mikl_pls

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About mikl_pls

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  • Birthday 09/11/87

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  1. So I've seen all these people with Pristiq doses of 150 mg, 200 mg, on up to 400 mg. Pristiq 100 mg did nothing for me. Cymbalta I recently switched to and it's already pooping out. I did well on Effexor but it had a lot of unpardonable side effects, even in low doses, and I had to get to 375 mg before it helped my depression. I've asked my pdoc about it and she's convinced that anything above 100 mg Pristiq is too much. I'm a little desperate here because I've tried like 27 antidepressants and the last one I'm willing to try is imipramine and she said it was more likely to cause weight gain than loss (big deal breaker for me...) My questions are: Has anyone taken any dose of Pristiq > 100 mg? How well does it work? How were/are the side effects? Did you experience any weight gain?
  2. I did fantastically with it with a combo of Adderall (which I know isn't in your country, so dextroamphetamine I'm sure would do just fine). The only problem was that I gained 50 lb... Unusual since Parnate is supposed to cause weight loss. But it worked like a miracle and like no other antidepressant had. When my pdoc increased the dose (after I begged her, was only on 20 mg), the increased it to 40 mg and took away the Adderall, and I crashed. So was it he Parnate? Was it the combo? I don't know. But I'd definitely give it a try, and if your pdoc will let you, with a dose of dextroamphetamine or methylphenidate.
  3. I liked it for a while. Like, while it was working it was fantastic, but then it was meh. Plus it takes a looooong time to get started working.
  4. Is there a hidden "Alone forever" subforum here?

  5. Always. The best I've felt is when my gdoc prescribed me 30 mg Dexedrine IR (I think it works better than ER) and I'm still sedated during the day.
  6. Serax is a VERY short acting one... lol Tranxene is a pretty long-acting one, and is a great one if you can get 15 mg... Me too! *hi-five*. Tranxene taken 3x/day for me was great, but I was on 15 mg. Most don't go past 7.5 mg. It's a pretty long-acting benzo. Librium is another option for a long-acting option.
  7. Maybe you could ask about a combination of Prozac (commonly used for anorexia nervosa) + cyproheptadine (an appetite stimulant, also commonly used in anorexia nervosa). I think you've told me you've taken Prozac before, but maybe they didn't get the dosage to a dosage that works out for you. Or really, any SSRI will do, but Prozac from what I've read is the most commonly used. Other meds that can be used are Zoloft or Anafranil (to address the AN itself). Zyprexa can probably be used as an adjunct to help with appetite stimulation and mood improvement. If I remember correctly, you've taken Zoloft before, so Anafranil might be a good thing for you to try. It will help the obsessive aspects of AN.
  8. Sometimes I think so and sometimes I wonder... We discussed that, and basically what she said was that I was getting into the scholarly side of things rather than the treating of the symptoms of things. I'm the type of person who wants to know what, why, how, etc. things are the way they are. I guess that's why I'm just so bewildered by the new diagnosis. I guess, really, no, the diagnosis most likely won't change the medicines or treatment or anything. I mean, I'm already on an antipsychotic, which now is helping psychosis that is suddenly popping up out of nowhere during severe depressive episodes, and I'm taking mood stabilizers, so no. Thanks for pointing that out! Main issue is definitely treatment-resistant depressive episodes that occasionally accompany delusions and psychosis. My meds do cover my OCD, anxiety, ADHD, etc., quite well actually. The high dose Cymbalta (which she really hates that I'm on) is really helping with the depression, OCD, anxiety, etc., the Valium taken 3x/day has been a godsend and even helped my psychosis when I first started taking it (I've taken it before and had zero benefit from it--10 mg 3x/day) with Xanax for breakthrough anxiety which a rarely have to use. The gabapentin is new and I'm still getting a feel for it... it's for insomnia but may help anxiety. The Trileptal, omg, I love this medicine. It makes me feel so tranquil. Not as good as Stelazine, which she won't prescribe, but it's pretty nice. Zonegran I think has mostly become for seizure control now, but does a fantastic job as a safety net for depression unless I'm falling REALLY hard, then it just can't hold me. The Dexedrine instant release is by far the most effective stimulant I've ever taken, and specifically, Mallinckrodt generic brand. I've taken Barr before and it was crap. But this stuff makes me so organized, focused, and motivated (most of the time). I've actually been consistently doing well since I had the appointment and made this post. The reason she is reluctant to prescribe the PRN antipsychotic is because I refuse to take the Zyprexa or Seroquel that she wants to give me for PRN, and I tried Haldol 5 mg and that is a guaranteed switch into depression, and Prolixin 5 mg does nothing. I'm surprised about her attitude towards Loxitane... as well-educated and as long as she has been practicing, I would think she would know that Loxitane in low doses acts more like an atypical antipsychotic and that it works faster than other typicals, but she is convinced that it's worse than Haldol for EPS and TD... I dunno. I was on Abilify 10 mg but I got a bit akathisia-y (last time I took it I got to 15 mg and got nightmarish akathisia from hell). So instead of going all the way down to 5 mg, we both came up with splitting a 15 mg for 7.5 mg. I asked if going up to 10 mg or 15 mg would help at the last appointment, but she said let's stay at 7.5 mg for now. She doesn't like to make too many changes at once. She also for some reason is trying to trim down my medicine regimen... I'm not sure if she's trying to retire and get my med regimen more "presentable" to a new pdoc to accept me as a patient or what, but since her husband passed away last summer, she has just not been the same. Thank you! I really appreciate your support and reaching out! Thank you for your empathy and support! Thank you everybody for your responses! It means the world to me!
