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Originally Posted by Shakti
Tomorrow I'm making a sick visit appt w/ my primary care doc to request adding topamax. I've researched it a lot and I think it may be a good idea. She did give me klonopin but only 30 a month and when I have bad bad depressive episodes it takes 2-3 a day to just get by. On good days I take none. The real lamictal seemed to eliminate my need for klon at all.
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Ativan might be worth looking into as well. I know that when I'm having a fit, so to speak, ativan always helps; it's nearly immediate whereas klonopin is slow acting and needs to be built up into your system first. At least, that's my understanding; I have been on both of those.
I also take lamictal 300mg a day. I checked and I am taking the generic form. Fortunately, it's not causing harm to me like the generic lamictal is for you.
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Then I will be on 150 mg Lamictal, 300 mg (twice a day Wellbutrin), Klonopin as needed (I get 2 mg tablets, but like I said they don't last so I cut them in halves or ever quarters if I think it will work ok that way...I can always add another quarter later or whatever--I HAVE to make it last), and hopefully topamax. (Well, plus metformin for diabetes and synthroid for low thyroid). I also just started taking 5 grams of omega 3s daily. I also take a multi-vitamin, B-complex, and iron 3x a week as I'm slightly anemic.) I'm willing to try to spread my wings and freaking FLY if it might help. Or eat rocks. Or really anything. This is every level of hell in my head and every bad bad person lives in there (metaphorically).
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ok this is just my opinion but people who have bipolar disorder should not be on Wellbutrin as it could trigger a manic episode. That happened to me. I was misdiagnosed as having major depression and wellbutrin was prescribed. Unbeknownst to me and my doctor, I actually had something closer to bipolar disorder...it's just that my first episode was depression. Since I have bipolar tendencies, a lot of antidepressants like wellbutrin make me have a mania. A regular physician might not realize that antidepressants
could be ill-advised in patients who might have bipolar disorder. It can work but the patient must be closely monitored for mania.
The tricky thing is that it probably helps with depression and it might be hard to find an alternative antidepressant for you.
Or perhaps the wellbutrin will not have a mania for you... but it's worth asking your doctor about the risks of wellbutrin.
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I should get in to see a shrink for med management (within the next few months--ugh) and I'm going to ask for ECT. It's a long shot probably, but worth asking.
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That's quite drastic but, then again, you are in dire need of a solution. I once asked my doctor for a lobotomy. She didn't authorize it.
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God, I hate depending on meds. When I'm ok, I can use other tools from the toolbox--yoga, exercise, meditations, writing, projects, baking...things I usually love. But when I'm down, I'm just plain OUT.
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I feel exactly the same way.