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Med shuffle recommendations?

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I'm BPII and have been depressed for quite a while, but I can't seem to find any meds that help/don't make matters worse.

I love my Abilify and don't really want to get rid of it, but i'm looking for a different antidepressant or a good add-on.

I've been on the max dose (450mg) of Wellbutrin for 4 months and have been more stable(probably the abilify) and not as suicidal, but I've still been farther down that I should be. I can't take SSRI's without crazy mood changes, so I refuse to try any or add on any.

I guess my question is; has anyone found a good combo with abilify to fight depression without crazy mood swings? I know everyone reacts to meds differently. I just would like to know a little more about some options when I see my pdoc tomorrow.

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Maybe lamictal. It's a mood stabilizer but has some anti depressant qualities

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You could consider Lamictal. It is becoming gold standard for BP2 - not as much anti-manic action but a very good antidepressant. I am not BP but antidepressants sometimes flip me hypomanic and I've found it to be a great option for NOT fucking me up.

There is also Remeron in terms of non-SSRI antidepressants but it will likely make you fat and sleepy. It crapped out really fast for me.

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Cool deal. Thanks, y'all. I'm looking up info for lamictal now and it looks like a good option. I'm gonna have to vote no for something that makes me sleepy though. I already have problems with being tired too often...I'll keep that in mind if my pdoc recommends it.

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seroquel is approved for bipolar depression, i believe. it helped me a lot (around the 300-450mg range) until i had to go off it due to side effects.

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I second Lamictal.

Or lithium. It's worked wonders for me.

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Thanks everyone!

My pdoc recommended Cymbalta first, but when I mentioned Lamictal she seemed like she was mad at herself for not thinking of it first. So, I'm giving the generic Lamictal a try in combination with my Welbutrin and Abilify. Let's hope this works!

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That's wonderful that your pdoc listens respectfully to your input. Not a given with pdocs.

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Yeah, crtclms. It's really nice that she listens. We even went a little over time today to discuss the pros and cons of the different add-on's. She's a great pdoc!

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Lamictal would be my first choice, and I would be surprised if it made you sleepy. It might even make you a little zippy at first. Be warned. It'll go away.

Of course, I also take Seroquel for depression and as an adjunct to stabilize my mood, and recently when I got very depressed my pdoc was kicking around the idea of adding Abilify. So that combo might be something to consider too. (We decided to up my LTG and Seroquel first and see what happened, so no first hand experience here. Sorry.)

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I hope it works :) I take those 3 meds and they work well for me

Me too.

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