  9. Anything serotonergic will likely cause jaw clenching. It's in the list of side effects of pretty much every SSRI and SNRI. I second getting a mouth guard to wear when your clenching gets bad. I also second a muscle relaxant. My dentist prescribed me cyclobenzaprine for my TMDD, which helped, but made me depressed, so I can't take it. Skelaxin is probably the best-tolerated muscle relaxant out there, at least for me. A benzo with muscle relaxant properties like Valium might actually be better.
  10. As the title says, I recently learned from my pdoc that after five or so years of being told I was bipolar type II, that I am apparently schizoaffective bipolar type (with SEVERE treatment-resistant depressive episodes being my main struggle during which occasional obsessive preoccupations with psychotic tendencies occur, and rarely, even frank positive psychotic symptoms (hearing voices, delusions, etc.) But my main problems, which I thought was simply just major depressive episodes from bipolar happen to overlap almost entirely with negative symptoms of schizophrenia. It hasn't quite sunk in, just like when I was told I was bipolar. I'm not really sure why I'm making this post. Maybe I just need to put my thoughts into words here and allow this friendly community to comment on it with anything they want or feel they can or think might help me or give me insight? How to better adjust to knowing I'm this and not that? (It seems like it shouldn't matter, but for some reason, it has been on my mind nonstop.) What to do when things get scary? I've been trying to get my pdoc to give me an extra antipsychotic to take with my every day Abilify, but she only prescribes me a limited number... like 5 Haldol or 5 Prolixin... I finally got her to give me 10 Loxitane which I have been begging her for because I've heard so many good things about it. I don't like Haldol that much, but it definitely does work... It just switches me into depression for the next few days if I'm not already depressed, in which case I get even more depressed. I also respond better to the first-generation antipsychotics for breakthrough psychosis than the atypicals, which she I keep telling her, and she won't prescribe me a sufficient supply because doesn't like prescribing them because of their risk of tardive dyskinesia. She and I are very close, and I think she kind of has a "mom complex" with me, and cares a lot about me and doesn't want anything bad to happen to me. She sees a lot of potential for me and my future (she has said many times), and she doesn't want to give me any medicines that will ruin my brain in any way. But at 3:00 AM when I'm obsessively thinking about seeing a surgeon to have my genitals removed and seeing a doctor to prescribe me chemical castration so I'll not have any capability of sexual activity or attraction with/to men who end up hurting me as has happened so many times in the past, or if my room is filling up with unintelligible whispers, or hearing two or more people talking amongst themselves in my head about me about how bad I am at what I'm doing or how I'm 30 years old with no job and live with my parents, it would be nice to have a bit more than 5 or 10 emergency antipsychotic pills... And I've never taken loxapine, but I seriously wonder how effective 5 mg will be for when my next episode will be. I kind of let out a lot of personal stuff there, which I'm surprised I was able to do, but I think I trust y'all here. I feel safe here. I can talk about things like this here and people not get scared, freaked out, judge me, etc. I even make friends from it. I'm very thankful for this site, for everyone here, and for anyone and everyone who reads this, whether you respond or not, and if you do respond, I thank you in advance for that, too. Like I said, I have no idea why I posted this. I'm kind of lost now and am back to self-searching mode. The new diagnosis actually answered a lot of unanswered questions I had about things that were going on, but it's just jolting to have them confirmed.
