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Re: License LONG :) » liliths

Posted by Quintal on December 11, 2006, at 22:38:04

In reply to Re: License LONG :) » Quintal, posted by liliths on December 11, 2006, at 7:16:09

> my biggest worries about practicing are that I already have credentials and skills in areas I'm not capable of using. Hiding in the house instead. I was a graphic designer/digital artist for many years until my career tanked after 9/11. And I'm a Certified Personal Trainer. But not being able to go out, much less market myself, makes obtaining clients a tad difficult LOL


Well you seem to have plenty of skills and experience to bring to your new profession liliths.

> now I just need to figure out how I think my meds ought to be changed. I've always done the bulk of my research for my meds - I've been using this board for many, many years now - when it was only a med board - and was shocked after returning from one particular hiatus to find how huge we had become and had ALL these other rooms as well! Simply learning how many of us were out there who don't get 'fixed' by taking that one little advertised pill was tantamount to a transcendent experience. I'll never forget the profound relief that came with not being alone with 'being me' anymore
>
> I know I need to keep the focalin xr and the klonopin, but I'm wondering if augmenting the wellbutrin/buspar with lamacil would be advised - or if I shoud drop the wellbutrin OR just the buspar in favor of toally new meds. I have read that lamactil works best as an augment to an AD so I know I'd probably need something. As I've said before, I don't do well on SSRI's and anything with weight gain is a huge no-no for me - nothing will take me down faster than that! One becomes used to meds like focalin. Early in the day, when it's at its peak efficacy, I make myself eat regularly anyway. In the evenings, when it's worn off, I tend to overeat when depressed or bored or frozen. I have to be very careful about my weight - right now I'm carrying more bodyfat than I am comfortable with and cannot let it get any worse as it becomes one of the reasons I won't go out.
>
> and almost everything I look at seems to have that potential, except for the wellbutrin. If you have any other suggestions, please feel free. I'm going to need to go into my pdoc's office with a whole list of 'possibilities', as well as documentation about why I want to try it. As I said earlier, he has become increasingly resistant to making any changes - laziness? i don't know. But if I have to cut the hydrocodone, I definitely need to consider a different regimen.

A dopamine agonist may be a good place to start if you haven't tried them already? Nardil may also be very effective, especially in combination with Lamictal? There are obviously potential problems with the Focalin and the opiate (but you are planning to drop that anyway?), though I have heard of people combining opiates and stims with MAOIs it's not for the faint hearted. Parnate would probably be better with regards to the ADHD problem, but you have already tried that?

Perhaps Parnate, Lamictal (as augmenter), Lyrica (as a benzo substitute if they try and force you off it?) and low dose Focalin or dopamine antagonist?

I'm not sure. You seem to have a very complicated history and are quite informed yourself. I guess you know the limits of your pdoc best.

Q


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poster:Quintal thread:712379
URL: http://www.dr-bob.org/babble/alter/20061203/msgs/712787.html