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    • lyrica? remeron? neurontin? trazodone?   also, more likely to induce anhedonia, but clomipramine is sometimes prescribed alongside an ssri/snri, by a very skilled psychopharmacologist to treat ocd. otherwise i think that your best bets are going to be antidepressants and, if you can tolerate them, AAPs.   and who is declining benzodiazepines for all? your doctor? find another one.
    • I was looking at the selection of standard emoticons, and wondering why I find them disturbing, and it occurred to me that they could be symbolic of the many states of MI. For instance: 😬 Generalized Anxiety Disorder 🤭 Obsessive Compulsive Disorder 🥰 Narcissistic Personality Disorder 🤬 Tourette’s Syndrome 🥱 Sleep Disorders 🙃 Bipolar with 🤩 Mania 😐😕🙁☹️😢😟😔😞😑 The stages of Major Depressive Disorder 😶 Autism Spectrum (also possibly 🤖) 😒 Schizophrenia 🤯 PTSD 🤒 Hypochondria 😳 Paranoia 😖 Migraine 🥸 or 🤠 Dissociative Identity Disorder  😡 Anger Management Issues 😨 Psychosis 😇 Delusional thinking 😰 BPD 🥺 Social Phobia 🤡 Coulrophobia (irrational fear of clowns) 💩 The way we feel most of the time Others may occur to you, but I can now no longer see these emojis without thinking crazy thoughts.    
    • SSRI/SNRI monotherapy still leaves me with lots of residual anxiety and ocd. Zyprexa did not work for me. Risperdal did not work for me. I declined haldol oppurtunity due to concerns about worsened anhedonia.....apathy....not like it doesn't make sense due to politics and stuff.... declining benzos for all...  due to it being only  temporary and the remote risk of it being fun... as if that actually negates their therapeutic value...... ...  
    • progress: my psychiatrist did prescribe sonata which i switched directly to last night from lunesta. i was expecting anxiety like right now because of the very short half-lifef, but nope, i'm fine and hopefully i'll remain fine throughout the day and through the weekend. also, no increase in appetite over night and my appetite is still normal right now.   hopefully this goddamn z-drug will be a suitable replacement for lunesta (which i can already tell will)  however, i also hope that the side effect profile is milder than lunesta's and the benefits are more like ambien's.
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  1. Today
  2. lyrica? remeron? neurontin? trazodone? also, more likely to induce anhedonia, but clomipramine is sometimes prescribed alongside an ssri/snri, by a very skilled psychopharmacologist to treat ocd. otherwise i think that your best bets are going to be antidepressants and, if you can tolerate them, AAPs. and who is declining benzodiazepines for all? your doctor? find another one.
  3. I was looking at the selection of standard emoticons, and wondering why I find them disturbing, and it occurred to me that they could be symbolic of the many states of MI. For instance: 😬 Generalized Anxiety Disorder 🤭 Obsessive Compulsive Disorder 🥰 Narcissistic Personality Disorder 🤬 Tourette’s Syndrome 🥱 Sleep Disorders 🙃 Bipolar with 🤩 Mania 😐😕🙁☹️😢😟😔😞😑 The stages of Major Depressive Disorder 😶 Autism Spectrum (also possibly 🤖) 😒 Schizophrenia 🤯 PTSD 🤒 Hypochondria 😳 Paranoia 😖 Migraine 🥸 or 🤠 Dissociative Identity Disord
  4. Yesterday
  5. SSRI/SNRI monotherapy still leaves me with lots of residual anxiety and ocd. Zyprexa did not work for me. Risperdal did not work for me. I declined haldol oppurtunity due to concerns about worsened anhedonia.....apathy....not like it doesn't make sense due to politics and stuff.... declining benzos for all... due to it being only temporary and the remote risk of it being fun... as if that actually negates their therapeutic value...... ...
  6. progress: my psychiatrist did prescribe sonata which i switched directly to last night from lunesta. i was expecting anxiety like right now because of the very short half-lifef, but nope, i'm fine and hopefully i'll remain fine throughout the day and through the weekend. also, no increase in appetite over night and my appetite is still normal right now. hopefully this goddamn z-drug will be a suitable replacement for lunesta (which i can already tell will) however, i also hope that the side effect profile is milder than lunesta's and the benefits are more like ambien's.
  7. @OCDme have you talked to your pdoc about boosting the Pristiq with something? Until recently, I had been taking a combo of 300mg Wellbutrin XL and 30mg of Remeron for depression, but I was having issues with this constant low-grade anxiety and irritability from the Wellbutrin, so we recently switched it to Pristiq 50mg. I've taken Pristiq as monotherapy for depression before I was rediagnosed as bipolar 2. But taking it now with Depakote as a mood stabilizer and also being able to take Vyvanse for my ADHD, I appreciate it so much more, and the Remeron is a really nice pair in my experience so
  8. Last week
  9. sonata denied due to ultra-short half-life. he wants me to stop remeron and cross taper cymbalta and trintellix. the cross taper is slow enough that i feel comfortable doing it, but again, the cessation of remeron is quite concerning because it was added for a reason and it does work quite well for me. removing it leaves me vulnerable and my stability surprisingly fragile given the dose i'm taking. i'm not sure what to do as right now i'm on lunesta, not ambien, and i'm okay. i'm not feeling depressed, although i am effectively chemically castrated save for if i take a small dose of
  10. I was curious about this too. Apparently the studies that included risperidone did not include it as an active comparator but rather an active control similar to placebo in order to validate assay sensitivity (i.e. they needed to make sure that the PANSS test itself actually worked for both a known proven drug as well as the study drug). As I indicated in a previous post, there was a switch study where patients with an acute exacerbation of schizophrenia who went inpatient were given risperidone to stabilize them. Then after a period of stabilization, the patients were split into groups.
