Posted by phidippus on October 1, 2013, at 14:19:21
In reply to Re: Augmenting Bipolar 'Cocktail' with Trodenki XR, posted by LouisianaSportsman on October 1, 2013, at 12:55:08
>So, should I augment with riluzole and add Vyvanse 60 and call it a day?
I definitely would recommend Rilutek-it has helped me with both mood and anxiety. (DX: BP, OCD and ADHD).
I think you'll find adding Vyvanse beneficial. I take it alongside Invega and do not experience any diminishment in efficacy. Augmenting the Vyvanse with Nuvigil will improve mental alertness, though I don't believe basic executive function will be enhanced.
>Maybe augment with something else?
Depends on what you want to achieve.
>I really want to add the topiramate next since >that's what we already discussed and I need to >lose weight.
Don't expect it to be a mood stabilizer, rather think of it is an efficacious glutamate antagonist which will impact your anxiety. An interesting bit of info on Topamax: studies show it improves social anxiety.
There are other ways of losing weight as well which might be a better alternative: Gabitril is a medication you mentioned before-studies show it can support weight loss. You'll also find a lot more info about Gabitril with regards to mood stabilization.
Also...About the Neurontin. I would take Lyrica instead. I found it a better mood stabilizer than Topamax.
Here's my cocktail: Lithium 1200, Vyvanse 70, Invega 12, Rilutek 100, Viibryd 60
Eric
poster:phidippus
thread:1051278
URL: http://www.dr-bob.org/babble/20130930/msgs/1051506.html