Posted by pixiemagic on December 21, 2011, at 1:59:20
I know you guys aren't doctors, but could you please offer medication suggestions?
My main issues:
-irritability/anger
-can't control emotions/extremely sensitive
-lack of energy, but mind is always racing w/ thoughts
-no motivation
-phobias/fear
-sleep a lot
only formal diagnosis i've received is major depression, dysthymia, general anxiety, & traits of borderline personality disorder. :/ anyhow, usually i get triggered by something & then i get sad, which sends me into depression for a while (i dwell on things) or i get super angry & then super depressed (immediately after). the rest of the time i alternate day to day or week to week from having energy, being productive & happy (but not manic) to feeling low, lack of energy & irritable/angry. kind of like bipolar, but no real discernible cycle.
meds i've tried:
paxil (induced apathy, made cigarettes taste awful)
trileptal (no change after 2 weeks)
effexor + geodon (slept avg of 14 hrs, then was super anxious, brain fog, confusion, horrible!)
pristiq (no change after 2 weeks)
celexa (blissful, nothing could bother me, helped a lot with anger/irritability, slightly helped with phobias, still no motivation, eventually built up tolerance, but it worked again after a "break")
wellbutrin (some motivation, some anxiety, made my facial twitch in jaw worse, anxiety & muscle twitch became worse with higher dose)
celexa + wellbutrin (induced a little bit of mania, i was super happy, jittery, anxious, wanted to smoke & drink a lot)
currently taking wellbutrin 150mg SR once a day. i have a weird schedule & wellbutrin increases anxiety at a higher dose, so doc & i decided to try just one pill when i wake up. i wake up around noon on avg & wind down for the evening around 1am. go to sleep around 2am on avg. doc wants me to add celexa again in the evenings at a very low dose 5-10mg, but i haven't started yet. i'm thinking my problem is more dopamine & serotonin related, so celexa may work, but wellbutrin probably isn't the best choice for the dopamine. also, i think i might have too much norepinephrine anyways because i have a horrible tolerance to stress & i am super jumpy & easily startled, always have been.
poster:pixiemagic
thread:1005322
URL: http://www.dr-bob.org/babble/20111208/msgs/1005322.html