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Help Me with My Med Regimen! Please/Anyone

Posted by PCB on August 19, 2019, at 6:34:40

Hey Everyone,

Everyone has been so amazing and I have gotten such great advise, maybe I should just list my medication experience and see if anyone has some thoughts. I'm in my 40's with a history of depression, panic disorder. My father was Bipolar II, mother depression. These are the meds I have tried. All of these combos I take with 0.5 of klonopin

Prozac 20 mg. Poor
Imipramine 200 mg. Good 3 months, Poop out
Effexor 350 mg. Poor
Imipramine 200 mg + Lithium 900 mg . Good one year.  Stopped working after 2 weeks of night shifts
Wellbutrin 300 mg. Worst
Desipramine 150 mg. Worst
Imipramine 200 mg. Poor
Remeron 45 mg + Lithium 600 mg. Poor
Nardil 60 mg. Good
Nardil 45 mg. Poor
Nardil 45 mg + Ritalin 0.5 mg. Dysphoria
Zoloft 250 mg . Poor
Nortriptyline 150 mg. Worst
Nardil 45 mg + Coffee. Okay
Lamictal 300 mg. Okay
Nardil 45 mg + Lamictal 200 mg. Okay. But my liver enzymes were increased
Nardil 60 mg. Good. 

*Then I wanted to see if I was bipolar and I tried some mood stabilizers
Lithium 450 mg.  Poor
Lithium 900 mg.  Worst. Severe nausea, fatigue
Depakote 250 mg. Worst.  Severe depression, apathy

*Trying to recreate Nardil with new combinations
Zoloft 100 mg + Gabapentin 600 mg.  Poor
Zoloft 100 mg + Gabapentin 600 mg + Provigil 100 mg.  Poor, Palpitations
Zoloft 25 mg + Zyprexa 2.5 mg.  Worst, Apathy, Tongue Twitching
Parnate 40 mg + Lithium 600 mg.  Worst
Nardil 60 mg.  Poop out

*Nardil stopped working so I volunteered for ECT to see if it would get nardil to work again
ECT. Good, Still with anxiety
Nardil 60 mg. Good
Nardil 45 mg + Lithium 450 mg + Coffee. Okay
Zoloft 75 mg + Wellbutrin 100 mg + Lithium 450 mg. Okay

*Closest I would come to recreating Nardil with Selegiline
Zoloft 75 mg + Lithium 450 mg + Selegiline 10 mg. Okay. 75% of Nardil

Nardil 45 mg + Lithium 450 mg + Coffee. Okay
Zoloft 75 mg + Wellbutrin 100 mg + Lithium 450 mg. Okay.  Still with leg edema
Nardil 49 mg + Lithium 450 mg + Lamictal 45 mg. Good

*Finally my current meds
Nardil 49 mg + Lithium 450 mg + Lamictal 45 mg + no caffeine + Fish 2 times a day + no alcohol + strict sleep schedule + meditation + reading 1 hour before bed + exercise 5 days a week + church weekly

Do you think a retrial of lexapro/Effexor with 450 lithium and 0.5 klonopin with no coffee, sleep, omega III would work this time?

Any other combos anyone can thing of?

I know this is a long post. But any and all suggestions are appreciated!

PCB

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URL: http://www.dr-bob.org/babble/20190728/msgs/1105790.html