Posted by LouisianaSportsman on May 1, 2014, at 19:40:04
In reply to Re: Reducing meds. PDOC advise trial of any AAP Ideas? » LouisianaSportsman, posted by klein on May 1, 2014, at 14:09:24
Hey, Klein! You're now on SLS (been inactive lately) and Eric status to me. Sorry if I was rude to you on that SSRI empathy thread.
Well, I've admitted this deep in this forum before, but I guess I'll admit it again-- I just really enjoy changing up, reading up and trying different medications as my hobby.
I can say that I do not know much about depot injections. I thought that it might have offered metabolic benefits even, but I was kinda skeptical about that. I figured it was just exclusively for non-compliant patients or people who didn't seem so eager to be taking their medication.
I was on Abilify at 5mg. to augment sertraline (Zoloft) at the time and noticed that it was a sugar pill so I raised the dosage to 10mg. which was something my old PDOC seemed very reluctant to do. (Thank God I have my current PDOC) I noticed about three days later that I had a definitive positive effects from Abilify that were not placebo at 10mg. and I stuck with it. It made me gain weight so bad. I was on Abilify when I switched to my new, awesome PDOC and she switched me to Latuda per my request (very tough choice to switch since I thought Abilify did work) and added Topamax for weight and mood.
Very much so want to try Saphris! I might trial it for a month and see what happens. It might be better than Latuda! If I do good at Abilify 10mg./ Latuda 40/60mg.-- what dosage of Saphris should I try? I'm pretty for real about switching. I'm pretty for real about Invega too. :/ But Saphris just looks more appealing. It's my third favorite AAP.
Olanzapine looks like a nice, safer sequel to clozapine if I was going to try that right route, and I've always wanted to see what the hype is about. The Zydis form seems to cause less weight gain.
I'm going to basically ask my PDOC, who I know who is a fan of Saphris, Invega, and Zyprexa what she thinks would be best to try out for a month. I'm pretty positive she'd be down to let me try something different, and if I like it better-- I'll stick with it.
The insurance letter said to cut back down on the medications used for stimulation, CNS depressants, and concomitant usages. I'm not sure why they sent that-- they're still continuing to pay. I believe the Gralise, Xanax XR and the Desoxyn raised a red flag in someone's department. The letter did state that narcolepsy was no associated with the Nuvigil script and it exceeded the quantity dispensed limit of #30 (I was getting #60 for 500mg. armodafinil ~600mg. modafinil). The letter stated that shingles was not associated with the Gralise. The Lamictal XR was singled out due to the fact that I am already on an extended-release anticonvulsant. The Desoxyn was mentioned as being for narcolepsy and while approved for ADHD, anyone prescriber who prescribes Desoxyn is under a monthly review process.
Basically, in the future, I guess we're going to have to stay on-label. I think we could still get away with some stuff however as it was just was just an "Advisement" and not a warning or anything, but my PDOC still took it seriously.
I tried the Oleptro ER 300mg. last night and didn't experience much next-day sedation or even nightly sedation with my clonazepam, but I do miss the armodafinil a lot. That's why I'm thinking may be desipramine for energy. I'm also thinking about mirtazapine at night, but I'm scared of weight now that I no longer have the Nuvigil on board. I'm not sure what to think about the Oleptro just yet.
I go back in two weeks, I have in mind: desipramine, mirtazapine, and what else?
poster:LouisianaSportsman
thread:1065010
URL: http://www.dr-bob.org/babble/20140419/msgs/1065067.html