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Member
Member Since Feb 2016
Location: Pittsburgh
Posts: 197
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Dec 31, 2016 at 05:39 PM
#1
There are many for mania and anxiety. What about depression?
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Elder
Member Since Mar 2013
Location: NJ
Posts: 6,433
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Dec 31, 2016 at 06:06 PM
#2
Unfortunately the way I understand it is depression is more pervasive than mania and anxiety and most treatments take weeks to work. Some people go on some sort of antidepressant just for the duration of the episode and stop when they feel better but that's as close to "prn " as it gets. Again this is just what I think, I am by no means an expert.
__________________ Of course it is happening inside your head. But why on earth should that mean that it is not real? -Albus Dumbledore That’s life. If nothing else, that is life. It’s real. Sometimes it f—-ing hurts. But it’s sort of all we have. -Garden State |
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Poohbah
Member Since Apr 2016
Location: NY
Posts: 1,168
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Dec 31, 2016 at 06:19 PM
#3
Stimulants maybe? I don't know if doctors prescribe them as PRNs though.
__________________ dx: schizoaffective bipolar type; OCD; GAD rx: clozapine, clonazepam PRN |
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Grand Poohbah
Member Since Oct 2016
Location: United States of America
Posts: 1,792
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Dec 31, 2016 at 06:32 PM
#4
stimulants. back in the day, they'd use the combo pills--"goof balls," if you will--that contained part sedative (usually a barbiturate, sometimes a sedating old school antipsychotic) and amphetamine, usually dexedrine. Sounds like old school medicatin', but when they worked, they could lift dark moods within 30 minutes.
Stimulants are still sometimes used in depression. I don't know if upper+downer combinations (these days, they'd have to prescribed separately) are used in depression. I have an acquaintance who's doing well on Seroquel at night and an Adderall xr in the morning, which is kind of like a 21st century goof ball. Hope you can find something that works. |
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 *Beth*
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Wise Elder
Member Since Apr 2015
Location: US
Posts: 9,226
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Dec 31, 2016 at 06:36 PM
#5
I used to take a very low dose of imipramine and then could jump it up by tiny increments if I got depressed. I was very sensitive to it (and most ADs) so couldn't stay on my "PRN" dose all the time but if I boosted it as soon as I knew I was depressed I could sometimes keep it from getting worse.
__________________ Bipolar 1, PTSD, GAD, OCD. Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1700 mg & 100-2 PRN,. 1.5 mg clonazepam., 50 mg Seroquel |
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still_crazy
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Chat Moderator
Member Since Feb 2016
Location: Doing donuts in the parking lot
Posts: 4,270
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Dec 31, 2016 at 08:29 PM
#6
I was prescribed Adderall as a PRN for some time to help my depression, but I also had ADHD to go along with it. My primary care doctor was hesitant to start me on antidepressants at that time because of my history.
__________________ "Give him his freedom and he'll remember his humanity." |
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still_crazy
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Grand Poohbah
Member Since May 2016
Location: Chicago
Posts: 1,928
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Jan 01, 2017 at 11:23 AM
#7
For many people with BP, myself included, taking in AD can actually make things worse from what my t and pdoc have said. In my case it resulted in having more SIs with a plan and that landed me in the hospital right after Thanksgiving.
__________________ Dx: BP2 and MDD Current meds: 100mg Wellbutrin; 200mg Lamictal; 400mg Seroquel at night; Xanax 1mg/PRN; 100mg/PRN Trazodone at night for insomnia Diagnosed in May 2016 |
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SUPERMAN
Member Since Feb 2016
Location: Metropolis
Posts: 3,679
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Jan 01, 2017 at 11:36 AM
#8
Adderall will get you out. For a while. Maybe a short while.
The comedown is terrible and is also very addictive. It acts in minutes. If there's a PRN faster acting, I want some. Still, if I could tolerate it, I'll use it for life. It's like an afterburner, a supercharger and a turbo all in one. Unfortunately, all that goes up, comes down. Good luck in your quest. __________________ ]Roses are red. Violets are blue.[ Look for the positive in the negative. PIRILON. If lemons fall from the sky, make lemonade. Unknown. Nothing stronger than habit. Victor Hugo. You are the slave of what you say, and the master of what you keep. Unknown. |
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Grand Magnate
Member Since May 2015
Location: earth
Posts: 3,029
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Jan 01, 2017 at 04:45 PM
#9
Wellbutrin is fast acting and it's not an ssri. Have you talked to your doc about that?
__________________  Eat a live frog for breakfast every morning and nothing worse can happen to you that day! "Ask yourself whether the dream of heaven and greatness should be left waiting for us in our graves - or whether it should be ours here and now and on this earth.” Ayn Rand, Atlas Shrugged Bipolar type 2 rapid cycling DX 2013 - Seroquel 100 Celexa 20 mg Xanax .5 mg prn Modafanil 100 mg 
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Member
Member Since Feb 2016
Location: Pittsburgh
Posts: 197
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Jan 01, 2017 at 04:55 PM
#10
Have you used Wellbutrin prn? It helps with a depressive episode? Wow! How much do you take?
I also take Adderall which helps tremendously. With this particular mixed episode, taking an Adderall to get going, with a Xanax to stop the obsessive mind racing is helping quite a bit |
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SUPERMAN
Member Since Feb 2016
Location: Metropolis
Posts: 3,679
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Jan 01, 2017 at 06:47 PM
#11
Quote:
__________________ ]Roses are red. Violets are blue.[ Look for the positive in the negative. PIRILON. If lemons fall from the sky, make lemonade. Unknown. Nothing stronger than habit. Victor Hugo. You are the slave of what you say, and the master of what you keep. Unknown. |
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Grand Magnate
Member Since May 2015
Location: earth
Posts: 3,029
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Jan 01, 2017 at 07:27 PM
#12
I take it occasionally as an addition to my celexa, but when I do I take it for months at a time. I don't take it here and there like a benzo prn
__________________ Eat a live frog for breakfast every morning and nothing worse can happen to you that day! "Ask yourself whether the dream of heaven and greatness should be left waiting for us in our graves - or whether it should be ours here and now and on this earth.” Ayn Rand, Atlas Shrugged Bipolar type 2 rapid cycling DX 2013 - Seroquel 100 Celexa 20 mg Xanax .5 mg prn Modafanil 100 mg
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Elder
Member Since Jun 2015
Location: Czechia
Posts: 5,153
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Jan 18, 2021 at 01:51 PM
#13
For me, my Seroquel XR is effective for many issues. Higher doses can curb my growing mania, but sometimes even growing depression, specifically mixed type. It's a good remedy for my anxiety and agitation which can amplify negative feelings and thoughts. Or, sometimes even just decreasing my Seroquel XR helps by alleviating excess fatigue. Fatigue, itself, can be a downer. Fatigue can make my thinking cloudy. By easing it, my thinking clears, and energy rises, which often brings a more pleasant mood.
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 bizi
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