Drug regimen

I'm currently on: Olanzapine (Zyprexa) Fluoxetine (Prozac) Diazepam (Valium) Methylphenidate (Ritalin) Gabapentin (Neurontin) Which of these should I drop? Which should I keep taking? On a side note, how safe is it to drink a beer with 5mg of valium? Thanks Lain.

What are you taking them for? If it's a mental illness or illnesses what symptoms were you previously experiencing? What symptoms have you noticed reduce and after what med was added? What new symptoms have you seen appear or worsen that could be side effects?

Assuming you know what they're for, why you were prescribed them, how to wean off them and what (side-)effects they have: If you have no chronic pain, it's safe to drop gabapentin. For the sake of cardiac health in the long term, I recommend taking MPH only when you need it. (Ironically enough, snorting plain speed is much less harmful than MPH for your heart.) If you have no chronic anxiety problems, don't use diazepam habitually. It's more addictive than people think, especially in the long term. Definitely stay on the other two and consult your shrink if you want to wean off them or to try different SSRIs/APs. t. bartard medicine student

>>5903 I don't think it's wise to give advice when you don't yet know what the meds are supposed to be treating. OP could have any number of conditions.

>>5894 going into a 400 ug trip later tonight

>>5905 have fun, good luck, tell Lucy I said hi :)

I wish I could help but I have no idea. I was hoping someone could help me out with suggestions for my medication though. After years of not taking medication (I've been on prozac, seroquel, lamictal, dexamphetamine, zoloft before that), I finally decided I was too depressed in daily life and now I'm taking Pristiq/Desvenlafaxine. It's actually kind of working, I am not obsessing as much, I am less depressed and I'm feeling like I never want to go back to how I was. Things aren't great all the time but they are so much better, and I can actually function now (far less day-to-day self hatred). Now my question is, should I seek out more medication? I've been looking at combined medications like Mirtazapine with SSRI/SNRI -- I'm wondering if anyone has any experience. Things are going okay right now but im interested in really trying to sort everything out, seeing if i can make things better in terms of medication. I have no idea what kind of solid diagnosis I've had, I've had several different doctors give different vague ideas of social phobia, ADD, major depressive disorder and at one time Bipolar type 2. I don't even know where to start and it all seems like a lot of overlapping problems which don't exactly translate to pathologically contained conditions.

>>5907 I have taken all of those meds at some point and am currently on 45mg mirtazapine and 200mg pristiq as well as some others. Basically, the most I can really say is that there is some evidence that augmenting pristiq with mirtazapine is efficacious. Personally I think there is some merit to this augmentation, but it's hard to know exactly where the benefit is coming from for this reason: mirtazapine, especially at lower doses is quite sedating, so if you experience sleep disturbances it may help improve your quality of sleep. I think the aspect of sleep hygiene has been an important one to me. Despite this I won't make any bold claims that it will be helpful for you. I have a lot of uncertainty around my diagnoses as well, and it's not always easy to tell what is addressing what. Once again, in my personal case I can say that taking a 100mg dose of amisulpride when I feel my mood rapidly declining, is extremely helpful and can often avert the course of disaster so to speak. I'm not sure how helpful this is to you though, it is not available in some countries.

>>5909 Thank you for your advice, I'll see if I can try out mirtazapine and see how it goes alongside the pristiq. Yeah the diagnosis uncertainty makes things very difficult, often feel like there are so many things going on at once that it fits into so many things at once.