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Meds change, support needed

Posted by burial on July 13, 2014, at 12:24:02

The thing is, i'm not satisfied with my current med regimen. These are:

600mg amisulpride
20mg escitalopram
30mg mirtazapine
2mg clonazepam

I have schizoaffective disorder depressive type and i want to mix things up because life is colourless right now. Have in mind, that some types of medications are compensated for me so i have very few choices as to what i can use. What i was thinking was:

20mg zyprexa - was modest at 10mg, but great at 20mg. Was thinking Abilify, but my insurance won't cover it and it's expensive as hell.

30mg mirtazapine - i think it's ok.

4mg clonazepam, i still have anxiety, so i will increase the dosage. Don't talk me out of this, because i won't change my mind.

The most confusing is my last option. I can choose either paroxetine or fluoxetine. I know fluoxetine is more energizing and it has some synergy with olanzapine being Symbiax and all, but i already have enough 5ht 2c antagonism from olanzapine and mirtazapine. Paroxetine however is quite potent at norepinephrine transporter and once i did very good on it. Maybe i have some ADHD too but stimulants are out of question because of lack of money.

My main symptoms are lack of energy, anhedonia, anxiety and attention problems. I'm leaning more on the paroxetine side because according to some stuff i read it causes less manic switches than other SSRI's, i just don't want to be sedated to the point where i can barely get out of bed. Any input is welcomed.


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