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About mikl_pls

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    Alabama, US

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  1. I've been on as much as 825 mg before... it stopped working for me. At 375-450 mg though it was rather stimulating, but very short-lived. Profound tachyphylaxis.
  2. Have you tried fluoxetine? It may be a little more energizing than sertraline. The combination is a little sketchy though because fluoxetine is a pretty potent inhibitor of CYP2D6 which will increase bupropion's levels.
  3. I've personally never taken Seroquel for very long. I took 300 mg for sleep because that's how much it took to help me, but it made me eat like a horse and made me gain weight like crazy.
  4. The classical MAOIs are better, IME. I've never taken Nardil though. Just Emsam (arguably a classical MAOI), Parnate, and Marplan.
  5. Dr. Tobias makes a good fish oil supplement. I forget the price though. Consider adding PQQ with the CoQ10. (Make sure it's BioPQQ. Several brands make it with that particular formulation of PQQ.)
  6. IME, Viibryd is more stimulating. Lexapro made me fall asleep in class when I was in high school. Yes! Its metabolite is a stimulant, or so I've read. The higher the dose, the higher the levels of the metabolite, mCPP. Nice description!
  7. You're not the only person lately who has mentioned that 25 mg sertraline has made them sleepy. I think it must be a low-dose thing. I started at 100 mg sertraline and went up to 200 mg the first time. Now I'm on 150 mg. I've never been on anything lower than 100 mg, so I don't know what it feels like. To me, sertraline has always been activating. As for the bupropion at 150 mg, I felt a little activation when I first started it, but I really felt the activation when I switched to the XL formulation at 300 mg and added Adderall to it (of course that's going to be activating! lol) They both happened at the same time so the experience of one med from another is inextricable.
  8. Well, the Lexapro could be causing you to be hypomanic or something. Have you considered trying just Lexapro (I know you must have tried it before, but sometimes the second/third time around is better than the first)? 5-10 mg Lexapro minus the Viibryd? Try lemon balm with the valerian. It works very well together. Haha, well, unfortunately I changed my course of direction to going back to school for computer science. I don't think I could make it through med school lol. I'd be glad to make suggestions though!
  9. My cocktail is slimming down a bit as I become more and more stable! Was able to get rid of the PRN antipsychotic. Now I have a stockpile of Zyprexa and Geodon!! lol aripiprazole (Abilify) 20 mg 1 PO q AM: bipolar II, antidepressant adjunct clorazepate (Tranxene T-Tab) 15 mg 1 PO tid (45 mg): anxiety, panic attack prevention (I'd like to eventually get rid of this and just have PRN Xanax) desipramine (Norpramin) 50 mg 1 PO q AM: bipolar II depression MethylPro L-Methylfolate 15 mg 1 PO q AM: bipolar II depression, MTHFR gene mutations phendimetrazine (Bontril-PDM) 35 mg 2 PO tid (210 mg): obesity, and off-label for ADHD and idiopathic hypersomnia sertraline (Zoloft) 100 mg 1.5 PO q AM (150 mg): bipolar II depression, OCD, panic disorder vitamin D3 (cholecalciferol) 50,000 IU 1 PO q wk: hypovitaminosis D oxcarbazepine (Trileptal) 600 mg 1 PO bid (1,200 mg): bipolar II, nocturnal epilepsy propranolol (Inderal) 40 mg 1/2 PO bid (40 mg): essential tremor, and happens to help anxiety a little + PRNs (see signature)
  10. Glad you're down to one AAP regularly, and just one prn!
  11. If you pair your Lunesta with ashwagandha, it might help. It's kinda like combining a benzo and alcohol, except without the respiratory depression, risk of death, and stupidity. Plus ashwagandha is good for mood and anxiety.
  12. I personally like the taste of Soylent, it tastes like "cereal" and milk, but kinda less sweet. That's just me though.
  13. The only problem I could foresee with this is the withdrawal effects you get when you don't take Effexor at the same time every day. But some people don't get those. My goodness. I don't know your height, but 47 kg is a bit thin. Ritalin/Focalin for most people doesn't cause as much weight loss as amphetamines do. Sometimes it's the other way around for some reason (even though the mechanisms of action theoretically should be that it is the former). If you're conservative, going to Ritalin 30 mg/day or Focalin 10-15 mg/day would be the best way to go in my unprofessional opinion. Going to 40 mg Ritalin or 15-20 mg Focalin would be if you really wanted to get a noticeable effect. That would be between you and your pdoc. If you don't want to lose any more weight, I would probably stay away from the amphetamines, especially dextroamphetamine or Vyvanse. Ah, I'm sorry you had to go through that. You may want to be very careful with raising your stimulant dose then, simply because there's no way of knowing whether it was the increased serotonin or dopamine that caused you to go into psychosis with Zoloft (which is a SDRI). Increased dopamine is the classical mechanism of action behind psychosis, but other neurotransmitters play into it, and other neurotransmitters interact with other neurotransmitters by means of autoreceptors and heteroreceptors.
  14. It sounds like anxiety to me, but I'm not an expert on this. Possibly even OCD or obsessive-like symptoms related to anxiety.
  15. I think Zyprexa Zydis is good, and if you take it with anything else, Abilify would be the one to go with. (less weight gain) That is dumb... 😕
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