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8+ psychoactive medications

15 posts in this topic

Posted (edited)

I've had the same psychiatrist since I was 18 (I'm 25) and the same GP since before that.  And over the years, medication got sort of piled on top, and I just feel like I'm not myself.  I don't even know who I am anymore without all these drugs.

 

I have a GP, a neurologist, and a psychiatrist.

 

I was thinking about finding a new psychiatrist, and just ask him, what the fuck?  What do you think about this?

 

I'm taking:

 

Lithium 900mg

Zoloft 100mg

Wellbutrin XL 300mg

Keppra 500mg bid

Lamictal 100mg bid

Isoniazid 300mg qd

xanax prn

klonopin prn

ambien prn

 

I'm not sure we really understand how all these meds are interacting with one another.

Edited by Bueler

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Posted

What jumped out to me is that you're taking two benzos.  Not judging, just noticing.

 

I think getting a second opinion is a good idea.  It never hurts to have another perspective.  I got a second opinion and was able to cut out 4 of my meds AND feel better.

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Posted

That does seem like an awful lot of meds. I agree that a second opinion may be worthwhile.

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Posted

My psychiatrist is actually really great, because I sent him an email that I wanted to talk about getting rid of meds, then he called me.  The way I was talking, he gathered that I was manic.  He asked me if anything out of the ordinary happened, and I said nothing except I've been sick.  Have you been sleeping?  No, because I cough all night.  Take some seroquel and go to bed, don't make any major decisions.

 

I didn't notice that I'm manic, but now that he said that, oh my god I can tell.  I got 2 credit cards the other day and all sorts of crazy stuff.

 

I'm going to find a local psychiatrist (he's far away) and ask for another opinion on the meds, because I want to reduce.  Everyone is just so afraid to touch it.  I'm thinking right now "I'm not afraid" then telling myself maybe I shouldn't be posting on here or fearlessly messing with stuff.

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Posted

What jumped out to me is that your DX is Depressive Disorder NOS. That's typically used for people with depression who don't clearly have a major depression or dysthymia, or maybe before there's a firm diagnosis. And yet your doctors have prescribed 2 antidepressants, 2 mood stabilizers and 2 benzos. It makes me think that you need a 2nd opinion not just to sort out your meds but to figure out what your diagnosis really is.

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Posted

At one point several years ago I was on 12 different meds from my pdoc.  The thing is, it kept the crazy under control.  That's the thing you're really looking for, or at least I was.  At that point in time, that is what it took for me to function in the world.  After I remained stable for a good long while (a year or more) then, I started to taper off some of the meds.  

 

What you need to evaluate is whether what you are currently taking is working.  From what you say, it doesn't sound as if it is.  Personally, I wouldn't try to come off of a single one of them unless I had been stable for a minimum of 6 months.  Not sort of stable.  I mean stable as in not a single mood issue.  When you've been stable for a while then talk to your pdoc about which one you might consider tapering.  Your pdoc is your partner in this.  You should be able to discuss this and get a general plan.  Decide which med you should lower first.  What the plans are if it doesn't work.  What the plans are if you're able to get off of it and what you'll do next. 

 

I'm glad that you and your pdoc both realize that you're running a little high right now.  This certainly isn't the time to be messing with trying to reduce your meds.  

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Posted

Did all of your meds get prescribed by your pdoc? Or all three of your doctors prescibing things? And if so do they talk too eachother about it?

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Posted (edited)

You were having seizures at one point and had a brain  operation, correct ? That would justify the 3 AED's. There is more going on here than "Depressive NOS".

Edited by notfred

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Posted (edited)

I take 7 pmeds and each does its job including 3 antipsychotics.

Edited by Savannah

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Posted

Ya that is alot. But like someone said you need to evalute whether the meds are working but, it sounds like your having trouble like I did when I was on so many and went into the psychward they took me off like three meds but, I still didn't feel better. My ADHD was the problem and all I could do is focus on the noise in my head and anybody who tried to talk to me I would jump from convo to convo. K, enough about me ya get a secon Opinion...

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Posted

...psychopharmacologist...

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Posted

I get manic a lot, but it's cyclical, and I don't know until it's too late that I'm manic.  I have had a lot of pdocs, and every single one has thought that I've been on too many meds and the first thing they did was to take me off some of my meds.  Eventually I would get manic, and they'd add back some of my meds and I'd be fine, but I was back to the same amount I had as when I first went to the pdoc.  I got really tired of everyone taking me off my meds.

 

I guess what I'm trying to say is that most any pdoc you go to next will try taking you off some of your meds, but won't necessarily know you well enough to tell when you are having an episode, so you will have to be alert to this yourself.

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Posted

IDK 8 sounds like a lot but I don't think PRNs really count towards your total. I never really think of them as counting for myself anyway. I wouldn't count physical meds either. I'm guessing one or both of your AEDs is for seizures only. So that's 3 or 4 daily psych meds. Not much at all :)

 

P.S. I'm truly not trying to invalidate how you feel, I really can relate. I'm just trying to show you another angle, which might make it seem less overwhelming.

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Posted

I am on a lot of meds (see sig), but the current cocktail works (most of the time, except with breakthrough episodes) really well with me.  My pdoc specializes in medication management, so I trust him with a large amount of meds. 

 

I have more than one doctor prescribing, but they all know all medications I am on so there are no major interactions.  My pdoc is the one who I always check with interactions first (of any med) though.

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Posted

I feel like I'm on a lot of meds too. I wish I could get off some of them but every time I have tried I find myself in an episode. I have enough problems with mania and depression and anxiety and paranoia as well.

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