Does the stage of life in which you get ill determines your prognosis and course of the illness? For example a person who gets ill after graduating from college and working several years will be more equipped to face life than a person who got ill and never worked (getting ill in the college stage of life or before)??
Since my pdoc increased my Vraylar to 4.5 mg, I've been feeling a lot stabler, but I still believe I am rapid cycling, experiencing depression on a regular basis that lasts about 2-3 weeks at a time with either euthymia or mixed episodes/hypomania in between for anywhere from 4 to 7 days at a time. My pdoc said I was rapid cycling when she increased my Vraylar from 3 mg to 4.5 mg, which is why she did that. She said the increased dose would not only help the cycling but also help my depression too.
Has anyone had experience with maxing out Vraylar to 6 mg? Any mood benefits to speak of (more than that when on 4.5 mg)—mainly with depression? Did you experience any EPS like akathisia or anything? Weight gain?
In case you can't see my signature, my cocktail is as follows:
dextroamphetamine (Dexedrine) 10 mg 2 PO tid (60 mg) pindolol (Visken) 5 mg 1 PO q AM protriptyline (Vivactil) 10 mg 1 PO tid (30 mg) Viibryd (vilazodone) 40 mg 1 PO q AM Vraylar (cariprazine) 4.5 mg 1 PO q AM oxcarbazepine (Trileptal) 600 mg 1 PO bid (1,200 mg) alprazolam (Xanax) 1 mg 1 PO tid prn quetiapine (Seroquel) 100 mg 1 PO qhs prn trazodone (Desyrel) 100 mg 1-2 PO qhs prn (100-200 mg) L-methylfolate 15 mg 1 PO q AM vitamin D3 50,000 IU 1 PO q wk Are there any other med changes/increases/additions that might help?
I would rather not take Lamictal because it causes severe truncal and facial acne and it doesn't really help that much, but I wouldn't be opposed to trying it again.
I ran out of protriptyline so I haven't been taking it (might be responsible for my recent onset of depression), but I hope my pdoc will continue to prescribe it because I think it might be helping (although I still am cycling while on it).
Thanks for reading!
What questions do you still have that have never been answered?