Hi, all. I feel like a newb oldie: been on here a while, still feel dumb as shit with all the o chem breakdowns and acronyms.
Anyway- I've been maxed out on effexor xr for years now. I've taken it pretty consistently for...12 years? with a few breaks to try something new. There aren't many details I can remember well (always had a bad memory, now it's basically a vestigial feature), but here's what I've garnered:
*SSRIs and i seem to not mix. Not just some side effects, but all the side effects, and no or negative improvement.
*wellbutrin did nothing for me. Not good, not bad- just nothing.
*Effexor was good- great, even- before I tapped out. I've just been staying with it till I can figure something out.
*currently, I take 225 mg Effexor (and several doctors have told me now that they flat out won't go above that), 150 lamictal, and klonopin and Ambien as needed. (And as I've been mightily depressed lately...I've been "as needing" them a lot more.)
I've been wanting to change for a while now, and I've been studying up to see what might be some better options, but haven't had a tdoc or pdoc in the meantime. I'm meeting new ones shortly and I want to take some suggestions to them. Problem is that I'm allergic to a few things, with varying degrees of severity and type of allergic reactions. Any suggestions of SNRIs, TCAs, or MAOIs that aren't:
*sulfa-meds (full body hives. Like...full body- between my toes, in my buttcrack...😬)
*compazine (difficult breathing, light anaphylaxis.)
*darvocet, Vicodin (full-blown anaphylaxis.)
I have been given morphine with no reaction (so, what- does this mean that synethics cause issues, but cleaner natural versions don't?), and take imitrex regularly. I'm not smart enough to understand all of the individual components, and too ADD to have the patience to learn which causes what.
I feel like it's got be something pretty potent, since I've been middling- to severely-depressed pretty constantly (easily 8 out those 12 years), but I also don't need anything that's going to make me lethargic. Apathetic, fine- just please, no serious drowsiness.
I defer to you guys and gals and pals for what your thoughts are on what might be most effective, but also won't send me to the ER.
I was prescribed Vraylar as a mood stabilizer for MDD, which I have been diagnosed with for 20 years, along with ADHD and social anxiety. Until I Vraylar gave me an acute manic episode for over a year, which I hid from my doctor because it was so much better than being depressed. But then I came clean and we realized I actually had hypomanic episodes about 2ce a year, but didn’t realize it, I just thought I had some energy. Anyway, I was wondering if anyone else has had this reaction to Vraylar?
Does anyone know of a good med that squashes mixed states? My sleep has been dwindling to 2-4 hours a night, I am crawling out of my skin, irritable, anxious, and depressed. I saw my pdoc today (he recently put me back on lithium after an uninformed doctor took me off of it) and gave me the script for the blood test to check my lithium levels. In the corner I saw a code and didn't know what it was, so I googled it -- it apparently means "Bipolar I, mixed state, severe, without psychosis." I didn't think I presented THAT badly to him, but apparently my judgment is off right now. Maybe. i dunno.
Is lithium good for mixed states? What will get me out of this hellhole fastest? Any personal anecdotes for what worked best for you?
Hi all I'm new here first diagnosed with ADHD I and now with bipolar 2 and anxiety.
I'm having some trouble with the meds that I'm on. I'm taking between 25 and 50 mg of Vyvanse daily. It helps with my depression, ADHD, and binge eating, but even though I'm a big girl I'm very sensitive to meds in general so my dose is fairly low. Since I was just diagnosed with bipolar in April, the psychiatrist added a mood stabilizer which is Lamictal. It is making me super sleepy but I'm not sleeping well at night. I already know that I don't do well with anticonvulsants because I can't even take 25 mg of Topiramate without being zombie like tired all day. Also my Promethease test shows that I have a gene for processing anticonvulsants less efficiently than other people.
Lamictal seems to be doing the same thing that topiramate does to me, at least to some extent. I am also on 60 mg ER of propranolol at bedtime for a fast pulse and anxiety. I'm averaging about 5 hours of sleep right now and that is not working well for me.
I am really wanting to request doing something different than this Lamictal. I'm definitely feeling more stable, but I cannot function as a zombie with a four-year-old. What would you suggest that I talk with my pdoc about when I go back, if anything? I've made it up to 75 mg of Lamictal and it's killer. My only option I'm thinking is to quit taking it in the morning and try it at night, but that never helped with Topiramate either.
I will say that I struggle more with depression than hypomania but I do have hypomanic episodes--at least a few year with the seasonal changes and sometimes I wonder if I don't rapid cycle as well. I will also add that a concern for me would be weight gain because I'm already in the obese category, though I am losing weight--only with the help of the Vyvanse and dealing with the binge eating and ADHD for the last couple of years since I was diagnosed.
I am currently on two medications, Zoloft 100mg and Lyrica 300mg, and had sort of a weird bought of mood swings over the last two weeks that may have been just work related though I was feeling agitated one day, and flat and depressed the next few days. Now I am sort of about as normal as normal gets, for now.
Different medications have been suggested to me for managing bipolar II and I am sort of hesitant to try something in addition to what I am already on because what if my medication trial goes side ways and it makes me worse? I know start up can be rough but I just don't know if things are bad enough now to start messing around. I was feeling anxious and scared about work (enough that I took a day off to reset myself) and wondered if I could benefit from different meds that are more in-line for treating bipolar disorder.
I feel kind of stuck and wish I was starting from where I am on no meds to transitioning to 1st line treatment for bipolar.
Any thoughts? Anyone start out on meds for MDD and anxiety transition well to meds for bipolar? Med changes are never fun in my experience.