Jump to content
CrazyBoards.org

Which med in your cocktail is your bread and butter?


Recommended Posts

I am curious, out of all of the medications you take, which one has always been your bread and butter? The one that has helped you the most and is consistent in your cocktail. I'm very interested to hear what you all have to say! You can name several, but try to think of the one that you can't imagine life without.

 

For me, my bread and butter is Klonopin and Trazodone. The dosages have changed, but not once have either ever been excluded from the cocktail. They both work really, really well for me. The two have been in my cocktail for 5 years, all the way to when I first started getting psychiatric help. Klonopin for panic/anxiety, trazodone for sleep. Let me know what's yours!

Edited by icygrave
Link to comment
Share on other sites

5 hours ago, icygrave said:

 For me, my bread and butter is Klonopin and Trazodone. 

Yes, these are my foundation meds as well, mainly because of my sleep issues.....If I don't get enough sleep, all my crazy just gets worse and worse....!!

Other stuff, like ADs and APs have all been switched around over the years.....I'm not currently taking an AP because my arrogant and rude former pdoc yanked me off it, and didn't replace it with anything....

I'm a little more depressed since stopping the Abilify, and all my OCD behaviors have gotten somewhat worse as well with no AP..............But at least I'm sleeping, thanks to the Klon and Traz......:)

I see my new pdoc in 2 weeks, so hopefully she will be able to recommend another AP.  

Edited by CrazyRedhead
Link to comment
Share on other sites

Depakote worked wonders for migraine, mood stability and seizures.  But while on this I developed liver damage, so had to get off. 

Currently Klonopin, Trasadone and Zyprexa.  Thinking of adding Limictal for seizure coverage.

Link to comment
Share on other sites

For me, it depends on my mood state (which varies from moderate-severe depression episodes, to chronic apathy/anhedonia, with occasional anxiety) My picks:

Effexor: severe depressions & anxiety

Ritalin: anhedonia, apathy, lack of motivation, energy and focus

Lamictal: light /subtle mood stabilization (not enough on it's own for mood episodes)

Edited by Blahblah
Link to comment
Share on other sites

I’m in limbo currently. I’m titrating up on clozapine (only at 200 mg so far). So I guess we will see if that is my bread and butter over the other 3 AAP’s I’m on. 

Otherwise, AAP’s have been the only thing that have helped me really. I have SZA disorder.

Of the other ones I’m on now I’d rank them as follows:

1. Seroquel XR (really stops mania and helps anxiety and sleep and maybe psychosis a bit too?)

2. Abilify and invega are tied I guess? Abilify has been in my cocktail for so very long (over 10 years) that I don’t know what it is doing for me anymore if anything? But it did save me from a very long state hospital stay. Invega was added for treatment resistant psychosis and it is decent for that.

 

But the hope is to get off at least two other of the AAP’s that I’m currently on and just take one with the clozapine. So like maybe abilify + clozapine. Whatever my pdoc thinks would work best with clozapine for me I guess. She has hinted that seroquel XR + clozapine might be the combo but that seems excessive to me. But then again seroquel XR has never let me down. I’m so confused. She also has mentioned clozapine as my only AAP alone. But that was only mentioned once in passing and I doubt that that will happen

Link to comment
Share on other sites

4 hours ago, Blahblah said:

For me, it depends on my mood state (which varies from moderate-severe depression episodes, to chronic apathy/anhedonia, with occasional anxiety) My picks:

Effexor: severe depressions & anxiety

Ritalin: anhedonia, apathy, lack of motivation, energy and focus

Lamictal: light /subtle mood stabilization (not enough on it's own for mood episodes)

Blah ~  I was thinking of adding Lamicral to my current cocktail, but read that you did not experience good mood control on this drug.  My psych doc mentioned that my last experience with this drug was that it was activating which triggered more anxiety which brought on more mood swings.  My last neurologist wanted me to stay on this drug as it was her belief it helps down the excitability of the electrical activity in my brain thereby giving more control over seizures and mood.  I am vying for trying that again over Vimpat which has a wicked side effect profile.  Thank you for explaining what meds you are on and why. 

Link to comment
Share on other sites

On 11/4/2018 at 4:23 PM, Dewey said:

Blah ~  I was thinking of adding Lamicral to my current cocktail, but read that you did not experience good mood control on this drug.  My psych doc mentioned that my last experience with this drug was that it was activating which triggered more anxiety which brought on more mood swings.  My last neurologist wanted me to stay on this drug as it was her belief it helps down the excitability of the electrical activity in my brain thereby giving more control over seizures and mood. 

I have also been told that  Lamictal calms down Glutamate/ excitability response in the brain. Titration can be difficult for some. I noticed benefit when I first hit 75mg. Now, years later, TBH I'm not sure what it is doing, but I'm on low dose (100mg) so i stay on it to not rock the boat. I have increased the dosage in the past, up to recommended (200-400mg range) but had intolerable side effects (clumsiness, word finding/cognition problems, vision and kidney test issues) at the higher doses.

For those of you here interested in role of Glutamate, and GABA, in various health conditions,  I found this article to be interesting: https://www.verywellhealth.com/gaba-glutamate-fibromyalgia-chronic-fatigue-716010

Edited by Blahblah
Link to comment
Share on other sites

5 hours ago, Blahblah said:

I have also been told that  Lamictal calms down Glutamate/ excitability response in the brain. Titration can be difficult for some. I noticed benefit when I first hit 75mg. Now, years later, TBH I'm not sure what it is doing, but I'm on low dose (100mg) so i stay on it to not rock the boat. I have increased the dosage in the past, up to recommended (200-400mg range) but had intolerable side effects (clumsiness, word finding/cognition problems, vision and kidney test issues) at the higher doses.

For those of you here interested in role of Glutamate, and GABA, in various health conditions,  I found this article to be interesting: https://www.verywellhealth.com/gaba-glutamate-fibromyalgia-chronic-fatigue-716010

Thank you Blah for your detailed response.  I had the weird vision things going on while I was on Lamictal for 2 months along with cognition and word finding issues.  Sometimes words just were not there.  However, I was combining it with Pamelor and that competes and could be why I had a hard time getting onboard.  Have not heard back from my seizure doctor yet on this. 

Link to comment
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

 Share

×
×
  • Create New...