2014, at 16:50:20
In reply to Good AD for focus?, posted by Christ_empowered on November 11, 2014, at 7:57:10
You really need to get a handle on what your symptoms are and what the meds are doing to you. Ever done a drug-free trial at a hospital to see how it all comes out?
Any of the SNRIs should help with concentration, as will Wellbutrin. Not everyone gets agitated on Wellbutrin, but it can cause anxiety.
Remeron will not help with concentration.
I don't understand why you're on Lamictal at all at that dose.
Eric
Posted by Christ_empowered on November 15, 2014, at 18:09:00
In reply to Re: Good AD for focus? » Christ_empowered, posted by phidippus on November 15, 2014, at 16:50:20
I get agitation, low moods with psychotic features, anxiety, and what I guess is hypomania.
Lamictal @ 100 is for depression, since Prozac made me feel weird and Tofranil just wasn't worth the additional weight gain and TCA side effects. I dropped the Tofranil, told my shrink, and he whipped out the Rx pad for Lamcital.
Posted by phidippus on November 15, 2014, at 19:22:17
In reply to Re: Good AD for focus?, posted by Christ_empowered on November 15, 2014, at 18:09:00
> I get agitation, low moods with psychotic features, anxiety, and what I guess is hypomania.
And you get these symptoms on your cocktail of Abilify, Trileptal and Lamictal?
> Lamictal @ 100 is for depressionThat is still a pretty low does to be treating depression.
Eric
Posted by Christ_empowered on November 16, 2014, at 0:04:08
In reply to Re: Good AD for focus? » Christ_empowered, posted by phidippus on November 15, 2014, at 19:22:17
my symptoms are fairly well-controlled. I'm actually rapidly approaching "normal," so that's a big deal.
Yeah, my shrink told me he goes up to 600 on lamictal, which kinda scared me. I'm concerned that 200+the 1200 trileptal would = cognitive problems. My pdoc didn't say anything about changing the dose and said to come back in a few months.
At what point does lamictal=cognitive problems?
Posted by herpills on November 18, 2014, at 13:08:42
In reply to Re: Good AD for focus? » Christ_empowered, posted by oceansun on November 12, 2014, at 21:22:21
> Ever try Deplin? It's relatively harmless. It gave me energy and focus and lifted brain fog immediately, but personally I got irritable from it, so it was a no go. And it's a good drug to take with Lamictal.
>
>Can I ask, what dose of Deplin were you taking? How long before you noticed any benefit? I'm thinking about trying it again. I do take 150mg of lamictal, what is it about that combination do you think makes it good? Thanks
Posted by phidippus on November 18, 2014, at 17:07:08
In reply to Re: Good AD for focus?, posted by Christ_empowered on November 16, 2014, at 0:04:08
Some people experience cognitive disfunction at even the lowest doses, but most complain about it at the 400 mg range.
Eric
Posted by former poster on November 19, 2014, at 22:34:17
In reply to Good AD for focus?, posted by Christ_empowered on November 11, 2014, at 7:57:10
Savella seemed to help my concentration. I took it for about 2 years, had to stop because of prostate problems. I think Savella is the only AD that doesn't cause cognitive problems like most SSRI's and MAOI's. Can't seem to read a novel now that I'm on Emsam. The slightest things make me distracted.
Posted by oceansun on November 19, 2014, at 22:58:42
In reply to Re: Good AD for focus? » oceansun, posted by herpills on November 18, 2014, at 13:08:42
I took 15 mg Deplin and felt the effects within a few hours. After I realized that it was the culprit of my irritability I decreased to 7.5 mg, which really did very little in terms of energy but still made me grumpy.
There's a theory that Lamictal depletes folic acid -- some studies say it does, some it doesn't -- but since Deplin is folic acid, it can't hurt to add some. And folic acid itself can be an antidepressant. Deplin is a super folate -- you'd have to take tons of the drugstore folic acid to match it, and I think Deplin crosses the blood-brain barrier easier.
> > Ever try Deplin? It's relatively harmless. It gave me energy and focus and lifted brain fog immediately, but personally I got irritable from it, so it was a no go. And it's a good drug to take with Lamictal.
> >
> >
>
> Can I ask, what dose of Deplin were you taking? How long before you noticed any benefit? I'm thinking about trying it again. I do take 150mg of lamictal, what is it about that combination do you think makes it good? Thanks
>
>
>
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This is the end of the thread.
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