ahalo

Your Cocktail Deconstructed

466 posts in this topic

lamotrigine 400 mg -- depression (and partially for mood stabilization)

venlafaxine ER 225 mg -- depression

bupropion 300 mg -- depression

ziprasidone 160 mg --depression

Armour Thyroid 60 mg -- depression (are we sensing a trend here?)

topiramate 100 mg -- mood stabilization

clonazepam 1 mg TID -- general anxiety

alprazolam 1 mg PRN -- panic attacks

Adderall XR 30 mg -- ADHD (inattentive)

amphetamine salts 30 mg BID -- ADHD (inattentive)

Saphris 10 mg -- insomnia

-----

I know it's a lot, and I do hate it, but my depression is finally in remission after suffering for 25 years, so I'm not going to complain about my meds.

 

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Cymbalta 60 mg

 Gabapentin 300 mg X 2 daily

Topiramate 200 mg X 2 daily

Vraylar 4.5 mg

updated.

Moved from Celexa to Cymbalta 2 days ago since depression and joint pain not good. More anxiety, but hopefully it goes away. Moved up the vraylar and it seems to be helping.

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Posted (edited)

This is my very first post on CB so, please, bear with me.

Here's my cocktail:

  • sertraline (Zoloft) 100 mg 2 po qhs (200 mg) — Panic disorder
  • buspirone (BuSpar) 10 mg 1 po bid (20 mg)* — Panic disorder 
  • alprazolam (Xanax) 1 mg ½-1 po qd PRN — Panic disorder/panic attacks
  • lorazepam (Ativan) 1 mg 1 po qd PRN — Panic disorder/panic attacks
  • amlodipine (Norvasc) 10 mg 1 po q AM — HTN, angina
  • losartan (Cozaar) 50 mg 1 po qhs — HTN

Supplements: methylcobalmin sublingual drops, PrimalJax, Noopept 10 mg 1 po bid (20 mg), L-theanine 100 mg 2-4 po PRN, Bromelaine

*recently added

Edited by THE_REAL_Bryan
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Updating my cocktail:

  • Amphetamine salts (Adderall) 30 mg 1 po bid — ADHD, depression, hypersomnia, BED
  • Atomoxetine (Strattera) 80 mg 1 po q AM — ADHD, depression, hypersomnia, BED
  • Fluoxetine (Prozac) 40 mg 1 po bid — OCD, Bipolar II depression, BED
  • Lamotrigine ER (Lamictal XR) 300 mg 1 po q AM — Bipolar II depression/mood stabilizer, BED
  • Levocarnitine (Carnitor) 330 mg 3 po tid (2970 mg) — Hypersomnia, supplementation
  • Lithium carbonate (Eskalith) 300 mg 1 po qhs — Bipolar II mood stabilizer
  • Oxazepam (Serax) 15 mg 1 po bid PRN or 2 po qd prn — Anxiety/panic attacks
  • Zaleplon (Sonata) 10 mg 1 po qhs prn — Insomnia
  • Ziprasidone (Geodon) 60 mg 1 po bid + 20 mg 1 po bid PRN — Bipolar II depression/mood stabilizer
  • Zonisamide (Zonegran) 100 mg 1 po q AM + 2 po qhs (300 mg) — Bipolar II depression/mood stabilizer, BED

Non-psych meds (still mostly the same):

  • Acebutolol (Sectral) 400 mg 1 po q AM — Essential  tremor
  • Esomeprazole (Nexium) 40 mg 1 po q PM — GERD
  • Levothyroxine (Synthroid) 50 µg 1 po q AM 1h ac — Hypothyroidism
  • Montelukast (Singulair) 10 mg 1 po qhs — asthma/allergies
  • Victoza (liraglutide) 1.8 mg SC q AM — pre-diabetes
  • Vitamin D2 (Drisdol) 1.25 mg/50,000 IU 1 po q wk — hypovitaminosis D
  • Breo Ellipta (fluticasone furoate/vilanterol) 100 µg/25 µg/act. DPI 1 puff qd — Asthma, maintennce
  • ProAir RespiClick (albuterol) 90 µg/act. 2 puffs qid prn — Asthma, rescue
  • Levalbuterol (Xopenex) inhalation sol 1.25 mg/3 mL (0.042%) neb 1.25 mg NEB q6h prn — Asthma, rescue
  • Minocycline (Dynacicn, Minocin) 100 mg 1 po bid — acne                                        ] alternate between
  • Trimethoprim/Sulfamethoxazole (Bactrim DS) 160 mg/800 mg 1 po bid — acne      ] these two
  • Metaxalone (Skelaxin) 800 mg 1 po qid prn — back pain
  • Diclofenac sodium topical gel (Voltaren gel) 1% apply to affected area — Red ear syndrome
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My lovely cocktail is:

