Posted by porkpiehat on June 7, 2012, at 18:45:12
In reply to Re: Hey Zoloft? with lamictal and now lithium?, posted by creepy on June 7, 2012, at 6:49:04
> celexa IS good on anger for some folks. Though a dose that small never did much for me. It took 40mg and higher to get that effect.
> Zoloft works well on my irritability. Not sure if this is because I am still in a depressed state but I dont feel it. This drug is almost like a 'psychic painkiller' more than an AD.
> The first time I tried to transition to zoloft from celexa I had a really bad mixed reaction. The second time wasnt bad. I went up slowly and stopped at 200mg. Less apathy and sexual dysfunction on this drug so far. Maybe use a PRN antipsychotic to calm the mixed stuff? Or raise lithium?
> Irritability can be a sign of a mixed state. Doesnt necessarily mean you are BP. Lamictal wouldnt be my choice of drugs for that, its not so good on the manic side of things. Lithium would, but it also creates apathy.
> Drugs that address apathy and anhedonia are likely to raise anxiety =(> celexa IS good on anger for some folks. Though a dose that small never did much for me. It took 40mg and higher to get that effect.
> Zoloft works well on my irritability. Not sure if this is because I am still in a depressed state but I dont feel it. This drug is almost like a 'psychic painkiller' more than an AD.
> The first time I tried to transition to zoloft from celexa I had a really bad mixed reaction. The second time wasnt bad. I went up slowly and stopped at 200mg. Less apathy and sexual dysfunction on this drug so far. Maybe use a PRN antipsychotic to calm the mixed stuff? Or raise lithium?
> Irritability can be a sign of a mixed state. Doesnt necessarily mean you are BP. Lamictal wouldnt be my choice of drugs for that, its not so good on the manic side of things. Lithium would, but it also creates apathy.
> Drugs that address apathy and anhedonia are likely to raise anxiety =(So I've been doing 300 mgs of lithium and will keep at it for a week, I promised my pdoc. We also raised the zoloft to 75 mgs because the sadness was not improving. I'm not sure if the lithium is doing anything except making me thirsty and killing my workouts. The added Zoloft, however, seems to be working on the depression but I'm now realizing doesn't feel any different than Celexa did now that it's at a therapeutic dose.
So now it's less aggitation and more of a raciness and urge to drink. Super!
BTW I'm not sure what you meant by "mixed state"
poster:porkpiehat
thread:1014650
URL: http://www.dr-bob.org/babble/20120522/msgs/1019417.html