Hi I have PTSD GAD and bipolar 1, I've been on Prozac 40mg for 2 yrs now and I've had a recent experience that has caused me to suffer ptsd all over again. I was treated for the first episode 9 yrs ago with emdr which worked well. Now this particular incident has to do with work and now I'm finding myself experiencing major depression. I cry alot and feel like my world is falling apart. I fight the depression but im scared i wont be able to fight the battle for long. I'm becoming more and more exhausted. Sleeping long hours and feeling week during the day. My NP added ability three days ago 2mg which I took the first day in the morning and I was extremely exhausted all day. I have taken it at night for the passed two nights now and I'm finding it causes restless sleeps/insomnia nausea and dull headache. I still find myself wanting to be isolated although I do have a but more energy but I'm not sure I like it. My np also mentioned maybe trying Vyvanse. Any thoughts? My urge to sleep all day has gotten better but I wonder if Vyvanse would be worth trying
Prozac with abilify to help boost Prozac effects. I'm wondering if Vyvanse would be more helpful 4?
Question posted by Naccchris on 27 March 2017
Last updated on 27 March 2017
Answers
Naccchris; first you have a very smart NP, they have found that medication like Abilify increases the effect of the SSRI's like Prozac and you are already on 40mg which is the stronger than normal however they do go up higher. But what I really want to tell you they have found out that many of the medications like VYVANACE there is a Major Interaction between it and any SSRI so they try to avoid it but if it does come down to having to use it you must be monitored very close due to serotonin syndrome that can be real dangerous or even fatal. So please do the Abilify first and see where you stand.I hope this helps with your question. and this other one the doctor or NP HAS PICKED OUT IS VERY EFFECTIVE TO MAKE THE REGULAR STRONGER AND HELP WITH PTSD. gOOD LUCK AND feel free to let me or us know how things are going.
Nacchris; being that the Abilify is making you tired this is normal for about the first week and then you get used to it and it does not effect you as much. But also you do have the option of the lift of the Vyvanse as your NP has said that could also help as long as they use it in the lower dose you well be fine so I did not want you to misunderstand what I was saying. Both wells is fine but see how the first works and then ask the NP about the interaction with Prozac and VYVANSE and how do you watch for it. so many still use these classes of medications so you well be fine either way cHUCK 1957
Thank you for your advice Chuck1957. I terrified to try it again during the day because feeling so exhausted was why I was put on it in the first place and now taking in the evening causes insomnia and muscle agitation. Do you think those side effects will get better in time. Since I can't sleep on it I'm taking clonazepam 1mg to help but I hate taking all these meds. I was hoping that the Vyvanse would give me the boost I need during this difficult time. I'm at a loss.
Nacchris; yes it is a good chance as you continue that these side effects well go away. But also please don't worry too much about trying the Vyvanse again. Really many do take it or one of the other types with good success also. It is just the fact that they have to watch it. You have many options yet. And from what you have told me about your NP Even I have much confidence in her or him. I hope I was not the one that made you worry so much but if I was I am so sorry. The way I look at it dear is if I can live well off medication I'm all for it. and while I am telling you this you really are very normal most people with these problems end up taking what we call a cocktail which means more than one medication to help us feel better and 3 seems to be a very common number. So you by far are not taking to much medication. please don't worry about that. You have a great doctor and you take your medication as prescribed.
None of us would take medication if we could get away with it. but that is out of the question. As both of us know. One last thing I forgot how long you have been on the Celexa but it continues to get better all the way up to 6 to 8 weeks and that is when you reach the best blood level. So keep the faith. You sound very good to me. if I can help you or one of the other members please re-post any question you want. and bookmark us so yu can find the right site. Now have a great day. And they well get better too.
Related topics
abilify, prozac, vyvanse, depression, bipolar disorder, post traumatic stress disorder, generalized anxiety disorder
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