Abilify~ 5mg for mood stabilizing/manic depression

Lexapro~ 30mg for anxiety

Suboxone~ 8.5mg for preventative opiate drug use

Vyvanse~ 80mg for adhd inattentive type

Ambien~ 10mg for knock out drag down zzz's

Iron supplement~ 65mg for serious anemia deficiency

Omega 3~ Mind clarity

***Any and all subject to change as I continue to ride the merry go med coaster weeeeeee!!!!😛😛😉

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Posted (edited)

My current cocktail: 

Divalproex sodium ER 1500mg (500mg tid) - mood stabilizator/anti-manic

Venlafaxine 150mg q AM - antidepressant/anti-anxiety

Trihexyphenidyl 2mg (1 mg bid)- anti EPS

Quetiapine 400mg  500mg ( 100mg q PM; 400mg q HS)  - insomnia/mood stabilization/ antidepressant

Flupentixol decanoate - 20mg/q2wk - antianxiety/mood stabilization/augment AD

Clonidine .225-.450mg ( .075-.15mg tid) - opiate withdrawal

Zopiclone 7.5mg q HS - insomnia

Diazepam - 15mg (5mg tid) - opiate withdrawal/anti-anxiety

Esomeprazole 40mg q AM - GERD

Perindopril 4mg q AM - high blood pressure

Nebivalol 5mg  - q AM -high blood pressure/ sinus tachycardia

 

Edited by centaurus

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My updated cocktail:

  • Lithium ER 900 mg as 450 mg bid | mood stabilizer/anti-manic
  • Depakote (divalproex sodium) 750 mg as 250 mg qAM + 500 mg qPM and titrating) | mood stabilizer/anti-manic
  • Vraylar (cariprazine) 3 mg | antipsychotic/mood stabilizer/depression/mixed episodes  
  • Emsam (selegiline) 6 mg / 24 hr | MAOI for severe depression
  • Klonopin (clonazepam) 0.5 mg PRN | anxiety, insomnia, agitation, anti-manic 
  • Nuvigil (armodafinil) 250 mg qAM | narcolepsy
  • ergocalciferol 50,000 IU weekly | low vitamin D levels 
  • levothyroxine 112 mcg qAM | post-surgical hypothyroidism 
  • liothyronine 10 mcg qAM | post-surgical hypothyroidism 
  • spironolactone 200 mg as 100 mg bid | PCOS
  • Arnuity Ellipta (fluticasone furoate) 200 mcg | asthma maintenance inhaler  
  • ProAir HFA (albuterol) 90 mcg PRN | asthma rescue inhaler
  • (tapering to d/c) Zonegran (zonisamide) 400 mg > 200 mg > 100 mg taper q5d | mood stabilizer 
  • (tapering to d/c) Neurontin (gabapentin) 1500 mg > 900 mg > 600 mg > 300 mg taper q5d | anxiety, (weak) mood stabilizer

Cocktail was updated a bit since my hospital stay and ECT treatments in July. 

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Mine changed again:

Lamictal 200 mgs twice a day: Mood disorder

Xanax XR 1 mg twice a day: Panic, anxiety

Prozac 80 mgs: Depression, OCD, anxiety

Seroquel 3 mgs: Add on for OCD and depression

Wellbutrin XL 300 mgs: Depression

 

 

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Updating for fun.

Psych meds

  • Wellbutrin 150 mg/morning, 75 mg/noon - Depression (wish it would bloody work)
  • Buspar 7.5 mg/morning, 15 mg/bedtime - Anxiety
  • Lamictal 200 mg - Mood stabilizer
  • Loxapine 10 mg, PRN - anti-mania (hypo, actually)

Other meds

  • Iron 65 mg - Anemia
  • One-A-Day multi-vitamin - I don't get enough of pretty much anything in my diet most of the time.
  • For now, 6-day prednisone pack - bronchitis
  • For now, Tesselon pearls - bronchitis (cough supressant)

Aside from the Welly, everything works pretty well. Buspar could work better, tbh, but it brings me from anxiety that keeps me up until 2 AM to anxiety that's just there and sometimes gets unmanageable. 

 

 

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There's been very recent med changes.

Wellbutrin XL has been dropped- yes dropped.  Bye bye welly.

My nightly 1mg of Ativan has been cut in half! :D

I am about to change my signature to reflect these changes. 

By the way, my CPAP machine might be delivered next week....!

 

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I am still going through a med rodeo after switching to incompetent pdocs, and now switching back to sanity.

My med cocktail is strange right now, but here we go:

375mg Effexor (not XR) in a divided dose (225 9AM, 150mg 2PM)

10mg Abilify (on my way back up to 25mg)

3mg Klonopin in a divided dose (1mg 9AM, 1mg 2PM, 1mg before bed; may go back up to 2mg twice/day)

Working back up to ~25mg Adderall twice/day after I am more stable. 