  11. i don't think so. if it's not a core medication, then no. if it's intended to be a core part of the cocktail, then yes, and i have flat out refused in the past as well -- i have now told him that under no circumstance will i ever take an antipsychotic again due to the extreme negative side effects that i experienced on various atypicals - from movement problems, to cognitive problems, to emotional problems, to health problems. the drug class is horrible for me - helpful for others, but for me they've been devastatingly horrible, so i've flat out refused. with minor drugs like amantadine?
  12. because of the prominence of this particular psychiatrist and his ego attached, sometimes it's just better to lie because he can be very staunch on his suggestions and viewpoints, but is also really quite open to trying new things and is comfortable prescribing the scheduled medications that i depend on to keep me stable. there are a lot of benzo wary doctors out there and mine realizes the benefits for certain patients of these as well as other scheduled medications. that said, he can insist that i try amantadine, for instance, which i did, and i reported back to him that it was making me sle
  13. If you don't want to try the med then you don't have to. I'd just refuse rather than lying.
  14. ... not trying to lecture, but isnt that also pretty risky to have pdoc on bad information?
  15. thanks @CrazyRedhead! it's beeeeeen toooooughhhhh to say the least. right now i'm on lunesta as i couldn't handle the decrease in remeron. i messaged him today asking to try sonata, the z-drug that i have yet to try. i'm really surprised that my doctor also suggested lunesta, but here i am back on the medication, although hopefully not for long. if he lets me try sonata, then i will, if not, then he wants me to cross-taper from cymbalta to trintellix which i'm not opposed to, however, he also wants me to drop remeron and i'm not sure that i can do that as trintellix works nothing l
  16. Just checking in - I'm guessing you're in treatment, but thought I'd say, hey. Hope you're doing better.
  17. You make a fair point. It might be on the formulary, but it's a non-preferred brand that they'll only pay for after you've tried several other things, and even then you can't use it off-label. And even if you are using it for its FDA-approved indication, some plans make the copay for a non-preferred brand completely unaffordable month-by-month. I guess the hope is that if they get a broad approval like the one they've submitted, that it will be one less hurdle for the patient. By default, the drug reaches more populations by removing one of the insurance company's excuses not to pay. I suppos
  18. Unfortunately, sometimes the idea that insurance logically *should pay doesn’t translate to adequate coverage for a lot of people. Even if they cover most of it, it leaves some people with a deductible to big to manage. I wonder if more indications will correspond with more coverage or whether some people will just have to wait the 10 or whatever years for the generic for it to become accessible
  19. Cognition problems can be a symptom of psychotic disorders, so maybe by helping your symptoms in general the cognition comes along for the ride
  20. I'm so sorry you are still having problems.....Changing and/or reducing meds is tough.....I am surprised your doc suggested restarting the lunesta.
  21. Heard that as well. Additionally, in schizophrenia and bipolar disorder, one of the highest comorbidities is cardiovascular disease of some kind. Some of this is due to lifestyle but a lot of it is also due to the treatments for these conditions. They claim that Caplyta should allow clinicians to not compromise efficacy in order to achieve a better safety profile. Clinicians will prescribe it because it leads to similar outcomes to other standard-of-care antipsychotics while having a placebo-like safety profile. Insurance companies should pay for it because it's demonstrated utility in a wide
  22. Hard to say. I haven't been manic since being on caplyta but it's only been two months and I am also on lithium and seroquel. The pdoc that prescribed it to me it was his first time prescribing it so he said he didn't know if it had mood stabilizing properties or it was just helpful for psychosis for which I was prescribed it for. My own pdoc knows nothing about it. If you can get it, I think it's worth a try because the side effects are less. The only common side effects are sedation and dry mouth.
  23. Does capytla have any anti-manic powers? That is what I wonder. Would a person prone to mania need to take like lithium or depakote then with it? I worry it will be like Latuda and not work much for manic prevention and not help as much as zyprexa zydis helps me for psychosis too. Zyprexa zydis has really been a sledge hammer for my psychosis. It’s lessened, and nothing really else has made it lessen. I fear the day I am made to switch off of it. I know that will probably happen. I currently take a “Symbyax-like” combo. I take zyprexa zydis 30 mg and generic Prozac 20 mg too. But I
  24. another strange thing is that while zyprexa is more or less condemned for damaging cognition in my own case i think it helps cognition
  25. I’ve gotten on a couple helpful meds accidentally through off the cuff comments
  26. thanks Iceberg, that makes sense. It's funny that I said it jokingly...but now that I think about it, it might not be a bad idea.
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