Posted by Nonocebo on November 27, 2018, at 17:48:58
Crashing from the stimulants: I was told that if the bipolar is adequately treated that would make the stimulants work better and would prevent the crash. So I need clarity in terms of 1) how I could more adequately treat the bipolar and 2) I need to know if this is in fact sound science or just a way for the psychiatrist to try to get me to go on more mood stabilizers or anti manic agents. The reason I need to know this , aside from just ethically something Im entitled to know so I can make an informed decision, is that I saw a doctor who said this so he raised the trileptal to higher than it Im on now, (albeit still sub therapeutic) and kept going up. I agreed to this simply for the sole purpose that I hoped it would prevent the crash and make the Vyvanse work better. My experience was that what it did was make me more sedated, impaired and slowed down even more and it didnt help the Vyvanse work better but seemed to do the opposite. I want to be mistaken because I want to try an approach that would prevent this terrible crash so if there is some literature explaining the science behind it then that would be greatly appreciated. I want to clarify that I dont have intractable mania. The issue is depression, memory, cognitive and profound word finding problems. Its bipolar in as much as that when I go on anti depressants I get into confused states where I get disoriented and I cycle, all within a depressive state. So antidepressants are problematic and we are using stimulants instead. But there is no reason for me to be on higher and higher amounts of anti manic agents unless the end result improves my cognition, mood and functioning because Im not manic. I also want to say that Ive tried Lamictal, Li, and other mood stabilizers at therapeutic doses and they made me totally non functional I got so impaired and slowed down. So
Im not sure if the solution is to keep going up on these medications.This is my medication
Vyvanse 30 twice a day
Lamictal 75
Zyprexa 5
Trileptal 150 twice a day
Ashwaghanda (sensoril) 125
NAC 3000
poster:Nonocebo
thread:1102196
URL: http://www.dr-bob.org/babble/20181024/msgs/1102196.html