Posted by bulldog2 on December 25, 2009, at 17:51:51
In reply to question about my meds, posted by Roslynn on December 23, 2009, at 16:00:10
> Hi everybody,
>
> There are some very smart people here and I just wanted to post about my meds and see if anyone had any input.
>
> I was on Prozac 40mg, nortriptyline 50mg, ativan 1-2mg, and lithobid 600mg. (I am unable to tolerate higher lithium dose.) Diagnosed with depression.
>
> I saw a new doc and he seems nice. He thinks I may be showing some signs of bipolar, maybe bipolar II. I have a first-degree relative with bipolar I.
>
> The new doc wants me to cut both antidepressant doses in half and add lamictal. Also, he has prescribed Geodon for the time period before the lamictal kicks in, especially since I am cutting my antidepressants in half. I think he is worried about anxiety from the med changes.
>
> Does this sound like a typical protocol if someone is starting to show bipolar II? (I may have been this way for quite a while but I didn't recognize it since I have never been manic.)
>
> Also has anyone else heard of using Geodon as a short-term med to relieve anxiety while a person's other meds are being adjusted?
>
> Thank you for any input!!
>
> RoslynnWell bleauberry has a good point about changing one thing at a time. Generally I would agree with that approach.
However Maxime also makes makes sense in that the cocktail sounds right. Perhaps this doctor has seen many patients before who have presented your combinations of symtpoms and have done well on his protocol.
Why not ask him the reasons for these changes and than perhaps you would feel better about making these changes. I think one should always be able to have this dialog with their p-doc.
poster:bulldog2
thread:930569
URL: http://www.dr-bob.org/babble/20091217/msgs/930887.html