Thanks AMNESIA for the reply. I guess I wasn't clear on the reasons buproprion was RXed.
I've been extremely (hypo)manic for about 5 years with no sign of depression. I would get schizo/manic paranoia that one day I would finally become depressed. My doc
said that only about 8% of patients have 'bi-polar I' and only experience mania their whole life. I was hoping that I was one of those lucky 8%. Although I don't enjoy when I get mania flare ups because they lead to harmful self-destruction, but mania has increased my outlook on life and I see the euphoric and artistic endeavors that it gives me which I see as a blessing.
As my Doctor put it, because I am a professional artist and musician that he wanted to avoid traditional antipsycotics because they often dull creative thought (or all thought in general). We decided to use Lamogrtine (Lamictal) as a mood stabalizer in lieu of lithium. This seems to have very little effect other than I haven't had a full-blown manic episode since the treatment. that suicide would seem reasonable.
I tried apriprazole (abilify) 7.5mgs, but that made me feel so strange I quit immediately.
So now on to where we are now prescription wise. Typical Lamictal treatment, with alprazolam
1 mg (xanax
) for acute-mania. Temazepam
30 mg nightly for sleep. This worked quite well. The only worry was long term benzo
use. My doc has basically wrote the standard texts for benzos
and taught at universities doing mostly benzo research, and if he's not worried I guess I shouldn't be.
I had a series of very unfortunate events in my life and I slipped into a true clinical depression. I started to feel suicidal. I went to him and described the situation. SSRI
's are contraindicated (I believe in mania) plus I almost black out when I take lexapro
Now where the buproprion comes in-150mg XR, tells me to take it immediatly when waking to avoid insomnia. Which I do and is no help. But my depression disappeared in about 2 days. I had energy and motivation, and best of all I didn't feel as if I had taken any medication what-so-ever. Until I tried to sleep.
For now I am trying to exercise and wear my self out in the day time to sleep better, this kind of works. The doc suggested Seroquel 25 mg and said that should take care of insomnia. I feel though that it is just too much RX's (although insurance covers 100% of all meds and visits). I also know Seroquel can really change congnition. Which is not exactly what I'm looking for.
I want to continue Buproprion because I've never been so happy, friendly, witty, and gernerally MOTIVATED, and in a great mood. Other than massive benzos or seroquel, are there good options?. I just want to take the buproprion because it helps SO much, but this insomnia is sure to trigger a manic episode.
What should I tell the doc? I just want buproprion in day and sleep at night. and Lamictal to keep from swings. I just can't go to sleep without 4mg alprazolam or equiv.
I know that's not good in the long run (and I've already been on benzos for 6 months).
Lastly, are there risks on my liver with this regimen? I mean I feel truly CRAZY buproprion, xanax, temazapam, lamictal.
This one was really long but again, its 4:00 am and I need some help. Just took 3mg alprazolam and 30 mg temazapam, and I'm losing coordination but not speed of thoughts.
sorry so long, thanks.
PS - All these medications were taken by prescription so I hope I can refer as "I" instead of SWIM
takenbyRX added 9 Minutes and 25 Seconds later...
"Donkey," I saw you used abilify to potenate the wellbutrin
. What dosage? I only used abilify for 2 days at 7.5 and it made me feel really strange. Anyway, I've heard positive things about 2mgs. But never tried because the stuff was so wierd and I couldn't come down from its dulling anti-phycotic effects. I have 5-10-15mg pills that can all be split.
What dose of each do you take and how does that 'potenate' the feeling. Or rather what changes are noticeable?