Posted by LlurpsieNoodle on June 2, 2007, at 16:53:50
In reply to Drugs counteracting each other? Provigil and more, posted by Jonathan_NC on June 1, 2007, at 20:43:12
Hi J,
Wow! sounds a lot like MY cocktail. Like you I respect and trust my pdoc (psychopharm doc) so I guess we'll just have to trust them.
>
> I am taking the following medications in the morning for atypical depression and social anxiety:
>
> 200 mg Lamictal300 for me
> 37.5 mg Effexor XR (just started a week ago)
> 300 mg Wellbutrin XL
> 100 mg Provigil (just started today)200 for me.
Also geodon 180mg and klonopin .5mg
> I thought Provigil would be the 'magic' pill to help me out of this perpetual funk, but it didn't have any effect today. I didn't take my .25mg Klonopin this morning because I didn't want to negate the effect of Provigil. Am I right in thinking this?
>
> For those of you who are educated in these drug interactions, or have personal experience with them, can anyone tell me if the drugs in my cocktail are canceling each other out? Is there anything dangerous about this mix? I do trust my psychiatrist, but I would like a second opinion from all of you.For about 5 mos I took a cocktail of cymbalta (similar in many ways to effexor) provigil 200mg and seroquel. I got great results from that. It is my experience that the provigil cancelled the sedation I was experiencing from cymbalta (and now geodon). I found that it had far fewer side effects than coffee. It didn't give me jitters, and didn't seem to be addictive in the way that coffee is (NeEd MoRe!!!).
Now, supposedly the effexor is supposed to be good for anxiety. Well, cymbalta didn't do CRAP for my anxiety, finally I got the go ahead to take klonopin. You take a very low dose of klonopin. If you don't notice any sedation, keep taking it. Especially if it's prescribed. If you still feel sedated (sleeping too much, nodding off at inappropriate times) you should ask your pdoc if 200mg provigil is not more appropriate. Also consider the time of day when you take your anti-depressants. The ones that are more stimulating- take those in the am or during the day. Take the sleepy-making ones at night.
>
> Thank you so much. I wish you all well,
> JonathanI wish you well too. Remember that everyone's body is different. The more questions you ask, the more you will learn.
As far as dangerous side effects- ask your pdoc, but I cannot see any reason for bodily harm. However there may be a psychological effect of taking a lot of pills. You may feel "sicker" or worry more about your symptoms and about your doctor's competence. Hang in there,
-Ll
poster:LlurpsieNoodle
thread:760809
URL: http://www.dr-bob.org/babble/20070524/msgs/760924.html