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My cocktail hasn't changed for several years, but recently we deleted Remeron from it so I will post my cocktail again. Now my cocktail is:

800 mg Tegretol in divided doses  (suicidal ideation and depression)

30 mg Abilify (depression)

20 citalopram (anxiety and depression)

200 mg lamotrigine  (I have no idea what this does.)

30 mg Ritalin  in divided doses  (motivation, energy, focus, adjunct for depression)

 

It is still basically anticonvulsant + atypical antipsychotic + antidepressant which I find works best for my depression.

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Combo recently changed and at the time didn't have the motivation to post about it, but am feeling slightly better.

  • Adzenys XR-ODT (amphetamine ER ODT) 12.5 mg q AM (ADHD, hypersomnia) - I'm not so sure I like this med, I don't feel it working at all, and my stimulant dose was brought from 60 mg Adderall to the equivalent of Adderall 20 mg with this med...
  • aripiprazole (Abilify) 10 mg q AM - so far so good, no irritability like in the low doses, no akathisia like at 15 mg
  • clomipramine (Anafranil) 50 mg 1 qhs x1wk then 2 qhs (100 mg) - never taken this TCA, for treatment-resistant depression, OCD, panic, what have you...
  • diazepam (Valium) 5 mg tid (15 mg) - 'round the clock Valium for anxiety, sometimes I split it in half it for 2.5 mg because it makes me so drowsy... imagine that... a benzo actually affecting me!
  • topiramate ER (Topamax ER) 150 mg q AM - partially for bipolar II, partially for seizures, don't know what kind yet because my neurologist appointment is in November... but this option will have to change whether I stay on Topamax or switch to something else because the "generic" topiramate ER was $256...
  • zonisamide (Zonegran) 100 mg 2 bid (400 mg) - reason and indication same as Topamax
  • fluphenazine (Prolixin) 5 mg prn - for breakthrough psychosis (psychotic depression)
  • ondansetron (Zofran) 4 mg prn - handy medicine to have for nausea
  • oxazepam (Serax) 15 mg 1-2 prn - anxiety
  • Zolpimist (zolpidem oral spray ) 5 mg/5 mL 2 sprays (10 mg) - a nonbenzo sleep medicine that really works for me at a normal dose! Of course my insurance wouldn't pay for it without a PA, and my pdoc's office can't seem to get a PA to save someone's life...
  • [Plus other misc. meds]

 

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@mikl_pls Did you recently go off of Lamictal? Did you have any withdrawal effects? I just ask because I've been taking it for a year and not sure if it is really doing anything (I feel relatively the same) I had been on a higher dose, but that caused too many side effects.

Anyway, my cocktail:

Lamictal - 100mg (for mood stabilization maintenance + prevention of major depression, though it's not a strong antidepressant)

Ritalin - 20mg LA + 10mg IR PRN (adjunct for treatment-resistant depression, ADD-type symptoms)

Just stopped Trintillex because I was on it for months and it didn't do anything (no side effects, nothing)

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42 minutes ago, Blahblah said:

@mikl_pls Did you recently go off of Lamictal? Did you have any withdrawal effects? I just ask because I've been taking it for a year and not sure if it is really doing anything (I feel relatively the same) I had been on a higher dose, but that caused too many side effects.

Just stopped Trintillex because I was on it for months and it didn't do anything (no side effects, nothing)

 

Despite not having it in my signature, I am still taking it, but am down-titrating it, so yes I am in the process of not taking it, lol. I am having some side effects like brain/body shocks/jolts and had a few seizures but that's related to my epilepsy. After starting Topamax, that has not been an issue, and hope it won't be as I go down to 50 mg and 25 mg. I also had been on a higher dose, this time 300 mg, another time 400 mg, both times causing side effects that I eventually found intolerable for how little to no benefit I was getting from it.

I had a horrible time with Trintellix both times I tried it. Glad you didn't have any bad side effects from it.

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On 9/3/2017 at 11:15 AM, mikl_pls said:

Combo recently changed and at the time didn't have the motivation to post about it, but am feeling slightly better.

  • Zolpimist (zolpidem oral spray ) 5 mg/5 mL 2 sprays (10 mg) - a nonbenzo sleep medicine that really works for me at a normal dose! Of course my insurance wouldn't pay for it without a PA, and my pdoc's office can't seem to get a PA to save someone's life...

 

Did you eventually get the PA approved? How does zolpimist compare to Ambien? I ask because I hate the fact that you have to literally starve yourself IME for 2 hours before you take Ambien for it to work. If I eat anything before bedtime it simply will not have an effect. Does Zolpimist work via absorbing in the mouth? Also how quick does it take to have therapeutic effect? It really sucks some nights when I havent eaten all day because of my stimulants but then cannot eat once I get home (usually late ~9pm) because then my ambien wont work or I will choose to eat but then lie awake in bed for a couple hours before sleeping. If the PA was approved, how much are you paying for one prescription of Zolpimist?

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