  11. New diagnosis... apparently I'm not bipolar type II, I am schizoaffective bipolar type. ¯\(°_o)/¯ Psychiatric medicines: aripiprazole (Abilify) 15 mg ½ po q AM (7.5 mg): treatment-resistant depression, obsessive preoccupations (occasionally psychotic), occasional positive symptoms of psychosis dextroamphetamine (Dexedrine) 10 mg 1 po tid (30 mg): ADHD-PI, hypersomnia, obesity, helps with treatment-resistant depression and even regulates my circadian rhythm, while it doesn't have an indication for binge eating disorder it does help with it diazepam (Valium) 5 mg 1 po tid (15 mg): anxiety, obsessive preoccupations (occasionally psychotic) (has been a godsend!!) duloxetine (Cymbalta) 60 mg 1 po bid + 30 mg 1 po PM (150 mg): treatment-resistant depression, binge eating disorder, OCD, panic disorder, all my anxiety disorders pretty much are supposed to benefit from this too... gabapentin (Neurontin) 300 mg 1 po qhs: this is a new one, trying this out for sleep, not sure yet how well it works. My pdoc said it promotes slow-wave sleep which is beneficial for sleep quality if I'm not mistaken, and works via a different mechanism than the GABAergic and antihistaminergic hypnotics to which I'm immune, so hopefully it'll work! oxcarbazepine (Trileptal) 150 mg 1 po tid (450 mg): anxiety, treatment-resistant depression, gives me a wonderful feeling of tranquility, I wish my pdoc would've raised it more this past visit, also for possible complex partial seizures with secondarily generalized tonic-clonic seizures (not verified by neurologist yet, see new one in November) Rytary (carbidopa/levodopa IR+ER) 23.75 mg/95 mg 1 po tid (71.25 mg/285 mg): for what is either essential tremor, Parkinsonian tremor, or mixed tremor zonisamide (Zonegran) 100 mg 2 po bid (400 mg): treatment-resistant depression, tremor, possible complex partial seizures with secondarily generalized tonic-clonic seizures alprazolam (Xanax) 1 mg qd prn: I think everyone knows what this is for... panic attacks, feeling edgy, impending sense of doom, etc. loxapine (Loxitane) 5 mg qd prn: I finally got my pdoc to prescribe this for me! For unmanageable, scarry-as-hell breakthrough psychosis (tends to happen towards the end of the day) Non-psych meds: cevimeline (Evoxac) 30 mg 1 po tid (90 mg): xerostomia, probably drug-induced esomeprazole (Nexium) 40 mg 1 po q PM 1h ac: GERD levothyroxine (Synthroid) 50 mcg 1 po q AM 1h ac: hypothyroidism metaxalone (Skelaxin) 800 mg 1 po qid prn: back pain from being fat, that and I already had a bad back before I gained 120 lb over the course of two years (thanks, Rexulti, Remeron, Effexor XR, Zyprexa, Seroquel, Thorazine, Parnate, and Anafranil!) montelukast (Singulair) 10 mg 1 po qhs: allergies Stahist AD (chlorcyclizine/pseudoephedrine) 25 mg/60 mg 1 po q6-8h prn: allergies and a seemingly permanently stopped up nose with deviated septum to boot telmisartan (Micardis) 40 mg 1 po qhs: hypertension (mild) Victoza (liraglutide) 1.8 mg SC q AM: originally started because A1C was prediabetic (5.8%). Within 3 months, my A1C was 5.0%. My doctor wants me to stay on it to prevent my A1C from rising again (strong genetic predisposition for diabetes in my family, plus medicines). Also, it helps with weight loss, and now they're doing clinical trials with liraglutide for cognitive problems associated with bipolar disorder I believe. It also has cardiac benefits too, according to my doctor. vitamin D2/ergocalciferol (Drisdol) 1.25 mg/50,000 IU 1 po q wk: vitamin D deficiency, probably because I stay inside a lot and I take anticonvulsants Breo Ellipta (fluticasone furoate/vilanterol) 100 mcg/25 mcg/act. DPI 1 puff qd: asthma maintenance inhaler ProAir RespiClick (albuterol inhaled) 90 mcg/act. DPI 2 puffs q4-6h prn: asthma rescue inhaler levalbuterol (Xopenex) inhalation solution 1.25 mg/3 mL (0.042%) 1.25 mg NEB 16h prn: asthma rescue treatment via nebulizer ondansetron (Zofran) 4 mg 1 po qd prn: for just-in-case nausea... I'm a borderline emetophobe... Supplements (when I remember to take them): Acetyl-L-carnitine 500 mg, alpha lipoic acid 600 mg, CoQ10 100 mg, P-5-P 50 mg, a bunch of nootropics I won't bother listing (racetams, bacopa, yamabushitake, etc.)
  12. Happy National Coming Out Day! Just thought I would say that!
  13. Xanax XR was like placebo to me. It did absolutely nothing, but that's just me.
  14. Oxcarbazepine (Trileptal) is another option for anxiety (I like it, personally), but you have to watch out for low sodium levels (I assume in the higher doses).
  15. Thorazine gave me nightmares too in the end. I was on 100 mg for sleep and at first it left me like a zombie in the morning, then I got used to it. Then the nightmares came and that was that for Thorazine for me... lol