Pillbox


After working through numerous scheduling conflicts, I finally had my visit with the psychiatrist today. And I finally had a chance to express to him everything that has been going on.

His first reaction was not what I had expected. Instead of generalized anxiety disorder or a medication reaction, my doctor seems to think I’ve had underlying panic disorder. He wanted to change my antidepressant to Effexor. I very kindly reminded him that my depression had caused significant weight gain in a short time. He changed his sights to Prozac. I stopped him there.

I didn’t think it was the antidepressant that was the problem. We just changed the dosage on my Wellbutrin and there was no change. None. Not better and not worse. But we haven’t moved anything around with my mood stabilizer or my anti-anxiety meds in six months or more. I told him that irritability was always the calling card of destabilization. And I’ve been a firecracker lately.

So I have some new things to add to my pillbox. Xanax, 1 mg 3 times daily, and temazepam 30 mg once daily. C.S. added a couple of nutraceutical add-ons to help.

My daily regimen looks as such:

Morning:
300mg Wellbutrin
1 capsule Cogni-flex
1 capsule Ubiquinol
1 capsule Adrenomend
1mg Xanax
100mg Lamictal

Afternoon:
1mg Xanax

Bedtime:
1mg Xanax
30mg Temazepam
150mg Lamictal
1 tablet Orthosept
1 capsule Quell
1 capsule L-glutithione
1 capsule Seditol

As needed:
2 puffs Ventolin
1 capsule Maxalt

Note: The nutraceuticals are not all aimed at mood support. I take some for heart support, weight management, and immune support. Some psychiatric medications lower white blood cell count and leave a person susceptible to infection.

I am also aware of the potentially dangerous interactions between several of these medications. Don’t worry. Dr. Husband (with some sarcasm) has vowed to look after me. Mainly, we’re concerned with too much sedation. Orthocept increrases Xanax and Xanax and Temazepam are both benzo’s. Temazepam isn’t forever – it’s temporarily treating the insomnia until we can get things under control$

If you see something I might have missed, let me know.

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6 thoughts on “Pillbox

  1. All I see is you using your beautiful voice and your wonderful mind. I assume you ran all of this through the Medscape drug interaction checker. 😉 I’m just happy to have you around again, and I think the fact that you have been doing some revamping on this blog is a positive indicator (not that I didn’t like it before, just shows that you are inspired and motivated, a great combo).

    • I am motivated and inspired! Thank you for noticing! I am feeling a lot better.

      I can’t give all of the credit to meds. I started taking a neutracutical from Douglas Labs called Cogniflex. It has been incredible add-on to compliment the meds. I’m not sure if it’s supposed to be an add-on for a mood stabilizer or an antidepressant. It’s done both, and I’m so grateful.

      Yeah, I ran it through the checker. The sedation effect was worrisome, but it turned out OK. I was able to leave a couple of the neutraceutical sleep aids in the drawer for now. That’s good because an herbal holiday means that the herbs will be more effective if and when I need them again.

      When I go back to work, there’s going to have to be a few more I need to add back on. Eh, I’ll go into those if anyone is interested.

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  3. Can you give some advice as to where I can research the nutraceuticals? Not everything shows up in Medscape and since I have to treat a variety of conditions, I get very wary of adding herbals.

    Thanks!

    • I’m not sure what your insurance covers, but I’d have to tell you to see a naturopathic doctor. Be careful though because they’re infamous for being anti-pharmaceuticals so the doc might try to convince you to come off of your regular meds.

      My husband is a nutritional consultant for Douglas Laboratories. For information regarding nutraceuticals, you can visit their website at http://www.douglaslabs.com. My husband reviews the research and recommends supplements for me. To be honest, I really just guinea pig it out because the risk of adverse side effects is pretty low.

      Here’s the thing. You would have to see a medical professional who would contact Douglas Labs to order the supplements. You might even want to talk to your Pdoc to consider add on’s. If depression is a problem, I recommend Cogni-flex. It made a world of difference for me. Ubiquinol did great for my energy levels. But like I said, it was a lot of trial and error.

  4. Pingback: Inside the Pillbox « Bipolar Inspirations

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