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  #26  
Old Apr 16, 2013, 11:26 AM
Anonymous100110
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Actually it cost about $65 a month because insurance almost never covers it.

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  #27  
Old Apr 16, 2013, 12:02 PM
anonymous8113
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It depends on the insurance, yes. Mine covers it; so it's about $20. per month.

Some insurance companies do things differently. Some people cannot utilize folic acid because they lack the enzymes in the stomach to convert folic acid into folate which can cross the blood-brain barrier and make the vitamin available to increase serotonin production and that means, in my view, that it's an essential medication.

Because it's derived from a concentrated form of folate (Deplin, that is)
some companies won't insure it because it's considered a food rather
than a medicaton.

Go figure.
  #28  
Old Apr 16, 2013, 01:42 PM
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Speed3 Speed3 is offline
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Quote:
Originally Posted by genetic View Post
I just checked online for ketamine use in medication-resistant depression. It's much improved over the years and doctors are getting good results.

There is a Ketamine clinic at Drexel University in Philadelphia. Dr. Schwartzman is in charge, and a contact doctor named Dr. Getson may be reached at 586-983-7246. They have in-patient and out-patient treatment scheduling.
__________________________________________________

I would add to my statement about Deplin that research indicates 70% of depressed patients are lacking in the ability to convert folic acid into folate because of missing enzymes in patients. Genetic testing is the prescrbed way to go, but it can be used as an adjunct to prescribed meds and is not harmful. In fact, it's called a "med food" (about $20. per month and requires a med prescription).
Yes ,
I have had 11 ketamine infusions this fall 2012. I had them at a local outpatient surgery center in Havertown PA.My PDOC and the center partnered to do them. I only begged my doc to do this for 3 years.
The surgery center had already been doing them, for awhile, for pain patients who receive a larger dose of Ketamine over a longer time.

It did not take much convincing to do them for depression. The dose of Ketamine for depression is even lower then for pain. The infusion only lasts 40 minutes.

You are set up in a room in the recovery area,with heart monitoring, pulse oximetry, blood pressure and nasal oxygen. The nurse starts an IV. The anesthesologist calculates the ketamine dose and puts it in a pump hooked up to the IV. He leaves and the nurse sits at the end of the bed for the entire infusion, writing down vital signs.

The dose you get is very low, sub anesthetic. I always felt like I was floating down a river, a very pleasant feeling.

My depression lifted very quickly, but the draw back of Ketamine is the results do not last. I had 6 initial treatments, MWF, then 5 maintenance once a week.For me the results only lasted for 5 days. At 400 a treatment I had to stop. For some people the more treatments you get the longer the results. This was not so for me.

The other good thing about Ketamine is, is that it has proven to repair brain damage form many things, including just the repeated episodes of bipolar
  #29  
Old Apr 16, 2013, 01:47 PM
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Speed3 Speed3 is offline
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Quote:
Originally Posted by genetic View Post
It depends on the insurance, yes. Mine covers it; so it's about $20. per month.

Some insurance companies do things differently. Some people cannot utilize folic acid because they lack the enzymes in the stomach to convert folic acid into folate which can cross the blood-brain barrier and make the vitamin available to increase serotonin production and that means, in my view, that it's an essential medication.

Because it's derived from a concentrated form of folate (Deplin, that is)
some companies won't insure it because it's considered a food rather
than a medicaton.

Go figure.

I have been taking Deplin for about 5 years. I don't think it has done anything for me. With our insurance using the hospital RX it only costs 5. At least one benefit from my Husband working in a hospital.
  #30  
Old Apr 16, 2013, 03:16 PM
anonymous8113
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There just must be answers for you out there, Speed. Keep working with your
psychiatrist for suggestions and help.

Let us know how you're getting along.
  #31  
Old Apr 16, 2013, 04:12 PM
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Originally Posted by genetic View Post
There just must be answers for you out there, Speed. Keep working with your
psychiatrist for suggestions and help.

Let us know how you're getting along.
I did find out the hospital where they do the ECTs is covered 100%. The doctor does not. I am trying to find out his fees to calculate the out of pocket cost, to see if I can afford it.

Also, my current PDOC must call him to discuss my case. Well, unless a miracle occurs my PDOC will take his time to call if he does at all. It will probably require me to remind him at least 5 times.

Meanwhile, my husband hid the Ativan so I am looking up Seroquel overdose and amounts. What I am saying is I don't have the time for these Docs to fittle f...ck around.

