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I have been looking for a place to post my situation so that I could get some additional support while I go through my med adjustments from people who have been, or are where I am. I have a lot to get out, so please bear with me.
I started taking meds about 5 years ago for depression, then a couple of years later, started being treated for anxiety. I was diagnosed as bipolar, but was only treated by a Nurse Practitioner and therapist until this past December when I met with a Psychiatrist. After meeting with her, and explaining how I am so easily distracted, irritable, talkative, have racing thoughts, constant worrying, lack of motivation, zoning out of conversations, procrastination...etc she explained that she believes not only do I have bipolar and anxiety, but also ADD.
Since January I have been adjusting medications and figuring out this long path. Our goal is to treat the bipolar, and see how much of that will take care of the anxiety and ADD.
For a few years I was on 75mg/day Effexor and 150mg/day lamotrigine with .25-1.0mg xanex as needed.
Once I met with the Psychiatrist, we first adjusted my lamotrigine to 200mg/day for a month and kept the effexor 75mg/day and xanex as needed.
Then I moved to 37.5mg/day effexor with the 200mg/day lamotrigine and xanex as needed.
Last month the Dr decided it was time to add Adderall. I was hesitant for the first couple of visits when she mentioned it, but I felt it was time to at least try it. Once we started it was 5mg 3x/day, and that didn't really do anything. Upped it to 10 mg 2x/day, and it was better, then did 10mg 3x/day, getting there but just not quite.
At this point my anxiety started to get to me (not because of the medication, but because of my own feelings of guilt over taking this medication my parents never wanted me on) and I needed to take a xanex every once in a while to talk myself down and remind myself that I'm doing what is best and what is right for me, and if that means taking this medication that's my choice and my right.
Sorry, went off on a bit of a tangent there, but that did cause my anxiety to go up a bit, however it still didn't seem like the right dose.
This last visit my Dr decided to keep all my other meds the same, but give me 20mg 2x/day (can do up to 60mg/day if it's a heavy day) to be broken up as I need during the day. My hours at work vary by day, so I may have a job at 9 in the morning but not another one until 6pm. So to keep from my body getting used to the medicine, my dr suggests that when I have a more relaxed day, to not take the full dose, or any if I don't have to. For example, tomorrow I work 10-4 so I will likely take 20mg at 830am, and another 20 mg at 12:30pm, then no more the rest of the day. But on Monday, I have a job 2-4 and 7-9 so I will proably take 10mg around 9am, 20mg at 1pm, and another 20mg at 6pm.
Also, now that I am taking the 20mg, my dr and I anticipated my anxiety going up again for a couple of weeks until I get used to the Adderall, and instead of taking the xanex, she wants me to try Klonopin. Today I worked 10-4 and did 20mg at 830am, and at 9:45 took .25 klonopin. Then at 11 I took another .25 klonopin. I decided to not take an additional 20mg of Adderall to see how I would do. Tomorrow I will be trying 20mg ADD plus .5mg Klon in the morning, and then feeling it out by the afternoon time.
Does anyone else have any experience with this combo? Any advice on what did and didn't work for you?
Have you found a different med other than Adderall that you can take at the right doseage without driving up anxiety?
Also, since starting these adjustments in the beginning of December, I have dropped 12 lbs! I snack less, I have more motivation to get up and go outside and move, and I feel much better than I did 6 months ago!
Thank you so much for reading all of this if you've made it this far! I'd love to hear anyone's experinces
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