My Husband is out playing golf having fun and I am having flashbacks and considering taking my life. I talked to my PDOC today and told him I was suicidal. I must life on another planet!
Hugs from:
BlueInanna, faerie_moon_x, Nobodyandnothing
  #32  
Old Apr 16, 2013, 04:22 PM
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kaliope kaliope is offline
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my pdoc did a study on people overdosing on seroquel. it is very hard. most become vegetables so you wouldnt be any better off that way.
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kali's gallery http://forums.psychcentral.com/creat...s-gallery.htmlDo I go against my husband or try something that could help


Thanks for this!
Speed3
  #33  
Old Apr 16, 2013, 08:54 PM
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~Christina ~Christina is offline
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Speed, you need help, you deserve help,

At this point what your husband thinks NO longer matters, I mean hes coping "his way" and you need to "Cope your way"

Let him get upset.. he will get over it.
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Thanks for this!
purpledaisy
  #34  
Old Apr 17, 2013, 05:22 AM
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sugahorse1 sugahorse1 is offline
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It's time you made decisions that benefitted you. You need to look after yourself. You have been together so long that I doubt there's anything but love between you. While he may be against it now, I'm sure he'll eventually come round.
I don't believe he has any right to stop you.
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Current dx: Bipolar Disorder Unspecified

Current Meds: Epitec (Lamotrigine) 300mg, Solian 50mg, Seroquel 25mg PRN, Metformin 500mg, Klonopin prn
  #35  
Old Apr 17, 2013, 12:16 PM
anonymous8113
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Speed, that sounds good. Hopefully, the doctor's charges won't be unbearable.

Keep after your psychiatrist to help you get admitted. I agree with most here that ECT may be the best way to go at this point, although there's some evidence now that magnetic impulses to certain portions of the brain help, and an implant that sends impulses to the Vagus nerve is helpful.

Amid it all, ECT seems like the most easily accessed help for you, in my opinion.
Thanks for this!
Speed3
  #36  
Old Apr 17, 2013, 04:12 PM
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I am on 12 mg of Ativan daily. Anything above 4 mg daily seems to be a contraindication for ECT.

So now what, that I can afford ???

I am have a very very bad day. Bad Flashbacks. The full weight of Jason's passing taking my breath away.

Missing him, my heart and spirit feel shattered.
Hugs from:
Nobodyandnothing
  #37  
Old Apr 17, 2013, 04:29 PM
anonymous8113
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Prayer going up for you now, Speec.
Thanks for this!
Cocosurviving, Speed3
  #38  
Old Apr 18, 2013, 09:25 PM
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Yoda Yoda is offline
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Is Ativan the only benzodiazepine you have tried? Xanax works best for me with occasional temazepam for sleep. I was taking pretty high dose xanax a decade ago when my ptsd was really bad and I slept 12-16 hours/day so at least when I was sleeping I wasn't having flashbacks. Fortunately I have only occasional nightmares.

Have you tried zoloft yet? It is supposed to be a first line drug for ptsd but I can't really say that it helped me.

Are you still considering firing your pdoc and trying another? Yours seems ineffective to help you.
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The purpose of life is not to be happy. It is to be useful, to be honorable, to be compassionate, to have it make some difference that you have lived and lived well. anonymous
  #39  
Old Apr 19, 2013, 10:25 AM
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Speed3 Speed3 is offline
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Hi Yoda,
My PDOC won't prescribe Xanax in his opinion it is worst then Ativan. I was on a so called normal dose of Ativan until a few years ago. I was having a very hard time sleeping, causing bad Manic/Mixed episodes. He prescribed 6 mg at night for sleep. Overtime my mood has become more depressed. I started taking my daily 12mg dose pretty much how I want to.

I was on Zoloft for a long time, it caused me to rapid cycle. I was told by the experts at John Hopkins to never take an antidepressant. They said I had a bad case of rapid cycling and AD make it worse.

Currently I convinced my PDOC to prescribe an AD due to the horrid circumstances. He prescribed Effexor 150 mg. I am down to 75 mg and I am weaning off. It did not help me.
  #40  
Old Apr 19, 2013, 10:48 AM
anonymous8113
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Been praying hard for your peace of mind, Speed.

Are you feeling any stronger?
  #41  
Old Apr 19, 2013, 07:40 PM
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Victoria'smom Victoria'smom is offline
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hopefully since pdoc's finally on board you'll start getting some relief soon.
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